Humboldt Park Health’s Post

A moving article about the current physician shortage in New Hampshire, especially within primary care. Similar situations are occurring across the country. "Medical practices are full, not taking new patients or putting everyone on a waitlist. Health care systems and outpatient practices are using more nurse practitioners and physician assistants than ever to diagnose and treat a wider variety of conditions, reserving the few doctors on staff for the most complex or serious ailments." A wide range of solutions are required to fix the problem, but NPs and PAs are being relied on more than ever before to help close the healthcare gap. #zivianhealth #healthcareaccess #primarycare #nursepractitioner #physicianassistant #healthcareinnovation #physicianshortage

Thanks Edwin. So very true. Cost of GP visit if you can’t afford to pay is a real issue. Yes you get a rebate but if you can’t afford the gap a need to have the cash up front, it’s a problem. Will registering for My Medicare give you a priority appt, that has yet to be seen. We need nurses in general practice to play a bigger roll in care coordination & funding for same. Pt with complex health needs & discharge from hospital can be a triaged by the nurse & prioritised for GP access. There would be huge benefits for patients if nurses working in general practice & other similar PHC clincs could provide repeat prescriptions & review the patient whilst they are waiting for a formal, planned GP review . This would take the pressure off GPs too. We need more NPs in primary care & there are some great examples where Urgent Care Clinic are taking the pressure off EDs & GPs. As per the great Sam Kekovich…you know it makes sense 💡

Well outlined Edwin Kruys. Improving funding to primary care saves the system money. That's where we need to direct it. In the US context "each additional in-person [Primary Care] visit was associated with a total cost reduction of $721 (per patient per year). The first PC visit was associated with the largest savings, $3976 on average, and a steady diminishing return was observed. Further, the higher the patient risk (severity of illness), the larger the cost reduction: Among the top 10% of high-risk patients, the first PC in-person visit was associated with a reduction of $16 406 (19%)." https://lnkd.in/gS-8-DKj Federal Medicare Reform to improving General Practice funding and ending the attempted State Payroll Tax grab is where the money is at to improve our health system and save our society 💵

There is abundant evidence that investment in good quality general practice and community care programs promotes better health outcomes delivered closer to home, and at lower cost. A great local example is 'The Care Collective - Caboolture': 'Early results from the program evaluation show a 77% reduction in monthly emergency department presentation rates after referral to the program, with the return-on-investment averaging a saving of $2,474 per client per month, based on avoided ED presentations.' https://lnkd.in/gJhUs5A2 It is paradoxical that our healthcare systems continue to focus on high cost, hospital-based, sickness care and undervalue/undermine the holistic, cradle-to-grave, wellness care that our primary health care colleagues so capably provide. Brisbane North PHN, Metro North Health, Health Alliance Libby Dunstan, Ian Purcell Edwin Kruys, Aaron Chambers. Maria Boulton, Kelly Lai, Jared Dart

Hospitalist Diary 3: Navigating the Challenges of Geriatric Care: A Heartfelt Approach As a hospitalist dedicated to the care of our most vulnerable patients, I frequently encounter geriatric individuals who have been admitted for extended periods. During these stays, it’s not uncommon for patients to become frustrated, leading to refusals to eat or cooperate with treatments like wearing a BiPAP mask. These moments can be disheartening for patients and their families, who sometimes feel compelled to accommodate these refusals out of love and compassion. However, I firmly believe that our role as healthcare providers is to engage rather than accept these refusals at face value. Each patient carries a unique story, and behind their resistance often lies deeper frustrations—whether it’s discomfort, fear, or a loss of control over their lives. Taking the time to listen and understand their feelings can significantly impact their hospital experience. One effective strategy I employ is to offer various meal options tailored to their preferences. This simple yet impactful act empowers patients to make choices about their nutrition, rekindling a sense of agency that is often diminished in the hospital setting. When patients feel they have a say in their care, it not only encourages them to eat but also fosters a stronger sense of independence. Moreover, engaging patients in their treatment can be a source of motivation. Explaining the benefits of wearing a BiPAP mask and how it can improve their comfort and health may alleviate some of their fears. Building this rapport is crucial in helping them feel safe and understood. Caring for geriatric patients requires the same level of patience and empathy that we apply to pediatric care. Just as children may resist treatment due to fear or uncertainty, our elderly patients deserve that same level of attention and compassion. As we navigate these challenges, let us commit to being strong advocates for our patients. By paying extra attention to their needs and frustrations, we can guide them gently toward the path of recovery. Together, we can make a profound difference in their hospital experience, reminding them that they are not alone on this journey. #GeriatricCare #PatientAdvocacy #EmpathyInHealthcare #Hospitalist #CompassionateCare Zydus Hospitals

