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Obamadjustments
Topic Started: Dec 3 2011, 05:30 AM (564 Views)
Jolly
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Geaux Tigers!
Starting to see things in the medical world I haven't seen since the advent of DRGs.

Ancillary services are laying off. Nurses are being cut back on their hours. Administration is being thinned. Doctor's contracts show no increase and some are not even being offered new contracts.

I know of one medium sized hospital that is downsizing from 600 employees to 400. I know of a larger hospital that just contracted out their lab, xray, and PT. I know of another hospital that just closed 40 beds. All of this sounds like the norm, rather than exceptions to normal business practices.

Gotta love Obamacare...
The main obstacle to a stable and just world order is the United States.- George Soros
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Mikhailoh
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If you want trouble, find yourself a redhead
Most healthcare organizations I know had already cut the fat over the last decade or so. This will just result in waits for services.
Once in his life, every man is entitled to fall madly in love with a gorgeous redhead - Lucille Ball
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Axtremus
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HOLY CARP!!!
Time to raise taxes on the rich to care for the poor, don't you think? :angel:
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Jolly
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Geaux Tigers!
Axtremus
Dec 3 2011, 06:18 AM
Time to raise taxes on the rich to care for the poor, don't you think? :angel:
Time to let you get exactly what you wanted.

And you really, really, ain't gonna like it....
The main obstacle to a stable and just world order is the United States.- George Soros
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Axtremus
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HOLY CARP!!!
Jolly
Dec 3 2011, 06:29 AM
Axtremus
Dec 3 2011, 06:18 AM
Time to raise taxes on the rich to care for the poor, don't you think? :angel:
Time to let you get exactly what you wanted.
Single-payer universal healthcare FTW!!! :excited:
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Jolly
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Geaux Tigers!
Axtremus
Dec 3 2011, 06:37 AM
Jolly
Dec 3 2011, 06:29 AM
Axtremus
Dec 3 2011, 06:18 AM
Time to raise taxes on the rich to care for the poor, don't you think? :angel:
Time to let you get exactly what you wanted.
Single-payer universal healthcare FTW!!! :excited:
After the first member of your family dies, either through lack of diagnostics, short staffing or denial of care, you might not be so enthusiastic...
The main obstacle to a stable and just world order is the United States.- George Soros
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Mikhailoh
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If you want trouble, find yourself a redhead
Axtremus
Dec 3 2011, 06:18 AM
Time to raise taxes on the rich to care for the poor, don't you think? :angel:
Those rich people must have a hell of a lot of money. That seems to be your solution for everything.
Once in his life, every man is entitled to fall madly in love with a gorgeous redhead - Lucille Ball
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Luke's Dad
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Emperor Pengin
Mikhailoh
Dec 3 2011, 07:20 AM
Axtremus
Dec 3 2011, 06:18 AM
Time to raise taxes on the rich to care for the poor, don't you think? :angel:
Those rich people must have a hell of a lot of money. That seems to be your solution for everything.
They do have a hell of a lot of money. Just not enough to pay for everything that some people want them to.
The problem with having an open mind is that people keep trying to put things in it.
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JBryan
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I am the grey one
You could take all they have and not even make a dent in what we owe.
"Any man who would make an X rated movie should be forced to take his daughter to see it". - John Wayne


There is a line we cross when we go from "I will believe it when I see it" to "I will see it when I believe it".


Henry II: I marvel at you after all these years. Still like a democratic drawbridge: going down for everybody.

Eleanor: At my age there's not much traffic anymore.

From The Lion in Winter.
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Axtremus
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HOLY CARP!!!
Jolly
Dec 3 2011, 06:43 AM
Axtremus
Dec 3 2011, 06:37 AM
Jolly
Dec 3 2011, 06:29 AM
Axtremus
Dec 3 2011, 06:18 AM
Time to raise taxes on the rich to care for the poor, don't you think? :angel:
Time to let you get exactly what you wanted.
Single-payer universal healthcare FTW!!! :excited:
After the first member of your family dies, either through lack of diagnostics, short staffing or denial of care, you might not be so enthusiastic...
Still better than dying from lack of insurance.
You say lack of diagnostics/staffing/care as if any of that is new to the uninsured.
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George K
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Finally
Let me give an example of how things are headed.

It's become a mandate that all medical records be electronic in nature. The days of the paper chart are gone.

