Waste

May 31, 2017

EHRI'm at a user-group conference for the EHR that my hospital recently implemented. I came to speak about the implementation from the physician perspective. The implementation has had its ups and downs, but we were able to return to our pre-implementation volume about three months after go-live. This is similar to what I have heard from others who have changed systems. The most unfortunate part of our change was that a large part of the work landed on the staff at the front lines - the medical assistants and primary care providers who needed to make sure the data from the old system was manually entered into the new system. This continues to be a heavy burden.

Physician Leadership

May 17, 2017The Physicians Foundation

How would you describe physician leadership? Is it a set of personal attributes that make someone a leader? Is it a position with a job description? Is it someone who makes a difference for an organization? There are many different aspects of physician leadership to consider.

Did You Know?

Did you know?May 3, 2017

Did you know?

During our last Council meeting in April, it occurred to me that there may be a lot of information that needs to be passed along.

NHMS Strategic Planning Survey

April 19, 2017

ChangeAs time passes, one must always stop to reflect upon aspects of life that we can change. To spend energy on evaluating oneself is always a good investment and helps us to determine a path forward.   When I took the oath of office as your president, I had strong opinions on how I thought the Medical Society could move forward into the future and how we could work to remain relevant to the changing demographics of our members. I am certain that my opinions are not always shared by the membership. So, we will ask you.

HealthcareGIVES

April 5, 2017

healthcareGives logoAs spring progresses at its own pace here in New Hampshire, we are presented with many new, fresh opportunities. In my email, I receive nearly daily notices about another 5k or fundraiser. I always look forward to seeing people out of their homes again.

In the spring, the Seacoast healthcare community gathers to present a grant to a local nonprofit organization. The giving circle, HealthcareGIVES, is comprised of 190 members of the medical community.

Collaborative Pharmacy Practice

March 22, 2017

Several of my colleagues have expressed concern about receiving faxes from pharmacists about medications their patients could be on. They question whether this is collaborative practice or solicitation of business. 

During the March 8 meeting of the Executive Council of the Medical Society, we heard from Robert Stout, PharmD, chair of the Board of Pharmacy for New Hampshire. He came to speak with us to clarify the differences between collaborative pharmacy practice and the frequently used tactics of sending solicitation regarding specific patients to physicians that suggest specific treatments based on patient diagnoses. This is not collaborative practice.

AMA Advocacy Conference

March 8, 2017

Drs. Harrigan, Kassler, and Tuttle on Capital Hill in DCI had the privilege of attending the AMA advocacy conference last week in Washington, D.C. We were fortunate to have balmy weather and were able to appreciate the electricity of anticipation for President Trump's first speech to the joint houses of Congress Tuesday evening. 

While in Capitol Hill, we had the opportunity to speak with Representatives Kuster and Shea-Porter and Senator Hassan. We spoke with the health policy staff of Senator Shaheen.

Needle Exchange Program Legislation

February 21, 2017Syringe

A now deceased patient of mine once worked cleaning public portable toilets. He would find used syringes and needles in the toilet and risked needle-sticks on a daily basis. 

Hospitalists and Infectious disease specialists describe the countless patients with endocarditis, newly diagnosed hepatitis C and, less frequently, HIV, due to reuse of needles and unsanitary injections. These patients have limited contact with healthcare for treatment and education.

Many states have needle exchange programs that decriminalize the possession of trace substances found in the syringe/needle. These programs help to give the person who uses substances the education and access to care for treatment. 

Women's March

January 24, 2017

The energy from the Women's March showed how well a small seed of social media can blossom into a potential movement. Although very abrasive, Michael Moore was correct in his statements regarding continued involvement in the process.

As we start the senate confirmation hearings for Tom Price, MD, for Secretary of Health and Human Services, a repeal of the ACA is anticipated and changing Medicaid to block grants is likely. The replacement plan needs to be discussed and considered. A recent study of the economic impacts of repeal without replacement show it to be disastrous for the medical community and the country.

How Does Concealed Carry Affect Healthcare Delivery?

January 10, 2017

Have you ever felt unsafe in your workplace? Have you wondered about possible violence towards you by a patient or family member who was very disappointed with a decision you made to perhaps not refill their medicine? Have you ever requested a staff member escort you to your car at the end of the day? Have you attended "Active Shooter" training at work? Why do I bring this up? Our governor has suggested that he will sign legislation that would allow for concealed carry of personal firearms without a permit. How does this impact health and healthcare delivery you may ask?

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