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physician enterprise

Rachel V Rose, Joseph S Kass
This article presents a case in which a neurology group practice is considering investing in an imaging center that is owned by nonphysician investors with the aim of referring patients to this imaging center. The article reviews some important legal pitfalls in federal law that physicians must be aware of when considering such an investment and focuses on the general outlines of and exceptions to the Stark Law and the Federal Anti-Kickback Statute.
October 2016: Continuum: Lifelong Learning in Neurology
Julia M Geynisman-Tan, Jolyn S Taylor, Terri Edersheim, Debra Taubel
Trafficking of women and children for sexual exploitation is the fastest growing criminal enterprise in the world. This is a public health crisis and, as physicians who have direct contact with victims, we have a unique opportunity to intervene. The authors developed a specialty clinic for survivors of sex trafficking in 2013 at an academic medical center in New York City. Twenty of the 24 women seen in the Survivor Clinic saw a physician while being trafficked. Sex trafficking violates basic human rights, including the rights to bodily integrity, dignity, health and freedom from violence and torture...
September 21, 2016: American Journal of Obstetrics and Gynecology
David J Slotwiner
The anticipated advantages of electronic health records (EHRs)-improved efficiency and the ability to share information across the healthcare enterprise-have so far failed to materialize. There is growing recognition that interoperability holds the key to unlocking the greatest value of EHRs. Health information technology (HIT) systems including EHRs must be able to share data and be able to interpret the shared data. This requires a controlled vocabulary with explicit definitions (data elements) as well as protocols to communicate the context in which each data element is being used (syntactic structure)...
October 2016: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
Mónica García, Stefan Pohl-Valero
Argument Using the notion of styles of knowledge we refer to the ways diverse scientific communities claim to produce true knowledge, their understandings regarding the attitudes and values that scientists should have in order to grasp natural and social reality, and the practices and technologies developed within such styles. This paper analyzes scientific and medical enterprises that explored the relationship between environment, population, and society in Colombia between 1850 and 1920. We argue that similar styles of knowledge production were shared in human geography, medical geography, and climatic physiology at the mid-nineteenth century; and that some physicians working in bacteriology and physiology since the 1880s established epistemic boundaries between their work and earlier scientific activities, while others found these distinctions irrelevant...
September 2016: Science in Context
Peter D Jacobson, Rachel Dahlen
In this article, we assess two particular trends in judicial doctrine that are likely to emerge in the post-ACA era. The first trend is the inevitable emergence of enterprise medical liability (EML) that will supplant tort law's unstable attempt to apportion liability between physicians and institutions. Arguments favoring EML in health law date back to the early 1980s. But health care's ongoing consolidation suggests that the time has arrived for courts or state legislatures to develop legal doctrine that more closely resembles the ways in which health care is now delivered...
August 16, 2016: Journal of Health Politics, Policy and Law
Jørgen V Grevsen, Hanne Kirkegaard, Edith Kruse, Poul R Kruse
The article series provides a written and pictorial account of the Danish pharmaceutical industry's products from their introduction until about 1950. Part 8 deals with products from Lundbeck. Lundbeck which today is known as a considerable international pharmaceutical company could in 2015 celebrate its 100 years' jubilee. Among the early Danish medicinal companies H. Lundbeck & Co. is in many ways an exception as the company was not originally established as a pharmaceutical company. Not until several years after the foundation the company began to import foreign ready-made medicinal products and later-on to manufacture these medicinal products in own factory and even later to do research and development of own innovative products...
2016: Theriaca
Jody Hill-Mischel, Walter W Morrissey, Kimberly Neese, Timothy R Shoger
A healthcare organization's efforts to strategically transform its cost structure in preparation for value-based payment invariably must begin with a systemwide assessment of cost and quality. Such an assessment should focus on three categories of performance improvement activities: margin improvement, business restructuring, and clinical transformation. A work-team approach is recommended, where teams with multidisciplinary representation assume responsibility for assessing specific areas (e.g., acute care enterprise, physician enterprise, business restructuring)...
June 2016: Healthcare Financial Management: Journal of the Healthcare Financial Management Association
Kimberly D Brunisholz, Elizabeth A Joy, Mia Hashibe, Lisa H Gren, Lucy A Savitz, Sharon Hamilton, Wayne Cannon, Jaewhan Kim
OBJECTIVE: To determine the risk of type 2 diabetes (T2DM) diagnosis among patients with confirmed and unconfirmed prediabetes (preDM) relative to an at-risk group receiving care from primary care physicians over a 5-year period. STUDY DESIGN: Utilizing data from the Intermountain Healthcare (IH) Enterprise Data Warehouse (EDW) from 2006-2013, we performed a prospective analysis using discrete survival analysis to estimate the time to diagnosis of T2DM among groups...
2016: PloS One
Maritta Kinnunen-Amoroso, Juha Liira
BACKGROUND: Work-related stress has been evaluated as one of the most important health risks in Europe. Prevention of work related stress and interventions to reduce risk factors for stress in the workplace are conducted together by the enterprise and occupational health services. OBJECTIVE: The aim of the study was to examine the experiences of Finnish occupational physicians on the stress management with enterprises. METHODS: From the Finnish Association of Occupational Health Physicians membership list 207 physicians responded to self-administered anonymous questionnaire...
June 13, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Ari B Friedman, Justin A Grischkan, E Ray Dorsey, Benjamin P George
Public Service Loan Forgiveness (PSLF) was established in 2007 for public sector and nonprofit enterprise employees to pursue educational loan forgiveness. Under PSLF, graduates are offered complete loan forgiveness after 120 qualifying monthly payments while employed at public or nonprofit institutions, including payments made during residency for physicians. In response to concerns that PSLF will heavily subsidize lawyers, doctors, and other professionals, the President's 2017 budget proposes limiting maximum forgiveness...
