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Is My Doctor Any Good? Print E-mail
Written by MD Whistleblower   
Monday, 24 June 2019 00:00

When I meet patients in the office, our conversations do not focus exclusively on the medical issue at hand. Of course, if you come to see me with a stomach ache, at some point I will direct the dialogue toward your abdomen. Often, our conversations are far removed from livers and pancreases, and deal with more personal vignettes and anecdotes. Why does this happen? First, I enjoy it; and secondly, it helps me to understand the patient better as a human being. I won't give this up, despite the many forces - Electronic Medical Records in particular - that conspire to dehumanize the medical experience.
 
I am a trained typist and had several secretarial jobs in my younger days. The tool of the trade then was a contraption unknown to the generation whom are now soldered to their smart phones. It was called a typewriter. For those curious, you might actually be able to palpate one of these dust covered devices in your grandmother's attic. My favorite was the IBM Selectric, which had a sphere covered with raised letters and characters which rotated with each key stroke before striking the paper. Oh, the simple world devoid of Google, cut & paste, Instagram and Wikipedia.

Last Updated on Tuesday, 25 June 2019 12:16
 
Critical Steps to Help Avoid Cybersecurity Attacks Print E-mail
Written by Gary Salman | Florida Healthcare Law Firm   
Tuesday, 18 June 2019 16:19

Ransomware attacks are impacting the healthcare community's HIPAA security at a staggering rate. If a practice has data stolen from their network and they did not report the breach to the Office for Civil Rights (OCR), they could be subject to massive fines for the lack of reporting. Specific steps must be followed to determine if ePHI (electronic protected health information) was compromised. This often involves hiring a forensics company and working with a cybersecurity company to harden the practice's infrastructure. When you are the victim of an attack once, you will mostly likely be a victim again because of vulnerabilities in your network that enabled the attack vector (or payload) to infiltrate your system. You cannot simply restore your data and hope for the best.
 
Many practices are unaware if their IT vendor, imaging company, billing company and/or software vendor are following the HIPAA laws related to compliance and cybersecurity. As a Business Associate, they are often required to follow the same laws as the covered entity (doctor). If your IT company has a breach or ransomware attack and it spreads from their network to yours, your records have now been compromised.

Last Updated on Tuesday, 18 June 2019 16:30
 
Downtown Tampa needs a 'medical district,' hospital CEO Print E-mail
Written by Leading the Change   
Wednesday, 12 June 2019 00:00

Tampa General Hospital
is expanding its reach by strengthening its partnership with the University of South Florida and launching a new line of urgent care clinics. During a USF board of trustees meeting Thursday <6.6.19>, the hospital's CEO, John Couris, said he wants to help create a "medical district" in and around downtown Tampa with the help of USF Health and its Morsani College of Medicine. In addition to Tampa General committing to a $20 million lease of 25,000 square feet of space inside the medical school's new building downtown, Couris and USF medical school dean Dr. Charles Lockwood want to create a more seamless process for patients being treated by USF or Tampa General physicians. The new joint venture would create a "management services organization" that would streamline services, from medical records to scheduling patients between appointments at USF, Tampa General and private practice physicians with privileges at both places.

Last Updated on Friday, 14 June 2019 18:02
 
How a neurosurgeon recommends approaching concussions Print E-mail
Written by Marc Arginteanu, MD | KevinMD   
Tuesday, 04 June 2019 14:06

When I served as president of the New Jersey Neurosurgical Society, I met a lot of people from around our great state. One question that I heard from many parents and coaches was, "After a concussion, when is it safe to let a student-athlete return to play?" It is an important question because hundreds of thousands of high school students in the USA suffer concussions annually. I have given this question careful consideration during my decades of neurosurgical practice. With the recent formation of a new professional football league, a public posting of my professional opinion is timely.
Last Updated on Tuesday, 04 June 2019 14:10
 
University of Miami Health System Launches Executive Health & Concierge Medicine Program Print E-mail
Written by FHInews   
Friday, 24 May 2019 09:05

The University of Miami Health System has launched an executive health and concierge medicine program that will provide personalized and expedited care to its members.

Stephen V. Avallone, MD, Director of Executive Health and Concierge Medicine, launched the program alongside Cristina I. Pravia, MD, Associate Director of Executive Health and Concierge Medicine, both of whom previously launched a similar program at Cleveland Clinic.

Executive health and concierge medicine are two different models of care. Executive health involves a single visit of several hours with a set fee. The UHealth executive program consists of a thorough physical examination, blood work, cardiovascular screening and pulmonary evaluation, and consultations with a nutritionist and an exercise physiologist.

By contrast, concierge medicine is a membership model in which patients pay an annual fee not only for an annual expansive physical exam, but also for 24/7 phone and email support toward patient health education and annual exam health goals. The smaller concierge practice panel and substantial electronic communication connection translates into easier scheduling of appointments with their physician.

“Drs. Avallone and Pravia will help us make UHealth a leading destination for top-quality executive and personalized health care with a global reach,” said Dipen J. Parekh, MD, Chief Clinical Officer of UHealth, and professor and chair of the Department of Urology. “Their expertise will make our programs second to none.”

A physician in a typical practice might have 2,000 to 3,000 patients; a concierge practice physician might have 300 to 600 patients. This smaller and more connected practice model builds stronger doctor-patient relationships, providing health care in a more efficient, effective manner. This results in stronger patient-doctor relationships and more informed recommendations that result in better outcomes for the patient.

 “The individuals we see in executive health are high achievers who have a lot of stress in their lives, but only about half of them are business executives,” Dr. Avallone said. “The other half may be teachers or firefighters — people in other professions with long, demanding work schedules who don’t have a lot of free time for doctor’s appointments — and international patients who fly in to Miami knowing they can complete their examinations and tests in a single day.”

If an examination does turn up a medical issue, the program can arrange to have that patient meet with a specialist.

“That’s the advantage of being at an academic medical center, said Dr. Pravia. “The patients don’t have to be referred out and spend weeks going from appointment to appointment.”

Last Updated on Friday, 24 May 2019 09:45
 
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