TELEMEDICINE: TOO LITTLE COMPENSATION WITHOUT REPRESENTATION ? A THINK PIECE BY AP
TELEMEDICINE: TOO LITTLE COMPENSATION WITHOUT REPRESENTATION ?









A THINK PIECE BY AP #obamacare stories
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pa_healthcare
pa_healthcareCommunity member
Autoplay OFF  •  a year ago
PROMPT: TELEMEDICINE
......
WILL IT HELP BRIDGE THE GAP BETWEEN DOCTOR AND PATIENT?
OR
WILL IT CRASH BEFORE IT TAKES OFF?

TELEMEDICINE: TOO LITTLE COMPENSATION WITHOUT REPRESENTATION ? A THINK PIECE BY AP

IN ORDER TO EXPAND TELEHEALTH SERVICES (WHICH WAS ATTEMPTED BY A NUMBER OF MY ESTEEMED COLLEAGUES), WE AS A GROUP PRACTICE DETERMINED MORE FUNDING OR MEANS TO MAXIMIZE THE RETURN OF OUR PERSONAL INVESTMENT WERE REQUIRED TO PERSUE THIS ANY FURTHER AT THIS TIME.

PROPELLING OUR DECISION, WE FOUND THERE WAS A LACK OF A GENERAL CONSENSUS AMONGST OUR COLLEAGUES. THEY WERE LEFT WITH MOUNTING UNANSWERED QUESTIONS AS THEY ENCOUNTERED MORE TELEMEDICINE CASES. THEY WERE FACING UNCHARTED TERRITORY WITHOUT ADEQUATE DIRECTION FROM THE GOVERNMENT THAT IS REQUIRED

FOR THIS JOURNEY OF EVOLUTION IN THE DELIVERY OF MEDICINE TO TAKE PLACE.

ON THE OTHER HAND, WHILE PROMOTING TELEHEALTH ADVANCES WE FOUND A MAJORITY OF OUR PATIENTS PREFER TO BE TREATED IN PERSON, AT THEIR CONVENIENCE, AND AS THEY HAVE BEEN ACCUSTOMED TO OVER THE LAST 30 YEARS WITH OUR PROVIDERS FACE-TO-FACE.

WE HEARD COMMENTS LIKE: "ANOTHER COMPLICATED EXCUSE FOR OUR DOCTOR NOT TO SEE US IN PERSON, AGAIN.”

AS IF THE INTRODUCTION OF the MIDLEVEL PROVIDER WAS NOT DIFFICULT ENOUGH TO CONVINCE PATIENTS IT WAS JUST A SLIGHT CHANGE IN FORECAST NOT SEEING THEIR DOCTOR OF 20+ YEARS THIS VISIT TO GO OVER THEIR FLAGGED-BY-THE-RADIOLOGIST-DIAGNOSTIC-STUDY MARKED NEEDS STAT APPOINTMENT ASAP

CONVENIENTLY IN THEIR TECHY PATIENT PORTAL THEY FINALLY FIGURED OUT HOW TO GET THEIR PASSWORD TO WORK ON LAST WEEK. OR BETTER YET, LETS NOT FORGET HOW MEDICARE HAS BROUGHT BACK "THE boring PHYSICAL" ONLY TO CALL IT "THE-complimentary-ANNUAL-WELLNESS-VISIT" FOR THOSE 65+YEARS OF AGE

Also, CONVENIENTLY OR strategically? PICK YOUR PHILOSOPHY POISON- left or right the destination is the same BROKE BEFORE YOU CAN SPELL R-E-T-I-R-E-M-E-N-T

INCREASING THE-ALREADY-IN SHORTAGE-PHYSICIAN's WORKKflow BY A STAGGERING 37.4% ON AVERAGE. IMAGINE GETTING THAT FORECAST AFTER YOUR DOCTOR SENT THEIR HANDY RESIDENT TO RUN ALL SORTS OF SCREENING TESTS THAT ARE NOT ROUTINELY CONSIDERED "SCREENING" IN THE ASYMPTOMATIC ELDERLY

THERE YOU WERE THINKING THEY WERE REFERRING TO THE "ZEBRA" FROM A RECENT SAFARI VACATION THEY SAID DOC WAS ON WHEN YOU CALLED LAST MONTH FOR A REFILL OF YOUR INSULIN (THAT AFTER 5 MESSAGES AND 2 CALLS TO THE PHARMACIST later REVEALED: ULTIMATELY, IT WASN'T COVERED BY YOUR MEDICARE PLAN ANYMORE, effective immediately). HAHA, jokes on you, Zebra.

