acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. If the old adage “the pen is mightier than the sword” is true, then the doctor’s note is the most powerful weapon around. When I entered practice over 25 years ago, I wrote notes when people were too sick or injured to work, or to verify ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. More than ever before, patients are receiving laboratory test results, with some of their numbers in bold or with “H”s or “L”s next to them. In some cases they’re getting them straight from the lab, in accordance with federal regulations. If not from ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. I have a “like-hate” relationship with clinical metrics, performance measurements, and other such things. By now, almost all physicians live with them in the form of insurer “report cards,” PQRS, and “meaningful” use. Some of us have even more exposure to them by participating in ...

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A guest column by the American College of Physicians, exclusive to KevinMD.com. The election year has finally arrived. Even though the candidates have been on the trail for what seems like forever, I wanted to wait until the traditional time to announce the launch of my campaign. Don’t worry, I’m not running for office. My campaign is an initiative to get us to start talking about the “quadruple aim” ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. In December, I concluded a 13-year term on the board of directors of the Rhode Island Quality Institute (RIQI). RIQI was formed in 2001 to “to significantly improve the quality, safety, and value of health care in Rhode Island.” For much of its ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Recently, I rummaged through some old files to throw out things I did not need. While marveling at how we stored documents back in the 20th century (and how little of what I saved I ever used), I came across a couple of interesting items. ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. By now, all of you are waist-deep in ICD-10. So far, in my practice it hasn’t been the alphanumeric Armageddon that many feared, but I will reserve final judgment until we’ve gotten through a few billing cycles. Even if it goes the way of “Y2K” ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. When I entered practice over 25 years ago, planning for influenza vaccination season was straightforward. Every late spring, we looked at how many doses we gave out the previous year, added a few doses, ordered the vaccine, and immunized our patients in the fall. If ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. I love pre-visit planning. OK, “love” may be too strong a word -- I like pre-visit planning. Pre-visit planning isn’t new. Many of you have done it for years, even before it had a name, for example when pre-ordering labs before a visit. I did not begin ...

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shutterstock_206417596 acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. In the spring of 2009, I represented the American College of Physicians (ACP) at a meeting in Washington of health policy experts discussing payment reform. When I arrived at the cocktail reception the night before the meeting, a ...

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