Physician recruiting is a fact of life for any practice. Whether it’s replacing a retiring solo practitioner, adding an employee physician to a three-person partnership, or adding additional manpower to a large, multi-specialty clinic, physician recruitment is inevitable and the financial stakes are high.
Case Study #1
During an exam, Mr. Smith admits to his doctor that he used alcohol heavily in the past. The doctor notes this in the patient’s progress note. Subsequently, Mr. Smith applies for life insurance and learns that he is denied on the basis of the doctor’s note. Mr. Smith is upset and contacts his doctor to request an amendment of his medical record.
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.
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. 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.
"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.
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?