Comments for The Balanced Physician Weblog http://balancedphysician.wordpress.com Teaching physicians practical self-management and interpersonal skills to leverage their profitability, personal fulfillment, and success. Thu, 01 Oct 2009 06:53:39 +0000 http://wordpress.com/ hourly 1 Comment on Future Cardiologist Shortage – Tips for Cardiologists and Healthcare Organizations by JimmyBean http://balancedphysician.wordpress.com/2009/09/15/future-cardiologist-shortage-tips-for-cardiologists-and-healthcare-organizations/#comment-32 JimmyBean Thu, 01 Oct 2009 06:53:39 +0000 http://balancedphysician.wordpress.com/?p=144#comment-32 I don't know If I said it already but ...Excellent site, keep up the good work. I read a lot of blogs on a daily basis and for the most part, people lack substance but, I just wanted to make a quick comment to say I'm glad I found your blog. Thanks, :) A definite great read..Jim Bean I don’t know If I said it already but …Excellent site, keep up the good work. I read a lot of blogs on a daily basis and for the most part, people lack substance but, I just wanted to make a quick comment to say I’m glad I found your blog. Thanks, :)

A definite great read..Jim Bean

]]> Comment on Future Cardiologist Shortage – Tips for Cardiologists and Healthcare Organizations by Tnelson http://balancedphysician.wordpress.com/2009/09/15/future-cardiologist-shortage-tips-for-cardiologists-and-healthcare-organizations/#comment-31 Tnelson Wed, 30 Sep 2009 22:38:09 +0000 http://balancedphysician.wordpress.com/?p=144#comment-31 There's good info here. I did a search on the topic and found most people will agree with your blog. Keep up the good work mate! There’s good info here. I did a search on the topic and found most people will agree with your blog. Keep up the good work mate!

]]> Comment on Physician Work-Life Balance: The Patient or the Doctor – Whom to put first? by rachel http://balancedphysician.wordpress.com/2009/07/08/physician-work-life-balance-the-patient-or-the-doctor-%e2%80%93-whom-to-put-first/#comment-29 rachel Thu, 06 Aug 2009 18:14:31 +0000 http://balancedphysician.wordpress.com/?p=130#comment-29 Hey nice post .... Keep up the great work Hey nice post …. Keep up the great work

]]> Comment on Patient Survey to Improve Practice Efficiency and Patient Retention by Lester http://balancedphysician.wordpress.com/2009/02/18/patient-survey-to-improve-practice-efficiency-and-patient-retention/#comment-23 Lester Thu, 19 Feb 2009 02:57:32 +0000 http://balancedphysician.wordpress.com/?p=95#comment-23 The survey should probably incorporate some other, more technologically advanced measures of service and convenience such as the availability of email communications with the doctor, which can be provided via on line services such as www.housedoc.us, that are also free and HIPAA compliant, or use of electronic medical records that the patient can store on their computer. The survey should probably incorporate some other, more technologically advanced measures of service and convenience such as the availability of email communications with the doctor, which can be provided via on line services such as http://www.housedoc.us, that are also free and HIPAA compliant, or use of electronic medical records that the patient can store on their computer.

]]> Comment on Disruptive Physician Behavior by Maureen Klotz http://balancedphysician.wordpress.com/2007/11/12/disruptive-physician-behavior/#comment-22 Maureen Klotz Sun, 07 Sep 2008 00:12:00 +0000 http://balancedphysician.wordpress.com/2007/11/12/disruptive-physician-behavior/#comment-22 I wanted to reply to this article because as a physician I am VERY concerned about the JCAHOs new push to address disruptive physicians. I really feel that there are much bigger fish to fry. Do not get me wrong, I feel that abuse by a physician to a colleague is unacceptable and in cases where physicians are repeat offenders should be evaluated for this problem. However, as a physician and a surgeon, I am VERY concerned about these types of policies. Patients NEED patient advocates. For example, you schedule a surgery requesting instruments and then you arrive to do the surgery and the hospital staff either does not have the instruments or they are not sterilized. What should the response be now that the patient is asleep? The appropriate response is to report it and do the best you can for that patient with the inadequate instruments you have. Now imagine this happening OVER and OVER again....get the picture? Somone has to be an advocate for the patient and somone pulling a 12 hour shift at fifteen dollars an hour really doesnt care about the patient...they just want their shift to end. Another example that just happened 1 month ago...I wrote orders for my patient to have her temperature checked every 4 hours because she was addmitted for a pelvic abscess. She did not have her temperature checked for over 12 hours. What do you do there? Of course, you report it. Well, imagine that happening every day (not the exact same error) maybe a missed bloood draw, or a failure to report results, or not sending a patient for a study, or an order not performed in the chart. These things happen every day...unfortunately, the doctors that complain and get upset have less of these things happen to their patients and the system breeds these types of physician attitudes. Maybe JCAHO should adopt a zero tolerance policy for hospitals AND staff that make these types of errors. These errors go overlooked because doctors never report them. Patients need advocates and if doctors do not press staff to do the right things for patients and hold them to a higher standard of care then who will? When the patient has a bad outcome and the lawsuit comes down...its always the doctor in the lawsuit and not the person who didnt take the temperature for 12 hours. Maybe have JCAHO set strict (reasonable) standards for patient to nursing ratios...hey theres a thought...or maybe make them purchase new instruments when the doctor says the old one is insufficient instead of letting the hospitals get away with using the same old instruments when they do not function properly. Instead, a better solution, take the doctor who gets upset about these things and send them to a 5 day inpatient evaluation and 12 CME credits lol that will solve the problem. have a nice day I wanted to reply to this article because as a physician I am VERY concerned about the JCAHOs new push to address disruptive physicians. I really feel that there are much bigger fish to fry. Do not get me wrong, I feel that abuse by a physician to a colleague is unacceptable and in cases where physicians are repeat offenders should be evaluated for this problem. However, as a physician and a surgeon, I am VERY concerned about these types of policies. Patients NEED patient advocates. For example, you schedule a surgery requesting instruments and then you arrive to do the surgery and the hospital staff either does not have the instruments or they are not sterilized. What should the response be now that the patient is asleep? The appropriate response is to report it and do the best you can for that patient with the inadequate instruments you have. Now imagine this happening OVER and OVER again….get the picture? Somone has to be an advocate for the patient and somone pulling a 12 hour shift at fifteen dollars an hour really doesnt care about the patient…they just want their shift to end. Another example that just happened 1 month ago…I wrote orders for my patient to have her temperature checked every 4 hours because she was addmitted for a pelvic abscess. She did not have her temperature checked for over 12 hours. What do you do there? Of course, you report it. Well, imagine that happening every day (not the exact same error) maybe a missed bloood draw, or a failure to report results, or not sending a patient for a study, or an order not performed in the chart. These things happen every day…unfortunately, the doctors that complain and get upset have less of these things happen to their patients and the system breeds these types of physician attitudes. Maybe JCAHO should adopt a zero tolerance policy for hospitals AND staff that make these types of errors. These errors go overlooked because doctors never report them. Patients need advocates and if doctors do not press staff to do the right things for patients and hold them to a higher standard of care then who will? When the patient has a bad outcome and the lawsuit comes down…its always the doctor in the lawsuit and not the person who didnt take the temperature for 12 hours. Maybe have JCAHO set strict (reasonable) standards for patient to nursing ratios…hey theres a thought…or maybe make them purchase new instruments when the doctor says the old one is insufficient instead of letting the hospitals get away with using the same old instruments when they do not function properly. Instead, a better solution, take the doctor who gets upset about these things and send them to a 5 day inpatient evaluation and 12 CME credits lol that will solve the problem.

