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Why does the right wing think doctor's should be rewarded for a bad job?
Posted on 8/8/14 at 4:47 am
Posted on 8/8/14 at 4:47 am
Why does the right wing think doctor's should be rewarded for a bad job?
Seriously - aren't you all opposed to the Readmission Reduction Program?
Do you actually think its the job of doctors to ensure you keep getting sick? In the past it may have meant more business for them, but now they actually have disincentize to do a crappy follow up job - why are you opposed to that?
Seriously - aren't you all opposed to the Readmission Reduction Program?
Do you actually think its the job of doctors to ensure you keep getting sick? In the past it may have meant more business for them, but now they actually have disincentize to do a crappy follow up job - why are you opposed to that?
10
Posted on 8/8/14 at 4:55 am to SpidermanTUba
Look, Tuba. It's not the doctor's fault you're still fat. He can only tell you to stop eating.
Posted on 8/8/14 at 4:59 am to SpidermanTUba
Posted on 8/8/14 at 5:00 am to SpidermanTUba
TUba, are you angry because of what the doctors did to you in Mexico?
Posted on 8/8/14 at 5:37 am to SpidermanTUba
quote:
Why does the right wing think doctor's should be rewarded for a bad job?
LINK ??
Posted on 8/8/14 at 5:40 am to SpidermanTUba
You're drunk. Go home.
Posted on 8/8/14 at 5:49 am to HailHailtoMichigan!
quote:
TUba, are you angry because of what the doctors did to you in Mexico?
DENTISTS.
I've never had any medical work in Mexico.
I can tell you with certainty that the discount you receive at a Mexican dentist's office because they don't have to worry so much about intrusive government regulation - aint worth it. Unless you like root canals.
Posted on 8/8/14 at 5:50 am to TexasTiger89
So I have you all on record as supporting the Medicare Readmissions Reduction Program?
Would you change your mind if I told you Obama supports it (yes).
Would you change your mind if I told you Obama supports it (yes).
Posted on 8/8/14 at 6:27 am to SpidermanTUba
quote:
So I have you all on record as supporting the Medicare Readmissions Reduction Program? Would you change your mind if I told you Obama supports it (yes).
The problem(s) I have with this is (I will use heart failure as an example, which is the #1 re-admission diagnosis):
1). "Readmission" definition is skewed. If you are admitted for heart failure and come back 25 days later for a car wreck or you get appendicitis then it counts against the doctor/hospital as a heart failure readmission.
2.) Can't change peoples behavior. You can be admitted for heart failure because you are not compliant with meds and low sodium diet and I can tune you up, PAY for a month of your medications (we DO do this for indigent patients), have a pharmacist and dietician educate you on the importance of the particular heart failure medications and diet, and have a psychologist see you to see if there are any psycho-social issues that may contribute to lack of compliance (ie. depression) and if you still are noncompliant and are re-admitted it is a penalty against me. This happens far more often than you think.
Many times it had nothing to do with lack of follow up. With that being said there are shitty docs out there but throwing everyone in the same basket and not recognizing there is responsibility on the patients part is a big problem.
Posted on 8/8/14 at 6:28 am to SpidermanTUba
hahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahahaha
This is what you call a strawman, isn't it? Make up a position your opponents take, then attack it.
We also don't think you should abuse apostrophes.
This is what you call a strawman, isn't it? Make up a position your opponents take, then attack it.
We also don't think you should abuse apostrophes.
Posted on 8/8/14 at 6:32 am to SpidermanTUba
quote:
DENTISTS
Show us on the doll. Oh, the mouth? Uhm, sorry kid, ouch. :awkwardsilence: here, how about a Popsicle.
Posted on 8/8/14 at 6:32 am to gthog61
So TUba thinks it's the doctor's fault if a patient with serious medical problems needs to be treated more than once.
Can't be the fact that the patient is actually....SERIOUSLY ILL.
Can't be the fact that the patient is actually....SERIOUSLY ILL.