This morning, I had a patient who had a history of postop nausea, so I wanted to order some Zofran (anti-nausea med) before I took her into the OR.

5 years ago, I would have picked up the chart, gone to the order tab, written: "Zofran, 4 mg in pre-op hold." That would have taken 6 seconds. The nurse would have gone to the med cabinet, pulled out the Zofran, drawn it up, and given it to the patient. That would have taken another 30 seconds.

This morning, I had to walk over to a computer, start the EMR program, log in, wait for it to log me in, find the patient's chart, find the order section, type in the order, verify, sign, and be sure that the order went through. That took (I timed it) 1:30. THe order then went to the pharmacy, where they drew up the medicine, tubed it to the holding area. The nurse then scanned the patient's ID band, the syringe with the meeds, the chart. She signed off on the chart that she scanned everything. Then she gave the patient the med. Once giving it, she has to sign off on it again, saying that she gave it. That took 6 minutes.

Fast
Good
Cheap

Pick any two.
A guide to GKSR: Click

"Now look here, you Baltic gas passer... "
- Mik, 6/14/08


Nothing is as effective as homeopathy.

I'd rather listen to an hour of Abba than an hour of The Beatles.
- Klaus, 4/29/18
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Axtremus
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HOLY CARP!!!
JBryan
Dec 3 2011, 08:05 AM
You could take all they have and not even make a dent in what we owe.
Cite?
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Jolly
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Geaux Tigers!
George K
Dec 3 2011, 08:15 AM
Let me give an example of how things are headed.

It's become a mandate that all medical records be electronic in nature. The days of the paper chart are gone.

This morning, I had a patient who had a history of postop nausea, so I wanted to order some Zofran (anti-nausea med) before I took her into the OR.

5 years ago, I would have picked up the chart, gone to the order tab, written: "Zofran, 4 mg in pre-op hold." That would have taken 6 seconds. The nurse would have gone to the med cabinet, pulled out the Zofran, drawn it up, and given it to the patient. That would have taken another 30 seconds.

This morning, I had to walk over to a computer, start the EMR program, log in, wait for it to log me in, find the patient's chart, find the order section, type in the order, verify, sign, and be sure that the order went through. That took (I timed it) 1:30. THe order then went to the pharmacy, where they drew up the medicine, tubed it to the holding area. The nurse then scanned the patient's ID band, the syringe with the meeds, the chart. She signed off on the chart that she scanned everything. Then she gave the patient the med. Once giving it, she has to sign off on it again, saying that she gave it. That took 6 minutes.

Fast
Good
Cheap

Pick any two.
Preach on, brother.

I've come to the conclusion, in light of HIPAA, that EMRs have nothing to do with electronic portability, but everything to do with charge and audit trails.
The main obstacle to a stable and just world order is the United States.- George Soros
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Jolly
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Geaux Tigers!
Axtremus
Dec 3 2011, 08:23 AM
JBryan
Dec 3 2011, 08:05 AM
You could take all they have and not even make a dent in what we owe.
Cite?
That's been discussed and cited so many times around here, that it is imbecilic to even challenge the statement.
The main obstacle to a stable and just world order is the United States.- George Soros
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Axtremus
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HOLY CARP!!!
Jolly
Dec 3 2011, 08:25 AM
Axtremus
Dec 3 2011, 08:23 AM
JBryan
Dec 3 2011, 08:05 AM
You could take all they have and not even make a dent in what we owe.
Cite?
That's been discussed and cited so many times around here, that it is imbecilic to even challenge the statement.
Claimed, not cited.
If you think it's easy, go ahead and cite it.
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Mikhailoh
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If you want trouble, find yourself a redhead
All of which largely serves the cause of reducing medication errors. A noble quest, but at what cost?
Once in his life, every man is entitled to fall madly in love with a gorgeous redhead - Lucille Ball
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Mikhailoh
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If you want trouble, find yourself a redhead
Jolly
Dec 3 2011, 08:25 AM
Preach on, brother.