TURNS OUT YOU'RE GOING TO NEED A STAT ECHO, RIGHT HEART CATH, CT CHEST WITH CALCIUM SCORING AND OH, THE ROUTINE PET SCAN (yup, cardiologists are soon going to be required to sub-specialize in hematology/oncology IF THEY WANT THE BILLING RIGHTS to pet scans, its only fair).

"RELAX, ITS JUST TO RULE OUT SOMETHING CALLED AN ACUTE CORONARY SYNDROME OR RULE IN A MORE SERIOUS BUT FIXABLE (depending on how much you pay OUT OF POCKET of course)--- AORTIC ANEURYSM. YOU ARE IN GREAT HANDS," DOC SHOUTS FROM A BACK CORNER OF THE OFFICE (unseen to the naked eye of course)

YEAH, MOST PATIENTS ARE STILL SCRATCHING THEIR HEADS AT THIS POINT; UNTIL THEY GET THE BILL FOR ALL THEIR FANCY "WELLNESS" STUDIES that ironically show you are NOT-close-to-being-well at-all, THE annual UNwellness visit, shall we?

Heck, the closest you were to being WELL was BACK when THC wasn't synthetic and meth wasn't available in pill form for your kids under five for treatment of HYPERACTIVITY- of ALL things. FUNNY HOW (IDYLLICALLY) WORDS LIKE COMPLEMENTARY NEXT TO ANY WORD REALLY MAKES PEOPLE BLIND TO THE FINE PRINT.

EVEN IF IT SHOUTS: "IF YOU REALLY DO ALL THESE DIAGNOSTIC TESTS AND FOLLOW UP IN PRECISELY 2.5 DAYS AS DIRECTED, NOT ONLY ARE YOU VERY COMPLIANT, BUT YOUR SUPPLEMENTAL MEDICARE INSURANCE WILL certainly DROP YOU BEFORE THE 31ST OF THE FIRST MONTH IT WAS ACTIVATED."

CONFUSED YET? WE DONT EVEN KNOW WHERE THE BUCK STOPS HERE. THEY SAID BLAMING OBAMA WOULD BE too dare-I-say: cliché .

FOCUSING BACK ON THE GEARS AT HAND, OUR PHYSICIANS, PATIENTS, AND SUPPORT STAFF FOUND THERE TO BE LESS FLUIDITY IN OUR PRACTICE ROOTING FROM THE PRESSURE OUR TELEHEALTH PROVIDERS FELT HAVING TO CONTINUOUSLY ADAPT TO NEW TECHNOLOGICAL ADVANCES.

IT WAS OFTEN EXPRESSED THAT INDEED IT WAS REWARDING TO CONTRIBUTE TO THE FUTURE OF MEDICINE; YET MORESO underWHELMING TO DO IT AS A PIONEER OF SORTS. A snake charmer without a snake, if you will.

IN SUMMATION, ALL OF THESE SMALL FACTORS UNFORTUNATELY LED TO THE REALIZATION THE SLIGHTEST DECREASE IN THE FLOW OF OUR PRODUCTIVITY BROUGHT TO LIGHT THE MOST FUNDAMENTAL QUESTION OF ALL: "WHAT IS PRACTICING MEDICINE TURNING INTO?”

SIMPLY PUT, IT GREW TO BE a fundamental change TOO JARRING TO FACE DAILY. ESPECIALLY COUPLED WITH A DECREASED RETURN ON INVESTMENT AND AN OVERALL LACK OF EVIDENCE BASED RESEARCH DATA AVAILABLE TO ANSWER THE EXPONENTIAL GROWING NUMBER OF QUESTIONS AT PLAY.....

..........FOR PROVIDERS NAVIGATING THEIR OWN WAY THROUGH TECHNOLOGICAL BLUNDERS "IT*" WAS SUPPOSED TO BE CALLED TO FIX AN HOUR AGO.......... * (IT= information technology, NOT TO BE CONFUSED WITH "ET" for those of you born before the 80s)

WE ARE LEFT WITH TWO SIMPLE QUESTIONS THAT ONCE HAD THE GRAVITY TO CHANGE HISTORY. TOO SOON TO TELL? OR TOO LITTLE COMPENSATION WITHOUT REPRESENTATION FROM OUR GOVERNMENT?

THE END

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