Posted on 8/8/14 at 6:33 am to proger
quote:
1). "Readmission" definition is skewed. If you are admitted for heart failure and come back 25 days later for a car wreck or you get appendicitis then it counts against the doctor/hospital as a heart failure readmission.
You're only penalized for excessive readmissions. The standard is controlled for your patient types. So if you mainly treat old people your hospital is compared to others who mainly treat old people.
quote:
A hospital’s excess readmission ratio for AMI, HF and PN is a measure of a hospital’s readmission performance compared to the national average for the hospital’s set of patients with that applicable condition.
LINK
And there as to be a minimum number of cases. So its not like if you have 1 heart attack patient in a year and he is readmitted you are judged as 100% readmission on heart attacks.
quote:
Established an applicable period of three years of discharge data and the use of a minimum of 25 cases to calculate a hospital’s excess readmission ratio of each applicable condition.
quote:
2.) Can't change peoples behavior.
It is, actually. LINK
quote:
Many times it had nothing to do with lack of follow up.
Many. That's why only readmissions over a certain threshhold are penalized.
Further - the penalty is applied no matter where your patient is readmitted, so there is no incentive to deny readmission. If your patient tries to get readmitted and you deny it - and he goes to another hospital - you still get the penalty, except you just shorted yourself the fees for the 2nd readmission (and if you deny readmission and he doesn't make it to the next hospital, you get sued and might lose your license - so there's that)
This post was edited on 8/8/14 at 6:35 am
Posted on 8/8/14 at 6:35 am to Bestbank Tiger
quote:
So TUba thinks it's the doctor's fault if a patient with serious medical problems needs to be treated more than once.
No. I think when a hospital has significantly higher readmission rates than other hospitals that treat the same kinds of cases and patients - that hospital is probably doing something wrong. Are you telling me the opposite? I thought the right wing wanted accountability in Medicare. Is this not true anymore?
This post was edited on 8/8/14 at 6:38 am
Posted on 8/8/14 at 6:39 am to SpidermanTUba
Why doe the left think you should be rewarded for not having a job?
Posted on 8/8/14 at 6:42 am to proger
quote:
proger
No fair using facts and logic.
Posted on 8/8/14 at 6:42 am to Elcid96
quote:
Why doe the left think you should be rewarded for not having a job?
What do I get for not having a job?
This post was edited on 8/8/14 at 6:43 am
Posted on 8/8/14 at 6:44 am to SpidermanTUba
You poor soul you don't have a clue on why readmission rates are high and how they calculate them.
Let's say patient A goes to see his or her doc. Doc gives patient meds to take to prevent infection. Patient leaves and just never takes meds because they forget and it's not their priority in their life. Patient comes back to hospital just shocked they have an infection. Blame doctor for infection.
Let's say patient A goes to see his or her doc. Doc gives patient meds to take to prevent infection. Patient leaves and just never takes meds because they forget and it's not their priority in their life. Patient comes back to hospital just shocked they have an infection. Blame doctor for infection.
Posted on 8/8/14 at 6:46 am to SpidermanTUba
Tuba...if you are really worried about waste you would be against govt insurance. Quick anecdote I don't expect you to address. My father is an ent. He has been in practice for nearly 40 years. Only Spanish speaking ent in a very Spanish speaking area. Medicaid/care/cal requires a referral to see him...no biggie. But....When he sees a patient he is only allowed to treat them for what exact issue was referred. If a patient comes in for an ear issue and during his exam he notices a tumor in the throat.....he cannot get paid for treating it unless he sends the patient back to the primary care doc and that doc send the patient back for the throat issue. Brilliant the govt red tape.
Sorry about your Home Depot blinds though. That is the important stuff.
Sorry about your Home Depot blinds though. That is the important stuff.
Posted on 8/8/14 at 6:46 am to SpidermanTUba
Cable shelter food phones and now birth control. A better question is what shouldn't you get for not having a job?
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