Recent challenges to a culture of patient safety
By Travis Bias, DO, MPH
A culture of patient safety built over the past 20 years is encountering roadblocks. Policies and recent events that defy both research and initiatives geared towards strengthening health care safety, whether intentional or not, must be highlighted to ensure we continue to move the ball in the right direction.
Recently a New York Times story highlighted the “culture of secrecy” that protects hospitals from disclosing their name when an outbreak of a drug-resistant bug occurs within their walls. Defenders of the policy argue this encourages hospitals to promptly report these outbreaks to the Centers for Disease Control and Prevention without fear of negative publicity.more
Mergers, acquisitions, and the family physician — where do we fit in?
By Rebecca Hart, MD
Recently I have been hearing a lot of angst from colleagues about all the impending mergers of large retail corporations, insurance companies, and pharmacies starting up primary care clinics complete with urgent care, lab, imaging, and other amenities. My colleagues are gnashing their teeth wondering if they’ll be forced out of business by yet another corporate takeover. First the hospitals, now this.
The CVS/Aetna partnership brings us HealthHUBs in CVS stores, a health care “destination” with nurse practitioners at the helm and a “care concierge” to direct the patient to CVS services. They are associated with physicians only as reviewers of the NPs, because this is required by Texas law. They are not even on the payroll, but act as consultants — a very distant role. These physicians are not involved in directing the company or directing the primary care at all.more
Border crisis: How you can help
With the increase in immigrants seeking asylum along the southern border, physicians and charitable organizations are struggling to provide needed care, supplies, and shelter to migrants in their communities. A recent article in Kaiser Health News describes the situation this way:
“In the absence of a coordinated federal response, nonprofit organizations across the 1,900-mile stretch have stepped in to provide food, shelter and medical care. Border cities like El Paso, San Diego and McAllen, Texas, are used to relying on local charities for some level of migrant care. But not in the massive numbers and sustained duration they’re seeing now. As the months drag on, the work is taking a financial and emotional toll. Nonprofit operators are drawing on donations, financial reserves and the generosity of medical volunteers to meet demand. Some worry this “new normal” is simply not sustainable.”
Many members along the border are working with local charities to provide care and services and we know many more members would like to help. Here are some organizations and opportunities to contact if you are interested. If you are working with other organizations or know of other opportunities, please email Jonathan Nelson, firstname.lastname@example.org