Can someone explain the "10 doctors, 10 seperate tests"..... | Page 2 | TigerDroppings.com

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tiger1014
LSU Fan
Member since Jan 2011
10432 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


A lot of the waste comes from the fact that you never will get all those doctors together in a room ever.

So they'll all have different plan and ideas of how to treat. And red tape ensues and confusion on plans of care and tests and management






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McChowder
LSU Fan
Hammond
Member since Dec 2006
2870 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


quote:

A lot of the waste comes from the fact that you never will get all those doctors together in a room ever.

So they'll all have different plan and ideas of how to treat. And red tape ensues and confusion on plans of care and tests and management

Huh? Patients have charts which are very thorough about course of treatments performed, diagnosis, tests and lab results. Plus they have this nifty new device called a telephone......space-age technology that allows consulting physicians to exchange information in real time.






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PuntBamaPunt
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Member since Nov 2010
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 Online 

re: Can someone explain the "10 doctors, 10 seperate tests".....


The key to the Cleveland Clinic's success, many policy makers say, is its integrated approach. Like other so-called multispecialty clinics, the Cleveland Clinic employs its own physicians, creating teams of specialists that collaborate in treating each patient. By contrast, at most traditional community hospitals, doctors remain independent, private practitioners.

The clinic model makes it easier to coordinate care, implement evidence-based treatments and reduce the red tape of referrals, proponents say. The clinics say their doctors also have less incentive to order unnecessary tests or procedures because they are paid fixed salaries, not on a fee-for-service basis like the majority of U.S. doctors.

more






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INFIDEL
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The couch
Member since Aug 2006
14186 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


The reason the presidents misinformed remarks will go largely unnoticed by the public is that the public has no medical training. Obama has no medical training. He has no idea what he's talking about so the public doesn't realize the idiocy that popes from his mouth.





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McChowder
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Hammond
Member since Dec 2006
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re: Can someone explain the "10 doctors, 10 seperate tests".....


The Cleveland Clinic stays profitable by offsetting its losses on Medicare patients with payments from private insurers and thousands of foreign patients who often pay its full list prices. Those prices can be two to three times higher than what U.S. insurance plans negotiate with the clinic. The clinic also pulls in significant revenue from philanthropy; it collected $183 million in 2008.

Thank's for the link



This post was edited on 10/4 at 9:59 am


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ctiger69
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New Orleans Saints/Pelicans Fan
Member since May 2005
8831 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


I've been health care for 10 years and I didn't have a clue to what Obama was talking about. He sounded stupid in the way he presented the information.





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McChowder
LSU Fan
Hammond
Member since Dec 2006
2870 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


BTW, whether they are independent or employed, I've never heard of a patient being admitted and recieving 10 dublicate tests because there were 10 different doctors. There is "some" truth in the quote from that article. Red tape involving referals, in some cases, is one of them only because choice has been removed from the equation. But this idea that independent doctors do not collaborate is silly. I would also like to add that most physicians, to my knowledge, employed by hospitals do not recieve a static salary. They may be gauranteed a certain amount, but it isn't static. Their pay is generally based on government reimbursements etc.





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jmitc22
LSU Fan
Brrrrr
Member since Jan 2007
1209 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


quote:

And he forgets that generally 10 doctors and 10 separate tests are required by the clinics so they have some semblance of a defense at the unlimited tort medical malpractice trials.


This is, in almost every way possible, incorrect.

Especially

quote:

unlimited tort medical malpractice trials






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Wolfhound45
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Member since Nov 2009
20659 posts
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re: Can someone explain the "10 doctors, 10 seperate tests".....


quote:

He prints his own money!


No he does not!



He borrows it from China.







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speckledtrout
Alabama Fan
Birmingham, AL
Member since Apr 2011
1748 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


Are you a physician, hospital administrator or practice manager? Do you understand how a healthcare facility is run?

What exactly is your line of work if it is none of the above?






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McChowder
LSU Fan
Hammond
Member since Dec 2006
2870 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


I think it's a pretty well established fact that most "unnecesary" tests that are performed are for that very reason. I know that isn't exactly what the poster was refering to and that there are limits to medical malpractice claims, but it does play a huge factor in whats been termed "defensive medicine" that contributes to rising healthcare costs.