have a nice day

]]> Comment on Disruptive Physician Behavior by AlexM http://balancedphysician.wordpress.com/2007/11/12/disruptive-physician-behavior/#comment-18 AlexM Sat, 16 Aug 2008 07:08:28 +0000 http://balancedphysician.wordpress.com/2007/11/12/disruptive-physician-behavior/#comment-18 Your blog is interesting! Keep up the good work! Your blog is interesting!

Keep up the good work!

]]> Comment on Health Care Success Depends on You! by Scott Hodson http://balancedphysician.wordpress.com/2008/07/29/health-care-success-depends-on-you/#comment-12 Scott Hodson Tue, 29 Jul 2008 20:21:23 +0000 http://balancedphysician.wordpress.com/?p=15#comment-12 Excellent thoughts. In nearly thirty years of consulting, I have worked with a wide variety of hospitals and health systems to help them develop and implement complex economic and quality improvement programs. I would agree that success comes not only from knowing "what" to do (most organizations have this mastered,) but more importantly, "how" to do it. Effective leadership, communication, and team development are essential to the success of any complex undertaking. Engaging an outside professional with a track record in helping organizations to develop these abilities can be a critical success factor in any complex undertaking. Excellent thoughts. In nearly thirty years of consulting, I have worked with a wide variety of hospitals and health systems to help them develop and implement complex economic and quality improvement programs. I would agree that success comes not only from knowing “what” to do (most organizations have this mastered,) but more importantly, “how” to do it.

Effective leadership, communication, and team development are essential to the success of any complex undertaking. Engaging an outside professional with a track record in helping organizations to develop these abilities can be a critical success factor in any complex undertaking.

]]> Comment on Disruptive Physician Behavior by George Anderson http://balancedphysician.wordpress.com/2007/11/12/disruptive-physician-behavior/#comment-10 George Anderson Thu, 24 Jul 2008 15:00:51 +0000 http://balancedphysician.wordpress.com/2007/11/12/disruptive-physician-behavior/#comment-10 It is encourging to not that the JCAHO's new proprosed guidelines for "disruptive physicians" is already resulting in a dramitic increase in self and mandated referrals to Executive Coaching/Anger Management resources for "disruptive physicians. The three main resources for physicians all report such increases. It is encourging to not that the JCAHO’s new proprosed guidelines for “disruptive physicians” is already resulting in a dramitic increase in self and mandated referrals to Executive Coaching/Anger Management resources for “disruptive physicians.

The three main resources for physicians all report such increases.

]]> Comment on Zagat Survey – An Opportunity or a Disadvantage? by BaliParadise-Rental Bali http://balancedphysician.wordpress.com/2008/01/21/zagat-survey-an-opportunity-or-a-disadvantage/#comment-5 BaliParadise-Rental Bali Tue, 22 Jan 2008 04:46:38 +0000 http://balancedphysician.wordpress.com/2008/01/21/zagat-survey-an-opportunity-or-a-disadvantage/#comment-5 Wow it's a great blog I found here. I am sure it will be updated regularly. It's a great site after looking around on your page. Very nice. It's lovely source for the medical and accomodation. Life is so beautiful. Keep going on...... Hope on the same line and have great link someday. Since I found this is one of best on net... ;> Have a great day!!!! Thanks Monk http://www.pancerbali.com http://www.balirental.blogspot.com Wow it’s a great blog I found here. I am sure it will be updated regularly. It’s a great site after looking around on your page. Very nice. It’s lovely source for the medical and accomodation. Life is so beautiful. Keep going on……
Hope on the same line and have great link someday. Since I found this is one of best on net… ;>
Have a great day!!!!
Thanks
Monk
http://www.pancerbali.com
http://www.balirental.blogspot.com

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