Mutual Matters

Bill Kanich, MD

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The Non-Adherent Patient

Posted by Bill Kanich, MD on Jan 26, 2017 1:00:00 PM

How to Approach Situations When Patients Don’t Follow Your Advice

Most physicians are familiar with patients who don’t always follow the advice given to them. For example, up to 30 percent of prescriptions are never filled, and another 30 percent are taken in an inconsistent matter. Providers often order tests or make recommendations and then may not be aware of whether or not the patient is following through. 

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Case Studies: Pain Management with Opioids

Posted by Bill Kanich, MD on Jan 19, 2017 1:00:00 PM

Case Study #1

A 34-year-old male presented to a family medicine physician for chronic low back pain. The physician is comfortable prescribing opioids and has many patients on scheduled drugs. The patient has had chronic pain for many years and undergone multiple treatments including physical therapy, steroid injections and many medications. On presentation, the patient was on Robaxin and oxycodone (four times a day). His past history is positive for hypertension and alcohol abuse, although he stated he hasn’t drank in the past year. He works as a laborer.

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HIPAA: Key Areas Where Problems Occur

Posted by Bill Kanich, MD on Jan 5, 2017 12:30:00 PM

In 2015, the Department of Health and Human Services (HHS) released its latest report concerning HIPAA breaches, security and breach notification compliance, and breaches of unsecured protected health information[1].  According to the report, the majority of covered entities audited, particularly smaller entities, continued to show HIPAA deficiencies with regard to privacy, security, and breach notification.

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Don’t Make Your Patient a Victim: When Doctors Criticize Other Doctors

Posted by Bill Kanich, MD on Dec 29, 2016 3:45:34 PM

"Jousting" is the unfortunate practice of one health care professional making derogatory comments about another provider’s care, either to the patient, or in the chart, and without having reviewed all the pertinent records, or discussing his concerns with the previous physician. We have often seen jousting as the cause of medical litigation, but until recently, jousting had never been studied. A 2013 article in the Journal of General Internal Medicine[i] shed light on this hitherto known but underappreciated practice.

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Treating Employees, Family Members and Yourself

Posted by Bill Kanich, MD on Dec 22, 2016 1:00:00 PM


Case Study

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Communication Errors in Surgery

Posted by Bill Kanich, MD on Dec 15, 2016 2:58:56 PM

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Patients Recording Interactions with Their Physicians

Posted by Bill Kanich, MD on Dec 8, 2016 12:15:00 PM

If you don’t have something nice to say…

In 2013, a Virginia man prepared for his colonoscopy by pressing record on his phone to capture the post-op instructions from his doctor.

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The Importance of an Accurate Problem List for Patient Safety and Care

Posted by Bill Kanich, MD on Dec 1, 2016 2:00:00 PM

Case Study

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Talking to Patients About the Errors of Other Clinicians

Posted by Bill Kanich, MD on Nov 17, 2016 1:15:00 PM

While much attention, literature, and training has been developed over the past decade on the subject of one’s own medical errors and the process of disclosure, very little has been explored regarding how to respond to patients and colleagues when one becomes aware of the errors of other clinicians. Supported by a grant from the Greenwall Foundation and by the Risk Management Foundation of the Harvard Medical Institutions, an international panel assembled to develop a collaborative approach to the issue. Subsequently, The New England Journal of Medicine published an article1 entitled “Talking with Patients about Other Clinicians’ Errors.” Would you like to learn more about some of the excerpted principles and observations of the study?

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How to Protect and Fix a Physician’s Online Reputation

Posted by Bill Kanich, MD on Oct 27, 2016 1:00:00 PM

 Never pick a fight with people who buy ink by the barrel. ~Mark Twain

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Sharing Insight on Mutual Matters

As one of the leading mutual providers of Medical Professional Liability insurance, we're here to help all healthcare professionals with the challenges they face on a daily basis. The topics we cover include: 

  • MACRA
  • Healthcare legislation updates
  • HIPAA
  • Patient safety guidance
  • Practice and hospital management advice
  • and more. 

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