tag:blogger.com,1999:blog-2760353953251845523.post7404623916066111668..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Readmission SavingsJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-2760353953251845523.post-68285192515029601722009-08-16T01:34:41.780-04:002009-08-16T01:34:41.780-04:00Buckeye - have to disagree with you on this one (a...Buckeye - have to disagree with you on this one (although I do agree that a patient is more complex than a chalupa). 20% readmission rates for Medicare patients within 30 days is not acceptable. Often, it is due to errors in the system that need to be addressed: that follow-up nurse or PCP visit that doesn't happen, the CHFer who maybe needed another day of diuresis to delay the next exacerbation, etc. Coordinated, systematic improvements in discharge planning would make a big difference. Just think about your Cook County patient population...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-3629114261345945742009-08-12T01:01:31.026-04:002009-08-12T01:01:31.026-04:00keep blogging. this is one of the few places which...keep blogging. this is one of the few places which make me believe rationality still exists.rrsnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-28022939110322916572009-08-12T00:11:14.229-04:002009-08-12T00:11:14.229-04:00For a second, I thought you weren't joking. (Y...For a second, I thought you weren't joking. (Yikes! Isn't that scary, when the popular rhetoric gets so screwed up that you can't even tell if someone is being sarcastic or not?)<br /><br />I don't work in medicine. (But I read this blog, because I'm a writer, and as such, I find the posts fascinating.) But for decades I designed computer software. And even in the software-development industry, most consultants charge by the hour, and if you have to hire them again and again to fix the same thing, as it were, them's just the breaks, because let's face it: software is complicated.<br /><br />But no one's implying that the human body is more complex than a lousy piece of computer software. (Ba dum bum.)<br /><br />-TimKAnonymoushttps://www.blogger.com/profile/01317561917487132989noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-19338878191153442352009-08-11T23:29:40.846-04:002009-08-11T23:29:40.846-04:00Here's what we see in practice with these &quo...Here's what we see in practice with these "re-admission patients". To use Obama's car example: Car brought to body shop and fixed adequately. then can shows up again three days later with similar damage from accident. Car fixed again and sent out of body shop with instructions on how best to avoid another accident. But returns again a week later with similar front-end damage just like before after refusing to follow the instructions. Or how about the car that just feels better in the body shop because the technicians do everything for them...etc.... I think you see the point. Not all re-admission problems are physician or institution isuesHudsonMDhttps://www.blogger.com/profile/05955328271938173408noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-46457583547668890242009-08-11T22:40:40.037-04:002009-08-11T22:40:40.037-04:00Try buying Taco ingredients separately and make th...Try buying Taco ingredients separately and make them yourself, doc :) 100% satisfaction guaranteed.<br /><br />Frank, there simply weren't any one else on the ballot who could deal with issues as complex as health care reform. The problem wasn't created overnight; it surely can't be solved overnight. Keep your expectation in check, will you?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-12690342862281266382009-08-11T22:03:53.371-04:002009-08-11T22:03:53.371-04:00The insurance lobby has this thing locked up.
Ins...The insurance lobby has this thing locked up.<br /><br />Insurance company standard procedure: Wait till patient becomes emergently ill before allowing definitive diagnostics in effort to delay/avoid treatment, and then push for early discharge even though the patient is still in danger. This is why patients require readmission. This is why insurance companies compound cost and then place blame on doctors and nurses. Their attempts to globally avoid payouts often blows up and someone else gets to take the blame. Oh, forgot to mention the bill, yes, the bill. Somewhere 20 years ago there was an elevated WBC, so claims will be denied due to preexisting condition and the patient will go bankrupt.<br /><br />-SCNSAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-26013585521217445772009-08-11T21:57:24.849-04:002009-08-11T21:57:24.849-04:00You voted for him, or at least your state did, but...You voted for him, or at least your state did, but hey, doesn't he talk good??? <br /><br />FrankAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-86935594201847574452009-08-11T21:42:56.212-04:002009-08-11T21:42:56.212-04:00....or when someone 'misplaced' that 4X4.........or when someone <a href="http://jmedicalcasereports.com/jmedicalcasereports/article/view/5862/1725" rel="nofollow">'misplaced'</a> that 4X4...gotta get the count right..the first time!joegrindhttps://www.blogger.com/profile/05727976294725190063noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-11817147037095335752009-08-11T21:38:15.242-04:002009-08-11T21:38:15.242-04:00There is no doubt a [widening] chasm between polit...There is no doubt a [widening] chasm between politics and medicine.<br /><br />The only way out of readmission cycle is a more robust primary care & public health infrastructure.<br /><br />Where else should the patient go if his/her chronic condition keeps, well, "acting out"? It's not as if physical aliment is simply an occasional annoyance of the day.HMShttps://www.blogger.com/profile/17168620011502808236noreply@blogger.com