Chicago, IL Opportunity!Hiring Internists to our 8 centers in Chicago. Join America’s Largest Geriatric Primary Care Provider! Full job description below with some highlights on our opportunities.Opportunity Highlights – Outpatient only Capped patient panel of 450 No weekends No evenings Dedicated care/support team for you Great pay which averages in the 75th percentile of MGMA Leadership and Partnership Options Available Physician-led organizationWere unique. You should be, too.Were changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?Were different than most primary care providers. Were rapidly expanding and we need great people to join our team.ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be Americas leading primary care provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary care providers that are seeking to fulfill purpose and personal opportunity and join the ChenMed family.The Primary Care Physician (PCP) in our organization demonstrates: Accountability for outcomes: The PCP demonstrates accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up to 450 patients. They understand that they can strongly influence the patients outcomes by building a trusting relationship and helping them change behaviors. Coaching for health: The PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with the patient to work toward the goals, and frequently follows up on those goals on the path to improved health for their patients. Simplifying for action: The PCP simplifies and prioritizes appropriately so that behavior change is more actionable, both for the patient in helping them achieve their goals, and when leading their care teams towards their performance goals.We are an outcomes-focused, value-based organization and for their panel of patients, the following metrics are regularly measured to help PCPs become successful and reach partnership status: patient admissions/thousand, using between 18-21 appointment slots per day (each new patient count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures. Each PCP will have goals for these metrics and will be expected to work towards those targets with their center and market leadership as well as their care teams. Culture is very important in the medical centers and because PCPs are leaders in our organization and centers, they are

Adding nurse case managers to telehealth programs significantly lowers blood pressure in low-income Black and Hispanic stroke survivors with uncontrolled hypertension, according to a study by NYU Langone Health, published in JAMA. This study, the first of its kind, compared home blood pressure monitoring with and without nurse case management in 450 patients from eight stroke centers in New York City. Participants using telehealth and nurse case management experienced a greater decline in systolic blood pressure compared to those using telehealth alone. Nurse case managers provided 20 counseling calls over a year, educating patients on blood pressure, stroke symptoms, and lifestyle changes. Both groups saw significant blood pressure reductions, but there was no difference in recurrent stroke rates after two years. The study highlights the importance of telehealth and nurse case management in reducing hypertension-related racial disparities and improving outcomes for underserved populations. Further research is needed to understand the long-term benefits and cost-effectiveness of these interventions. Our care management team assists by providing personalized telehealth services, coordinating nurse case management, and offering patient education on hypertension management. We facilitate continuous monitoring, ensure adherence to treatment plans, and address barriers to care, significantly improving blood pressure control and reducing health disparities in underserved populations. We are the One! #revenuecycle #revenuecyclemanagement #priorauthorization #medicalbilling #medicalcoding #healthcare #healthcaretechnology #accountsreceivables #denialmanagement #consulting #management #implementationpartner NYU Langone Health

📃Scientific paper: Consensus-based recommendations for the development and expansion of palliative day care clinics in Germany: results of a Delphi study Abstract: Background Needs-based, patient-oriented palliative care includes palliative day care clinics as a specialized semi-inpatient care offer. However, the establishment and development of these facilities has been unsystematic. Research is needed to strengthen their transparency and ensure their accessibility, quality, and structural adequacy. A national Delphi study was conducted to generate appropriate recommendations for the establishment and development of palliative day care clinics in Germany. Methods Recommendations were formulated from focus group data on the development and expansion of palliative day care clinics in Germany. Experts on in- and outpatient palliative care rated 28 recommendations for relevance and feasibility, respectively, using a 4-point Likert-type scale. Suggestions for improvement were captured via free text comments. Items were considered consented when more than 80% of the experts scored them 4 (strongly agree) or 3 (somewhat agree), regarding both relevance and feasibility. Results A total of 23 experts (32% response rate) completed three Delphi rounds. Following the first round, 10 of 28 recommendations were revised according to participants’ comments; 1 recommendation was rejected. After the second round, 3 of these 10 recommendations were revised, while 3 were rejected. Consensus was achieved after the third round for 22 of the initial recommendations. Conclusions The Delphi-consented recommendations provide a basis for the target... Continued on ES/IODE ➡️ https://etcse.fr/TrgV ------- If you find this interesting, feel free to follow, comment and share. We need your help to enhance our visibility, so that our platform continues to serve you.

This is one of the greatest challenges healthcare is facing now, in Australia. As someone who has worked in the Emergency Department, hearing the "I couldn't see my GP" was common. Especially during the pandemic. On the other end, as doctors (who are also patients) we get told that we need a GP. Finding one isn't as easy. The work GPs do is fundamental to the Australian healthcare system. Current short-term saving through reduced bulk-billing and the idea of co-payments will cost us much more later. Making sure everyone gets primary care is an investment, not a waste. The current Medicare system needs revitalisation to adapt to the current health issues we face as Australians, the ageing population and multiple chronic health conditions. GP's need our support to manage increasingly complex patients. It will save more in the long term, protect our tertiary services for acute issues, and strengthen health prevention strategies.

Patient and staff safety is the number one priority of any healthcare facility. Main entrances and ER accessibility are common areas where the main focus goes in terms of safety, but the outpatient section should also be a safety priority as a frequently visited area. Through research, 7% of patients experienced at least one adverse event in the outpatient setting. Whether it is outpatient surgery, a physician's office, or other outpatient services, a large majority of adverse events happen to older adults. Inpatient settings recorded some surprisingly higher rates. Data analyzed showed that with 2,800 admissions across 11 hospitals, there were 978 adverse events. It’s a scary but important look into how we can do better administratively and logistically, breaking down issues to train the healthcare workforce to find better ways and solutions to serve our patients at a higher rate of success and patient safety. #PatientSafety #HealthcareWorkforce #SafetyFirst