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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

How the Public Should Navigate Hospital Ratings

Medicare’s Hospital Compare, Consumer Reports, Health Grades, The Joint Commission, Leapfrog, U.S. News and World Report all publish hospital grades and comparisons. The concern is that each system uses its own methodology, sometimes reaching wildly divergent conclusions. This provides confusion rather than clarity. Full Story

In a Web of Conflicts, Trust Between the Public and Hospital Trustees Remains Paramount

It may be permissible if a hospital trustee concurrently serves as the owner of a printing shop that produces the hospital’s brochures. Disclosure gives safe harbor to any transaction. But, to competitors in the community or patients concerned about rising healthcare costs, such transactions might as well be negotiated in the back room. It matters little if the concerns are misplaced or that the trustee submitted the lowest price, best service or value added. The trust in the institution is damaged. And, within the entire healthcare community, trust is the critical ingredient. Full Story