The elephant in the room

[DrRobert]

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Anyone watch this?

http://www.cbsnews.com/video/watch/?id=50148539n

I'm surprised this forum isn't on fire with discussion about this. Maybe everyone is afraid they could somehow implicate themselves with medicare fraud 😕

 

[Birdstrike]

Anyone watch this?

http://www.cbsnews.com/video/watch/?id=50148539n

I'm surprised this forum isn't on fire with discussion about this. Maybe everyone is afraid they could somehow implicate themselves with medicare fraud 😕

It's lost in the sea of all the other pressures to "do the wrong thing" to make other people's money. I think people would be more "on fire" about it, if they weren't so beat down over such pressures and threats. It's nothing even remotely new. Multiple threads here, at DrWhitecoat.com, and other EM blogs, have been "on fire" over metrics, Press-Ganey, and other pressures to do what is worse for patients, but better for the hospital's pocket books for a long time. These types of pressures are, and have been so endemic for so long, that I think most people's response is sadly, "Yeah, but isn't that normal?"

"PinnacleHealth System doctors resign over pressure to admit, discharge patients in ER"

 

[docB]

Fascinating that a report that opened with the line "Do you know why healthcare costs so much in America?" came right after the Viagra ad and other Pfizer banner ads were featured throughout.

 

[DeadCactus]

Fascinating that a report that opened with the line "Do you know why healthcare costs so much in America?" came right after the Viagra ad and other Pfizer banner ads were featured throughout.

I didn't see those. I think they're targeting you. 😛

 

[docB]

I didn't see those. I think they're targeting you. 😛

I do seem to have been included on some spam lists that must be entitled "Men with small and/or dysfunctional genitalia" and "Investment opportunities for *****s."

 

[RustedFox]

It's lost in the sea of all the other pressures to "do the wrong thing" to make other people's money. I think people would be more "on fire" about it, if they weren't so beat down over such pressures and threats. It's nothing even remotely new. Multiple threads here, at DrWhitecoat.com, and other EM blogs, have been "on fire" over metrics, Press-Ganey, and other pressures to do what is worse for patients, but better for the hospital's pocket books for a long time. These types of pressures are, and have been so endemic for so long, that I think most people's response is sadly, "Yeah, but isn't that normal?"
[/URL][/I]

This.

I came home from my shift at about 6:30 AM today (just woke up). We were pretty dead at the end of my shift, so I caught up on the big intra-departmental e-mail chain about (insert hot-button topic of the day here, whatever). I used to reply to those a lot and get in the dust-up, but now I don't. I sit back and chuckle. It hit me like a brick between the eyes in the early morning:

Learned Helplessness.

I remember my thoughts as they happened in that millisecond: "These guys get so jammed up about everything n' they've been around for so long that don'ttheyseethatitdoesn'tmatterwhatthey...do...

My mind shot right to the picture of those poor dogs in those harnesses getting the electric shocks.

Woof, baby.

 

[docB]

Woof, baby.

So true.

That should be the slogan for this year's ACEP.

 

[GeneralVeers]

I remember my thoughts as they happened in that millisecond: "These guys get so jammed up about everything n' they've been around for so long that don'ttheyseethatitdoesn'tmatterwhatthey...do...

My mind shot right to the picture of those poor dogs in those harnesses getting the electric shocks.

Woof, baby.

That's what they want us to be. The trick is to understand their game and work around them. I just agree with medical directors, nurse managers, and administrators, then continue doing what I want anyway. It's agreement more than compliance which is what they are looking for.

 

[RustedFox]

 

[docB]

It's agreement more than compliance which is what they are looking for.

Wow. Another contender for this year's ACEP slogan.

This is absolutely true. If you disagree you are a trouble maker. If you agree but don't change it is a very labor intensive process usually (chart reviews, etc.) to figure out you're not complying. And the data coming out of the EMRs is not as reliable as they think.

Maybe this is our alternative to pushing widgets. Instead of social disobedience we need to practice professional disobedience. Or medical disobedience.

 

[Jackofknives]

Word

 

[RustedFox]

Bump so I can find this easily tomorrow AM.