Independent Physicians Association of Lee County http://www.ipalc.org/forum/ This is an XML content feed of; Independent Physicians Association of Lee County : Last 10 Posts Copyright (c) 2006-2008 Web Wiz Forums - All Rights Reserved. Fri, 30 Jul 2010 08:48:11 +0000 Sat, 16 Jan 2010 21:06:54 +0000 http://blogs.law.harvard.edu/tech/rss Web Wiz Forums 9.51 30 www.ipalc.org/forum/RSS_topic_feed.asp Independent Physicians Association of Lee County http://www.ipalc.org/forum/forum_images/web_wiz_forums.png http://www.ipalc.org/forum/ Hospitalist Issues : Poor design can be fixed http://www.ipalc.org/forum/forum_posts.asp?TID=10&PID=16#16 Author: ironpony
Subject: Poor design can be fixed
Posted: 16 Jan 2010 at 9:06pm

Hospitalist standards ( Paragraf: Responsibilities regarding response time)
 
If LMHS Board is so concerned about Hospitalist  Standards why they are not so much concerned about lack of  standards for ICU care across  the System. There is no "ICU team" in Cape or Lee. What's the   point for hospitalists or private physicians to see the patient   "at once" if there is no intensivists in those hospitals to help with central line, intubation, sedation, critical care plan etc. The unstable patient should be stabilized by ED with central line placed before admission to ICU.  This is the standard  worth  pushing for. The  verbiage " If unstable, the patient to be evaluated at once" should not be accepted. Period. It is unbearable burden for on call physicians without any gain in patient's outcome.  
]]> Sat, 16 Jan 2010 21:06:54 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=10&PID=16#16 Hospitalist Issues : Poor design can be fixed http://www.ipalc.org/forum/forum_posts.asp?TID=10&PID=15#15 Author: ironpony
Subject: Poor design can be fixed
Posted: 04 Nov 2009 at 9:54pm

Proposed Hospitalist Standards are designed to kill  competition completely. I wonder who is going to pay all individual doctors to stay idle  in the hospital just for the sake to be available   to respond within 15 minutes of request for assistance. And what  is  the purpose of highly paid  Intensivist services in this case.]]> Wed, 04 Nov 2009 21:54:53 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=10&PID=15#15 Hospitalist Issues : Poor design can be fixed http://www.ipalc.org/forum/forum_posts.asp?TID=10&PID=14#14 Author: jjgreen
Subject: Poor design can be fixed
Posted: 01 Nov 2009 at 11:13pm

From my past work for other doctors in the hospital I know an crucial flaw in our current relationship with hospitalists which can be fixed.

I have expalined this to the hospitalist groups, but there will need to be an insistence from us to get them to make this change - read below;

Each individual hospitalist and outpatient doctor need to form an exclusive relationship with one of the other. Currently outpatient doctors are covered by the group of hospitalists equally. Exclusive relationships mean that any outpatient doctor's admissions are always handled by HIS hospital doctor during normal working hours and when that hospitalist is on call. Off duty they go to the other covering hospitalists.

This fixes several problems -
1)Continuity I think is obvious enough to skip an explanation, but it is worth noting that the hospitalist will have more of his work from a small number of doctors (4 was plenty to keep my income good) which makes it easy to accustom to the outpatient doctors charts, office, and preferences.

2) Competition and the inevitable quality improvement this brings - The hospitalist will earn according to his own ability, maintain and form new relationships with outpatient doctors based on his performance noted by the outpatient physicians from experience and word of mouth. The partners of the hospitalist will protect there relationships and demand better care from the associate hospitalist when they cover for them.

3) A derivative of the competition is that they will start to resent the waste of money currently put into the administrative/owner functions and strive to reduce it or break off in to small or solo groups. No-compete clauses should be squashed by us because as this is OUR community and OUR patients, and not theirs to claim in such a manner - especially as non-compete clauses in this case do the community serious harm.
]]> Sun, 01 Nov 2009 23:13:38 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=10&PID=14#14 EMR : EMR http://www.ipalc.org/forum/forum_posts.asp?TID=2&PID=13#13 Author: plotti
Subject: EMR
Posted: 18 Aug 2009 at 5:03pm

It is now August 2009, almost one year from the announcement that the government was going to underwrite as  much as $42,000 per physician over a five year period for implementing an EHR. Since that announcement we have experienced stimulus plans, bail outs and TARP. Now we watch as the Congress and Senate propose complicated legislation to "improve" our American healthcare system. We see fellow citizens be labled "un-American", "Nazi-like", and "disgruntled" when they show up to express their frustration and distrust with their representatives and the proposals. Coincidentially, the office of CMS has annouced a proposed fee reduction to physicians in FY 2010 of 21%, and in some cases as high as 30%. Imagine the math it takes to offer 1/5 of $42,000 in the first year of an EHR implementation that costs ten times that amount to purchase, while your operating funds are reduced by 21% in the same year!!! Somehow I don't see Mr. O'Bama's vision achieving more than wish and a prayer of success.]]> Tue, 18 Aug 2009 17:03:36 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=2&PID=13#13 How can we make this better? : New health Care company http://www.ipalc.org/forum/forum_posts.asp?TID=9&PID=12#12 Author: marcosjr2004
Subject: New health Care company
Posted: 12 Aug 2009 at 11:10pm

I represent a health care company that provides health care coverage for low income families, our list of benefits is mainly focused on free preventive medicine. At this moment we creating our provider network for Lee County. These are some of our benefits to the provider:

No Billing Necessary
We pay 15 days after the end of the month.
More than 7 years of experience on Miami Dade, Boward, palm beach, Osceola, Orange, Seminole, and Hillsboro counties.

