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7 Issues Affecting Physicians in 2016

7 Issues Affecting Physicians in 2016

There are a host of governmental regulations physicians have to contend with in the new year. Some of these include a shift from volume to value-based care, implementing new ICD-10-CM codes, and using EHR technology in an effort to meet CMS' meaningful use criteria.

Meanwhile, physicians must grapple with the varying forces coming from the payer sector, such as consolidation among health insurers and millions of Americans gaining health coverage under the ACA. In addition, new ways of practicing medicine are growing in popularity, such as the use of telemedicine and incorporating the use of alternative providers like physician assistants and nurse practitioners into a practice.

All coupled together, and adapting to these changes will be a challenge for some physicians, who are at risk for burnout. Here is what experts say will be the top issues affecting physicians in 2016.

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Source: 
Physicians Practice

Comments

2-5-2016/ 2026

Whats up DOCs!! Please read!!! you will love this and maybe to the youngings it will help you see.
EMR I hate, I am not the only one. A Doc I worked with could not even check his pt labs at a differ hospital in the same system, a 30 min drive to check pt care. I can not tell you how many mistakes I caught between written orders and the EMR " Computer glitch " was the claim. If I fallowed the EMR order the pt would have died. Allergic to morphine, ordered schedualed morphine IV. My sign in codes we stolen. ( confirmed with charge nurse) I could not acess a pt chart with a active MI for critical care transport. ( I was signed in at a differ location according to the computer less than one hour in my shift). Codeing Lets just say I am getting calls from the middle east, had to file hippa volations State attorney general, and my father was $500, 000 in dept because of wrong inshurance being charged and a face page screw up to name a few even charged on a day he was not in the office getting labs for he was in the hospital. 7 months to fix and it is still not fully. A 2 year resident told me during a computer/ power outage he could not write or give orders because of the outage ( angery) on his I phone. I had to teach him about hand written orders and verbal orders, just to get a pt care. too reliant on them. ( and they wonder why that hospital closed) Computers get hacked all the time I filed police reports on missing and stolen files encludeing Just my RN Licience renewal with number on it ( then FBI) why would we in Health care compleatily rely on them.? Makes my job eaiser but with all the mistakes it made it that much harder.My vent done

Amie @

If the alternative providers did what they were told without feeling that they could do what we do and conclude that physicians simply just get in the way, I would feel like a team member instead of an outsider. I heard a nurse yelling at a physician that she had 21 years of ICU experience and knew what she was doing. She had given a patient allergic to penicillin, penicillin. I heard that the physician was reported in an incident report because he asked her why she gave his patient penicillin. He was deemed insensitive to her feelings. What about the patient!

Let's keep the government out of the practice of medicine. IN 2002, JCAHO said that pain is the 5th viral sign. No patient should be in pain. Everyone gets opioid prescriptions. THE OPIOID OVERDOSE QUADRUPLES from 2004 to 2014. More people die from opioid overdoses that car accidents and Cocaine and Heroin overdoses, The government tries to restrict opioid usage by restricting opioid prescriptions in REMS. RESULT: THE HEROIN ADDICTION RATE QUADRUPLES from 2004 to 2014. OPIOID OVERDOSE is declared an epidemic by the CDC. Who do they blame - Physicians. A physician in California was recently convicted of murder and jailed.

Problem now is that 60-70% of physicians are employed. We say anything to protect our patients and we could potentially be fired. I reiterate what the nurse said. Wait I feel like the nurse. I have been in practice for 23 years. I think I know how to practice medicine but the govenment doesn't care!

john @

Unfortunately, the push is NOT for "value", but for quantity. Physicians are being told in no uncertain terms, "crank 'em out, or else." Physicians who largely went into medicine, because they cared about other people and wanted to provide high quality medical care are being told, no just do an "average" job -- translation mediocre -- you are spending too much time with your patients and taking care of too many little things. Never mind that all those "little things" have a significant impact on the patient's quality-of-life. Crank them out, bing, bang, boom, NEXT PATIENT! As a result, physicians feel more and more like assembly line workers making widgets, and not even very good widgets, just ones that "will do"! All the other issues relate back to the same thing, less and less time for patients, more quantity, less quality. Most physicians excelled at everything from when they were little, and if they occasionally slip up and do less than their best, it has emotional consequences for such us, because we were all taught to always do our best (physicians are humans, so that we do slip up, but we then redouble our efforts, we don't just accept mediocre). To now be told to just be mediocre goes decidedly against the grain. And it should -- people suffer as a result, people that physicians as a rule care about! We need to readdress a system of health care where mediocrity, quantity over quality is found acceptable!

Philip M. @

Exellent summary. Does anyone care??

Dr Wayne Glazier

Wayne @

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