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La Place Mike
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West Florida Republic
Member since Jan 2004
16821 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


quote:

After 86 days in the hospital, I has the chance to watch private industry rape Medcare like you would not believe. You would have to be an absolute fool to believe there are not government welfare check leeches in the medical field.
I agree with you. Instead of passing Obamacare we should start eliminating the fraud that is going on. Start sending some of these Doctors to jail and see what happens.






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ljhog
Arkansas Fan
Lake Jackson, Tx.
Member since Apr 2009
10308 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


quote:

Consulting physicians often get their own repeat labs at their own facility no matter what is on file for the patient.


That is BS.






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jmitc22
LSU Fan
Brrrrr
Member since Jan 2007
1209 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


There are many reasons for "unnecessary" tests including profit motive and patient concerns. The threat of litigation certainly plays a part as well, but it cannot be said to be the sole cause, and its questionable whether its even the primary cause.

In case anyone is wondering about these limits - In Louisiana, several factors work against the possible medical malpractice claimant. Their claims must be presented to a panel of three doctors before it may go to court, the costs of litigation are exorbitant, there is strong public support for doctors, their recovery is limited, and attorneys are increasingly less likely to take on these claims.






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McChowder
LSU Fan
Hammond
Member since Dec 2006
2870 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


quote:

quote:

--------------------------------------------------------------------------------
Consulting physicians often get their own repeat labs at their own facility no matter what is on file for the patient.

--------------------------------------------------------------------------------


That is BS.

I think he is talking out of ignorance. Doctors do sometimes order the same test after clinic visits.....after a period of time has past, even if it's only been a day or two, to see if there has been some normalization or change for example. And if not, decide whether that is an indicator. But they aren't ordering tests from independent labs for patients who have already been admitted.....and it certainly isn't done "no matter what is on file".






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McChowder
LSU Fan
Hammond
Member since Dec 2006
2870 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


quote:

There are many reasons for "unnecessary" tests including profit motive and patient concerns. The threat of litigation certainly plays a part as well, but it cannot be said to be the sole cause, and its questionable whether its even the primary cause.

You're right, I didn't mean to suggest there was only one motive. But, whether it's the primary cause in defensive medicine isn't questionable according to the AMA in 2010 which cites studies that estimate the cost to be around $60 billion annually.
LINK
quote:

In case anyone is wondering about these limits - In Louisiana, several factors work against the possible medical malpractice claimant. Their claims must be presented to a panel of three doctors before it may go to court, the costs of litigation are exorbitant, there is strong public support for doctors, their recovery is limited, and attorneys are increasingly less likely to take on these claims.

Lawyers aren't looking to go to trial, they are looking to settle.






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tiger1014
LSU Fan
Member since Jan 2011
10432 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


quote:

I think he is talking out of ignorance


I'm a medical student.

The last rotation I was on, the doctor had standard labs and imaging he ordered on EVERY one of his patients, no matter if they were transferred from a local private hospital.

Had a cXR at the other hospital? Didn't matter to him. Send him to X-ray.

And to be fair (not so much with imaging) but different labs use different standards and modes to measure so you can't always compare labs from on site to the next. That's his reasoning.

Still a waste IMO






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tiger1014
LSU Fan
Member since Jan 2011
10432 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


But I agree. Obama did a piss poor job at articulating his point (like the whole night).

But I believe this was what he was insinuating






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NC_Tigah
LSU Fan
Member since Sep 2003
54307 posts

re: Can someone explain the "10 doctors, 10 seperate tests".....


quote:

quote:

I think he is talking out of ignorance
I'm a medical student.
quote:

The last rotation I was on, the doctor had standard labs and imaging he ordered on EVERY one of his patients, no matter if they were transferred from a local private hospital.
(1) Just FYI, that is not generally indicative of medical practice
(2) The rationale you cite makes little sense in terms of lab or imaging
(3) There may be unique elements of a particular practitioner's care, patients, or environment justifying test duplication.
However, it's not clear anything like that is being described in your example.






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