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Surgical Products Daily

The Affordable Care Act Is Here And The Sky Has Not Fallen

January 29, 2014 9:23 am | by Brad Wright | Comments

Now that we’re into the real heart of the ACA, with the most key provisions now implemented as of January 1, 2014, what has really changed? Has the government prevented you from seeing any doctor you wish? Have your taxes gone up exponentially? Are you now paying more for healthcare and getting less? Has a “death panel” convened to decide your fate? Or has life, somehow, gone on much as it did before?

The Toxicity Of Medicaid

January 28, 2014 9:40 am | by Edwin Leap, M.D. | Comments

By way of disclaimer, many of my favorite patients are dependent on Medicaid.  I love them and I am happy to see them, whether for their child’s earache or their own pneumonia or injury.  Many people truly need the program, and it helps them … at least in the short term.  However, it is hurting medicine — both primary care and emergency care...

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How The Affordable Care Act Will Affect Emergency Department Payments

January 27, 2014 9:11 am | by Cedric Dark, M.D., MPH | Comments

Many physicians are unsure about how the Affordable Care Act will affect their bottom line. This study attempts to provide an objective analysis of that important information for providers of emergency services. Based on these data, emergency physicians and hospitals serving large numbers of uninsured patients can expect to be paid more after implementation of the ACA...

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New Guidelines For Healthcare Personnel Attire Are Short On Evidence

January 27, 2014 9:00 am | by Skeptical Scalpel | Comments

If I could ask the well-meaning folks at the Society for Healthcare Epidemiology of America one question, it would be, "Why issue guidelines if you have no evidence to base them on?"              

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The Friday Four: Toddler Overcomes Health Issues To Become Internet Singing Sensation

January 24, 2014 11:54 am | by Mike Schmidt, Editor, Surgical Products | Comments

The Friday Four seeks to highlight some of the people behind some of the interesting stories I stumble upon during my daily search for relevant content. This week's list features an adorable toddler, a politician, among others. Happy Friday!                     

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Let’s Learn From No Child Left Behind: Measuring Quality In Healthcare

January 23, 2014 11:01 am | by Luis Collar, M.D. | Comments

Healthcare quality programs must limit unwanted variance (e.g. wrong therapy, unnecessary test), while retaining desired variance (e.g. patient preference, physician judgment) and accounting for inherent variance (e.g. genetic or socioeconomic determinants of health). Failing to recognize the need for this new paradigm will lead to problems, particularly as financial and therapeutic decisions are increasingly tied to quality...

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Robotic Surgical Incident Reporting Leads To More Questions Than Answers

January 22, 2014 10:40 am | by Mike Schmidt, Editor, Surgical Products | Comments

Some questions simply lead to more questions. No questions lead to definitive answers without data and evidence leading the way. That thought came into my mind when I read a recent San Francisco Chronicle article about adverse-event reporting in healthcare, specifically as it relates to Intuitive Surgical’s da Vinci robotic surgery system...

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Report: Effort To Curb Health Costs Should Be ‘Led By The States’

January 21, 2014 9:33 am | by Julie Appleby | Comments

Governors and other state leaders have the leverage to slow rising health costs and should not wait for action by the federal government, a commission chaired by two former governors said in a report Wednesday...      

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Expanding Surgical Residency Training Programs -- Good Idea?

January 20, 2014 11:29 am | by Skeptical Scalpel | Comments

I find it hard to believe that a hospital that has previously not had a residency program and has private practice surgeons who do nothing but operate can turn itself into a setting where surgical education is important...   

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Public Awareness Of C. Difficile Must Rise

January 20, 2014 3:48 am | by Christian John Lillis | Comments

Most bacteria never have a breakout year. But when the nerve center for the nation’s fight against deadly diseases last fall ranked C. diff. first among the three most “urgent” threats to public health, an overdue spotlight shone on an epidemic that much of the press overlooked for decades...

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Make The EHR A Safe Harbor From Criminal Prosecution

January 17, 2014 11:06 am | by Adrian Gropper, M.D. | Comments

Physician-patient confidentiality is important to public health, and networked electronic health records have both individual privacy and public health consequences. Privacy is essential in infectious disease testing, domestic violence, mental health, adolescent, reproductive, and addiction medicine. Subjecting clinical encounters to law enforcement surveillance beyond the physician’s discretion is life-threatening...

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The Friday Four: Surgeon Accused Of Leaving Heart Operation Early

January 17, 2014 10:41 am | by Mike Schmidt, Editor, Surgical Products | Comments

The Friday Four seeks to highlight some of the people behind some of the interesting stories I stumble upon during my daily search for relevant content. I'm not going to lie to you. This is not the most uplifting edition in The Friday Four's brief (BUT ILLUSTRIOUS) history...

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Should Doctors Ever Google Their Patients?

January 16, 2014 9:32 am | by Joyce Ho | Comments

The most obvious cases I can think of for Googling patients are one in which the doctor suspects that the patient is lying to abuse the healthcare system. Malingering is intentionally faking illness for secondary gain, whether it is to get time off work, narcotics, disability insurance, avoiding jailtime, etc...

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When Doctors Disagree: What Should You Tell Patients?

January 15, 2014 10:49 am | by Zackary Berger, M.D. | Comments

Tactfulness is key, and collegial relations with other providers can be maintained in such a circumstance, but identification of systematic missteps in care (such as leaving the patient out of a treatment discussion) is no vice...    

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Four Scenarios That Would Dramatically Improve Healthcare

January 15, 2014 9:09 am | by Robert Pearl, M.D. | Comments

Radical change often happens suddenly, the result of a single decision or event. As we begin the New Year, I invite you to indulge in a thought exercise: Imagine what would happen to our healthcare system if the following hypothetical scenarios suddenly became reality...

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