Need better care coordination? There’s a toolkit for that.A guest column by the American College of Physicians, exclusive to KevinMD.com. Care coordination seems to be the rage these days. It is mentioned in most discussions of new delivery and payment models such as the patient-centered medical home (PCMH) and accountable care organizations. The concept is not a new one; primary care physicians have been coordinating care ...

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The EHR report card 2014: Has it gotten better?A guest column by the American College of Physicians, exclusive to KevinMD.com. A little over two years ago in this blog, my “EHR report card” evaluated the effect of the electronic health record (EHR) on my practice. I thought it would be interesting to see how things have changed.  As in 2012, I will not identify my ...

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Bottom up: How grassroots input shapes ACP policies A guest column by the American College of Physicians, exclusive to KevinMD.com. This month, the American College of Physicians’ Board of Governors (BOG) will meet in Chicago. One of the items on the agenda is the discussion of resolutions that will help to shape ACP policy. The resolutions process, which looks at proposed policy changes and directives to ...

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Are patient portals a gateway or barrier to patient centered care and communication?A guest column by the American College of Physicians, exclusive to KevinMD.com. Patient portals. They have great potential, but is it being met? And are we losing something in return? I ask myself these questions now that my practice offers a patient portal linked to our electronic health record (EHR). I did not expect to feel that way, ...

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Moving annual visits into the 21st centuryA guest column by the American College of Physicians, exclusive to KevinMD.com. The recent uproar over the American College of Physicians’ recommendation against routine pelvic examinations made me think about the status of the annual visit (a.k.a. yearly physical, annual exam) on average risk, asymptomatic adults that most internal medicine specialists perform. Some would say that ...

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The California ballot initiative: Protecting patients or letting in a Trojan horse?A guest column by the American College of Physicians, exclusive to KevinMD.com. Physicians in California are mobilizing to oppose an initiative on the November ballot that will raise the cap on non-economic damages in medical malpractice cases. The current cap of $250,000 is part of California’s Medical Injury Compensation Reform Act, or MICRA. Adopted in ...

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The success stories of medicine deserve more attentionA guest column by the American College of Physicians, exclusive to KevinMD.com. It has all of the features of a talk radio discussion that you might encounter in any US city: Commentators (many of them anonymous) at one extreme or the other of a topic, name-calling, blaming, and empty rhetoric overshadowing the real issues. I am referring to ...

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Lessons learned during an unplanned EMR downtimeA guest column by the American College of Physicians, exclusive to KevinMD.com. On a Thursday in April, my practice upgraded its electronic health record to the next version, the “latest and greatest” with more features, as well as compliance with meaningful uses 2 through infinity. That was the good news. The bad news was that it meant that our EHR ...

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Deductibles and donuts change the flavor of health careA guest column by the American College of Physicians, exclusive to KevinMD.com. In the annual cycle of a medical practice, there are seasons. For example, we have "flu season," "poison ivy season," "camp or school physical season," “snowbirds back from Florida season,” and in my part of the world, "Lyme disease season." There are other seasons that physicians must endure that have ...

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The high cost of free, unnecessary medical equipmentA guest column by the American College of Physicians, exclusive to KevinMD.com. A couple of weeks ago, a television commercial caught my attention. It was an official-sounding announcement, a “national healthcare alert” that if you have Medicare, you might qualify for a knee brace “at little or no cost to you.” I found it interesting because a week earlier, a durable ...

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