If you need more information you can contac me at: 305-269-2004
]]> Wed, 12 Aug 2009 23:10:50 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=9&PID=12#12 LMHS : LMHS Board Elections http://www.ipalc.org/forum/forum_posts.asp?TID=8&PID=11#11 Author: asclepius10
Subject: LMHS Board Elections
Posted: 23 Oct 2008 at 8:49am

Stephen Brown
Jason Moon
Bob Frieberger
and possibly Marilyn Stout seem to understand the physicians' and community's requirement for transparency and accountability.
 
Definitely ruled out Linda Brown, Lois Barrett, Vilmar Ribeiro, and Anne Clark.
 
James Green and Kerry Babb will at least engage in a debate however both can not or will not differentiate between what LMH (hospital) provides to the community and what LMPG (physician group) provides. They lump them together. They will not provide me with how much indigent care the physician group provides. They keep giving me the hospital facility numbers and don't see a difference. Green is against LMHS ever divesting itself of the control overthe LMPG. 
]]> Thu, 23 Oct 2008 08:49:35 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=8&PID=11#11 LMHS : LMHS Board Elections http://www.ipalc.org/forum/forum_posts.asp?TID=8&PID=10#10 Author: jwpenuel
Subject: LMHS Board Elections
Posted: 19 Oct 2008 at 7:22pm

We would like to hear which of the board candidates you support and if possible, why. We will announce recommendations from IPALC in the rear future in our newsletter. Here is a list of the candidates who will be on the ballot.
 

DISTRICT 1 

STEPHEN R BROWN

ANNA E CLARK
MARILYN STOUT
 

 DISTRICT 3

BARRETT, LOIS C

BROWN, LINDA L
MOON, JASON
 
District 5
BABB, KERRY
ROBERT J FREIBURGER

JAMES GREEN

VILMAR RIBEIRO

DISTRICT 4

DAWSON MCDANIEL filed and was unopposed to fill the seat vacated by the resignation of Jason Yost.
]]> Sun, 19 Oct 2008 19:22:00 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=8&PID=10#10 Local Health Care : Welcome http://www.ipalc.org/forum/forum_posts.asp?TID=6&PID=9#9 Author: plotti
Subject: Welcome
Posted: 03 Oct 2008 at 4:41pm

In my experience, my perception of a medical encounter or event deemed of quality were the time when the encounter/event had professionals who kept me/family informed of the circumstances, options, and expectations for outcome. Quality perception increases when the realized outcome comes closest to the expectation for outcome on the first attempt.

]]> Fri, 03 Oct 2008 16:41:15 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=6&PID=9#9 LMHS : Grading Mr. Nathan http://www.ipalc.org/forum/forum_posts.asp?TID=7&PID=8#8 Author: Asclepius
Subject: Grading Mr. Nathan
Posted: 03 Oct 2008 at 11:54am

Kudos to the few LMHS Board Members that made Mr. Nathan's evaluation about performance and not about personailty and popularity (News-Press 10/3/2008). Shame on long time publically elected board member Linda Brown for coming across as a Jim Nathan apologist or lackey. Maybe it's time that the public understand that unlike other publically elected boards, the stipend that LMHS Board members receive are paid and provided by LMHS and not by the public that elects them. If the public wants a board responsible to them, then pay them and do away with the potential conflict. Maybe then Lee County won't have board members that act like LMHS employees. 

]]> Fri, 03 Oct 2008 11:54:45 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=7&PID=8#8 Local Health Care : Welcome http://www.ipalc.org/forum/forum_posts.asp?TID=6&PID=7#7 Author: jwpenuel
Subject: Welcome
Posted: 02 Oct 2008 at 10:43pm

Medical care is a very personal encounter between the patient and a physician or other professional. Unfortunately, the processes surrounding this encounter have become exceedingly complex, and may either enhance or detract from the encounter.
 
We would appreciate having you share your observations and ideas about how we can do a better job providing not only medical care, but a high level of customer service to our patients. In our current economic climate, achieving this goal has become more difficult, but even more important.
 
We ask that all participants be respectful and professional.
Defamatory remarks will not be tolerated.
 
James Penuel, M.D., Forum moderator
 
]]> Thu, 02 Oct 2008 22:43:30 +0000 http://www.ipalc.org/forum/forum_posts.asp?TID=6&PID=7#7