I agree with you. If they ever call for you to be standby on an airway. Just tell them you have chest tube in PACU that you would like them to on standby while you do it.
You make business decisions at this point in regards to liability. Do u draw urself into this mess or not.
He was probably promised some c suite role or something and sold out for this. What an idiot.
If they are judicious-only use CRNAs who have at least five years experience and are above average and limit to PS1 and 2 and select PS 3 and routine cases... They can get away with a lot for maybe a long time. Maybe have anesthesiologists in the department not involved with the case as the fire department... How many of us would actually say "NO" when asked to come help a dying patient in another OR that they weren't involved in because they didn't like the staffing model?
They are hiring them to provide “physician supervision” for CRNAs doing more than sedation. Basically a meaningless rubber stamp of independent CRNA practice.
Im confused. So the GI docs are over seeing the Grand Rapids crnas? But the EM docs are over seeing the crnas?
That was my interpretation of the article. I may be wrong though. GI docs oversee CRNAs all the time so not newsworthy IMO. Again, I may be wrong.
Didn't Michigan opt-out of the supervision requirement a bit ago? What's the problem then?
No. EM docs are solo in endo giving propofol sedation.
My two friends have not gotten canceled yet.
I literally just told u guys what the guy getting canceled was getting paid.
Yeah the ones I know who got canceled refused to go to other sites and don't want to sit their own cases- so inflexibility is the main reason.
On the other side of the insurance equation, are these EM doctors able to be reimbursed for doing anesthesia?
Yes!
www.acepnow.com
billing issue only.
I wondered that as well. Do they just use anesthesia CPT and ICD codes?
I would rather to sit my axx home watching netflix than being forced to practice out of my specialty and potentially dragged into a multiple year lawsuit.
Continuity of care. ER Doc should escort the trauma pt to OR and c/w the anesthesia, lol
Some people have 2 ex wives and 5 kids to support.
Yup, never stand by. All it takes it one jackal to write your name down on the chart without your knowledge. Then you are effed.
Just for the sake of argument what if the insurance company denies coverage completely and the EM physician is left bare/alone? That means all the liability falls on them. Any Physician practicing outside their specialty is playing with fire. The hospital must be self-insuring these EM physicians or in my opinion they are practicing outside their scope of practice by performing elective anesthesia sedation on GI patients. Hence their malpractice coverage should be denied by their carrier. How would you define "gross negligence" in this situation? Again, in my opinion this comes very close to it.
Getting sued without malpractice insurance coverage isn't to be taken lightly. In some states you may be forced to file for bankruptcy protection.
medicalmalpracticelawyers.com
The issue is whether the "system" is self-insured vs an external, independent carrier. If the hospital system is insuring them then it would be highly unlikely they would be denied coverage. On the other hand if the health system is purchasing a policy issued by a carrier then all bets are off that the carrier would accept a physician practicing outside their specialty.
The Grand Rapids anesthesia group is being taken in house w2. I’m sure if the hospitals system is big enough and employ enough physicians they are self insured in an incredibly high policy limit where 99% of settlements can take place.
ER docs are paid hourly based on shifts model.
What makes this more fascinating is that Michigan is an opt-out state, they don't need anybody signing off on the CRNAs. Let them all practice independently.
Are em docs employed by the Grand Rapids hospital or third party independent or management owned ?
You say this like it’s a bad thing. Kudos to them for valuing their time accordingly. We all should.
If administrators were smart. They would and should change w2 work schedules like I’ve been saying for a while.
My friend got canceled there today. Was told they hired enough full time employees.
Who is signing up for that job? Salary doesn’t match the workload
That’s shocking . As right now there are like 2 fte lol.
I was told this was going to happen even before the locums came in- which is why I never entertained the idea. I know most of the locums who came there- good chance I know or have worked with your friend.
What? They hired full time replacements for the entire group they just ousted? Already? Maybe there isn't a shortage of anesthesiologists nationwide if something like this could happen? Or maybe these people are defectors from other groups. But if this is true, it's shocking.