October 2016: Journal of General Internal Medicine
Christopher P Morley, Brianna J Cameron, Andrew W Bazemore
BACKGROUND AND OBJECTIVES: The Health Resources and Services Administration (HRSA) awards funding to primary care departments-or "Academic Administrative Units" (AAUs) at US medical schools-to strengthen or grow these departments and ultimately increase the output of primary care physicians into the US workforce. One aspect of these AAU grants that is often overlooked is the fact that they support research infrastructure for these departments. METHODS: This study used multiple methods, including content analysis of current AAU grant abstracts (n=23), publications resulting from AAU funding (n=79), and survey responses from AAU project directors (n=19) to explore and describe the impact of current AAU grants on family medicine research in the United States...
June 2016: Family Medicine
Sheldon M Retchin
Elsewhere in this issue, Welch and Bindman present research demonstrating that academic health centers (AHCs) continue to disproportionately comprise specialists and subspecialist faculty physicians compared with community-based physician groups. This workforce composition has served AHCs well through the years-specialists fuel the clinical engine of the major tertiary and quaternary missions of AHCs, and they also dominate much of the clinical and translational research enterprise. AHCs are not alone-less than one-third of U...
July 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Michael Heenan, Ted Rogovein, Elizabeth Buller, Anthony Plati
In 2012, publicly released reports indicated that the health outcomes at St. Joseph's Health Centre, Toronto (SJHC), may not be of the same quality when compared with those at peer hospitals. This surprised the leaders within the organization given that SJHC had a sound reputation for quality and patient safety within the sector. As a result, SJHC's senior management and medical leadership identified clinical outcomes and data quality as items to be addressed within its enterprise risk management framework with a focus on the methods by which data were collected, coded and used by clinicians...
2016: Healthcare Quarterly
Manuel De Santiago
This essay addresses Pellegrino's thought on Philosophy of Medicine; it also provides an approach to his concerns on the changing relationship between patients and physicians which took place in the late twentieth century in the United States and, finally, to his contribution to the identity of Medicine debate. From an Aristotelian-Thomist way of thinking, and from a phenomenological approach to the medical act, he identifies the ending of Medicine and also its limits concerning to ″healing″, in his two moments, curing and helping, which includes caring...
January 2016: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
Andrew B Rosenkrantz, Jason Sherwin, Chandan P Prithiani, Dana Ostrow, Michael P Recht
PURPOSE: The aim of this study was to report the investigators' preliminary experience in the implementation of a "virtual consult" (VC) system enabling consultations between radiologists and referring physicians in physically remote locations throughout their enterprise. METHODS: Referrers and radiologists directly access the VC through the electronic medical record and PACS, respectively. Referrers may click a VC link associated with any examination report to instant message the appropriate subspecialist radiologist, who receives an alert allowing automatic loading of the examination...
August 2016: Journal of the American College of Radiology: JACR
Joshua R Vest, Bita A Kash
POLICY POINTS: Community health information exchanges have the characteristics of a public good, and they support population health initiatives at the state and national levels. However, current policy equally incentivizes health systems to create their own information exchanges covering more narrowly defined populations. Noninteroperable electronic health records and vendors' expensive custom interfaces are hindering health information exchanges. Moreover, vendors are imposing the costs of interoperability on health systems and community health information exchanges...
March 2016: Milbank Quarterly
Ohad Avny, Keren Cohen Nahum, Tatiana Michnick, Tatiana Teitelbaum, Dalit May
We present a literature review of collaborative enterprises between psychiatrists and primary care physicians in Israel and other countries. Also described are local psychiatric liaison initiatives in Israel, as well as landmark studies of collaborative psychiatric care. These studies demonstrate the superiority of community psychiatric liaison models in the treatment of patients suffering from depressive anxiety disorders and somatization disorder. In light of the mental health reform process currently underway in Israel, it is important to develop, implement and assess such liaison models...
February 2016: Israel Medical Association Journal: IMAJ
Laura G Militello, Jason J Saleem, Morgan R Borders, Christen E Sushereba, Donald Haverkamp, Steven P Wolf, Bradley N Doebbeling
Adoption of clinical decision support has been limited. Important barriers include an emphasis on algorithmic approaches to decision support that do not align well with clinical work flow and human decision strategies, and the expense and challenge of developing, implementing, and refining decision support features in existing electronic health records (EHRs). We applied decision-centered design to create a modular software application to support physicians in managing and tracking colorectal cancer screening...
March 2016: Journal of Cognitive Engineering and Decision Making
Mitchell D Wong, Lourdes Guerrero, Tamer Sallam, Joy S Frank, Alan M Fogelman, Linda L Demer
BACKGROUND: Although physician-scientists generally contribute to the scientific enterprise by providing a breadth of knowledge complementary to that of other scientists, it is a challenge to recruit, train, and retain physicians in a research career pathway. OBJECTIVE: To assess the outcomes of a novel program that combines graduate coursework and research training with subspecialty fellowship. METHODS: A retrospective analysis was conducted of career outcomes for 123 physicians who graduated from the program during its first 20 years (1993-2013)...
February 2016: Journal of Graduate Medical Education
Susan S Woods, Neil C Evans, Kathleen L Frisbee
Electronic health record content is created by clinicians and is driven largely by intermittent and brief encounters with patients. Collecting data directly from patients in the form of patient-generated data (PGD) provides an unprecedented opportunity to capture personal, contextual patient information that can supplement clinical data and enhance patients' self-care. The US Department of Veterans Affairs (VA) is striving to implement the enterprise-wide capability to collect and use PGD in order to partner with patients in their care, improve the patient healthcare experience, and promote shared decision making...
May 2016: Journal of the American Medical Informatics Association: JAMIA
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