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Guiding Principles for a Bipartisan Bill

We continue to hear sporadic news from Washington, D.C. regarding the Affordable Care Act. “Repeal and Replace,” “Repeal and Restore,” “Repeal and Repair,” “Don’t End but Mend”–the slogans are many. Hopefully, our country’s leadership will garner bipartisan support to craft a fair and equitable bill to help all American residents. As we continue our commitment to patients, hospitals suggest some guiding principles for that bipartisan bill. They include: • We must maintain coverage for all individuals currently receiving benefits; • The ACA should not be repealed without a simultaneous replacement guaranteeing adequate coverage. If that doesn’t occur, then the hospital… Full Story

To Better Healthcare Delivery Service, Registered Nurses Should Have Primary Care Training

In recent years, healthcare delivery service has been steadily shifting out of acute care institutions, raising awareness of the importance of primary care and spurring discussions about how it can function more effectively and efficiently. One of these discussions took place last summer in Atlanta at a conference focused on the role of registered nurses in primary care. The conference was convened by the Josiah Macy Jr. Foundation, an organization dedicated to improving the health of the public and committed to enhancing the education of health care professionals. The conference sparked renewed dialogue about the skill mix of providers and… Full Story

Microhospitals Can Reshape Healthcare Delivery in Suburban, Rural Areas

The physician shortage continues to make access to healthcare more difficult in Texas. With an increasing number of counties in Northwest Texas severely underserved, primary care physicians are left to serve the local population. According to the Texas Department of State Health Services, there are 28 counties with zero Direct Patient Care Physicians, 16 of which are in Northwest Texas. Furthermore, 11 counties in Northwest Texas have no hospital presence whatsoever. Without adequate primary and emergency care services, the cost of services and general health of our residents are bound to suffer. The emerging microhospital model offers a solution to… Full Story

Physician-Owned Hospitals Should Be Included In ACA Repeal Bill

Picture a scenario in which you or your child needs surgery. If you could choose to have that surgery at a hospital that has a higher quality rating, greater level of patient satisfaction, and lower level of complications—all at a lower cost than the competition—would you want that choice? Would you want your surgeon to be an integral part of the hospital leadership team making decisions on what instruments and equipment are available, who works there, and even what food you may be served? Apparently, Congress does not think you should. One of the little known provisions placed in the… Full Story

To Start 2017, Here Are Tips From an Insider on Turning Around a Toxic Group

The best leaders care about the people with whom they work. It’s that simple. If people do not matter to the leader, the leader is actively driving the group or team toward destruction. This may be inadvertent, but it’s happening. Now that it’s a new year, take a step back and do some self-reflection on how to improve your team. Full Story

Healthcare’s Patchwork of Regulations Adds Important Nuance to ‘Repeal and Replace’ of the ACA

Frankly, repeal or probably a major restructuring is a legislative process that will take months and years. Congress might start the process since Speaker Paul Ryan began lining up alternatives with his “Patients’ Choice Act.” Congress needs a starting point and whatever is introduced will be a red-hot target for longtime advocates of Obamacare. Let that fun begin. Full Story

Anatomy of a Lawsuit Part IV: Learn the Jury Trial, the Soul of the Case

Only a small fraction of healthcare liability lawsuits end up being full-blown medical malpractice trials, but it is critical to know the process in case you are ever faced with defending yourself in court. Most medical malpractice cases reach the trial stage only after months, and sometimes years, of legal maneuvering on both sides. There are depositions, the identification of experts, and mediation. Some cases are settled quickly; others are dismissed outright based on the court’s determination. Full Story

The Dallas County Medical Society Introduces the Dallas Choice Plan, an Alternative to the 1115 Waiver

Healthcare for the most vulnerable patients in Texas is threatened even more as the likelihood increases that we’ll see less federal funding in the coming years. The feds have already only partially granted an extension on the 1115 funding waiver, which has sent Texas providers—mostly hospitals—nearly $30 billion statewide. But independent doctors feel they’ve been left out. And so Dallas County’s independents have decided to develop their own proposition to help treat the poor: It’s called the Dallas Choice Plan, and they’ve begun taking it in front of legislators and public health officials. Full Story

Analyzing the Need For Latinos in Nursing Jobs

Latinos, the nation’s largest minority group, comprise 17 percent of the United States population. And that number continues to rise steadily. The U.S. Census Bureau projects that by 2050 nearly one-third of the nation’s population will be Latino. But Latinos are woefully underrepresented in many professions, particularly in healthcare. Full Story