I've come to the conclusion, in light of HIPAA, that EMRs have nothing to do with electronic portability, but everything to do with charge and audit trails.
That is certainly a factor. Which will lead to ever increasing unfunded reporting requirements to the government, which will in turn be adopted by the private insurers which will result in ever higher healthcare costs that have not a thing to do with quality of care or outcomes.
Once in his life, every man is entitled to fall madly in love with a gorgeous redhead - Lucille Ball
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Luke's Dad
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Emperor Pengin
It's been cited many times. You could also just look at US Census Bureau figures if you would like.
The problem with having an open mind is that people keep trying to put things in it.
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John D'Oh
Member Avatar
MAMIL
George K
Dec 3 2011, 08:15 AM
Let me give an example of how things are headed.

It's become a mandate that all medical records be electronic in nature. The days of the paper chart are gone.

This morning, I had a patient who had a history of postop nausea, so I wanted to order some Zofran (anti-nausea med) before I took her into the OR.

5 years ago, I would have picked up the chart, gone to the order tab, written: "Zofran, 4 mg in pre-op hold." That would have taken 6 seconds. The nurse would have gone to the med cabinet, pulled out the Zofran, drawn it up, and given it to the patient. That would have taken another 30 seconds.

This morning, I had to walk over to a computer, start the EMR program, log in, wait for it to log me in, find the patient's chart, find the order section, type in the order, verify, sign, and be sure that the order went through. That took (I timed it) 1:30. THe order then went to the pharmacy, where they drew up the medicine, tubed it to the holding area. The nurse then scanned the patient's ID band, the syringe with the meeds, the chart. She signed off on the chart that she scanned everything. Then she gave the patient the med. Once giving it, she has to sign off on it again, saying that she gave it. That took 6 minutes.

Fast
Good
Cheap

Pick any two.
That sounds like pretty much what has happened to my job over the last 10 years, and which for me has nothing to do with government interference but more to do with the religion of Quality Assurance, aided and abetted by the wonders of modern IT technology and the cult of proceduralisation.

As much as I'd like to blame Obama for this, I think it's more to do with the modern corporate workplace.
What do you mean "we", have you got a mouse in your pocket?
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Axtremus
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HOLY CARP!!!
Luke's Dad
Dec 3 2011, 08:32 AM
It's been cited many times. You could also just look at US Census Bureau figures if you would like.
Your claim, your burden to support.
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Jolly
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Geaux Tigers!
Posted Image

That's cheating, because non-profits (i.e. the Roman Catholic Church's assets are included). But consider the 1%..

And...

Posted Image

And...

Posted Image
The main obstacle to a stable and just world order is the United States.- George Soros
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JBryan
Member Avatar
I am the grey one
The debt now stands at over 15 trillion.
"Any man who would make an X rated movie should be forced to take his daughter to see it". - John Wayne


There is a line we cross when we go from "I will believe it when I see it" to "I will see it when I believe it".


Henry II: I marvel at you after all these years. Still like a democratic drawbridge: going down for everybody.

Eleanor: At my age there's not much traffic anymore.

From The Lion in Winter.
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George K
Member Avatar
Finally
Posted Image
Edited by George K, Dec 3 2011, 08:44 AM.
A guide to GKSR: Click

"Now look here, you Baltic gas passer... "
- Mik, 6/14/08


Nothing is as effective as homeopathy.

I'd rather listen to an hour of Abba than an hour of The Beatles.
- Klaus, 4/29/18
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Luke's Dad
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Emperor Pengin
Axtremus
Dec 3 2011, 08:38 AM
Luke's Dad
Dec 3 2011, 08:32 AM
It's been cited many times. You could also just look at US Census Bureau figures if you would like.
Your claim, your burden to support.
No Ax. When it's been cited and shown on here many times, it's no longer my burden every single time. This is an established fact. I no longer need to cite this. I no longer need to cite that oxygen burns, I do not need to provide citations for gravity, and I do not need to cite that you can be a little obnoxious at times.
The problem with having an open mind is that people keep trying to put things in it.
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jon-nyc
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Cheers
Jolly
Dec 3 2011, 08:25 AM
Axtremus
Dec 3 2011, 08:23 AM
JBryan
Dec 3 2011, 08:05 AM
You could take all they have and not even make a dent in what we owe.
Cite?
That's been discussed and cited so many times around here, that it is imbecilic to even challenge the statement.
Its patently false, Jolly. The top 10% of households own 80% of the financial assets in the US. Even limiting it to the top 1%, your talking over 40% of the financial assets of the US. You don't think that would make a dent in our debt?
In my defense, I was left unsupervised.
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