Practice Improvement

Dec 01, 2018
Survey: Doctors Conflicted but Patients Still Top Concern
Bill Fleming, Chief Operating Officer
The Future of Healthcare Survey revealed a complicated picture about the attitudes of physicians towards the state of healthcare.

Nov 20, 2018
Physician Burnout: Perspectives, Stories, and Solutions
Growing administrative demands and distractions in our complex healthcare system conflict with how physicians want to provide care—contributing to alarming rates of physician burnout and potentially leading to more adverse events and compromising patient safety.

Sep 27, 2018
Medical Office Assessments Uncover Hidden Liability Risks
Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education
From The Doctor’s Advocate

Sep 06, 2018
On Alert: What All Doctors Need to Know About Alzheimer’s Disease
Cynthia Morrison, RN, ARM, CPHRM, CPPS, Patient Safety Risk Manager, The Doctors Company
As the population ages, Alzheimer’s is becoming a more common cause of death. Early diagnosis of dementia, requiring the expertise of a neuropsychiatric physician who specializes in dementia, is essential to allow for maximum quality of life. Physicians of all specialties should become familiar with the early signs of this disease in order to refer patients with symptoms to a specialist for further testing.

Aug 08, 2018
How to Train New-Hire Physicians on Practice Culture
Daniel Cassavar, MD, MBA, FACC, and Angela M. Brandt, EMBA
Physicians are increasingly gravitating to careers as employees rather than solo practitioners. It pays to invest in cultural alignment from the outset to promote a stable, longstanding career for physicians within the organization.

Jun 12, 2018
Digital Medicine and the Future of Healthcare
The digitization of medicine is transforming the entire healthcare system—new technologies like mobile apps and wearables bring both benefits and risks, patient access to healthcare is evolving, EHRs have created new patient safety risks, and artificial intelligence is evolving to play a role in future patient care.

Jun 07, 2018
Team Synergy: A Critical Core Competency for Safe Care
Lisa McCorkle, MSN, MBA, Patient Safety Risk Manager, Department of Patient Safety and Risk Management
An account of one group’s efforts to create and sustain a team-oriented culture through teamwork training.
From The Doctor’s Advocate

Jun 06, 2018
Five Best Practices to Meet MACRA/MIPS Requirements
Kim Hathaway, MSN, CPHRM, Healthcare Quality and Risk Consultant
In 2018, the MACRA threshold to avoid a penalty increases, as do the requirements to hit exceptional performance. Here are steps practices can take to succeed in MACRA/MIPS this year.

Jun 05, 2018
Define Your Core Values, Transform Your Medical Practice
Brandon Betancourt, practice administrator for Salud Pediatrics in Chicago, describes how his practice defined core values to address challenges and provide optimal patient care.

May 14, 2018
Improving Medical Office Communication and Safety
David O. Hester, FASHRM, CPHRM, Director, Department of Patient Safety and Risk Management
Develop procedures for your staff to help reduce communication errors with hospitals, labs, and other physicians, as well as communications within the office.

May 03, 2018
Healthcare Technology Risks and Rewards: Faster, Cheaper, Safer
David Chou, Vice President/Chief Information & Digital Officer, Children’s Mercy Kansas City, shares his insights on balancing the cybersecurity risks and patient care improvements of healthcare technology.

Apr 05, 2018
Big Data, EHRs, and Patient Care: How Healthcare Is Evolving
Shereese Maynard, a healthcare and health IT strategist, discusses how EHRs, cybersecurity, and big data are affecting medical practice management.

Feb 23, 2018
EHRs Can Advance Good Medicine―If Doctors Are Aware of the Risks
David B. Troxel, MD, Medical Director
Nearly all hospitals and 80 percent of medical practices use electronic health records, presumably to help improve access to health information and increase productivity. The problem is that none of these digital tools were designed specifically to advance the practice of good medicine.

Jan 24, 2018
Avoid Being Put on the RAC: Be Prepared for a Recovery Audit Contractor Audit
Kathleen Stillwell, MPA, RN, Senior Patient Safety Risk Manager
Any medical practice submitting claims to a government program may contend with a Recovery Audit Contractor.

Dec 15, 2017
Frequently Asked Questions: Americans with Disabilities Act
Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education, and Richard F. Cahill, Esq., Vice President and Associate General Counsel
Our experts answer questions about the Americans with Disabilities Act (ADA), which is designed to eliminate discrimination against persons with disabilities and provide enforceable standards to address such discrimination.

Nov 27, 2017
The Quality Payment Program: What You Need to Know for 2018
Beth Hickerson, Quality Improvement Advisor, Medical Advantage Group
The government recently announced 2018 changes to the Quality Payment Program. Many of these changes add flexibility and higher exemption requirements—welcome news to medical practices.

Oct 24, 2017
Give Your Patient Safety Culture a Check Up Using Assessment Survey
Robin Diamond, MSN, JD, RN, Senior Vice President of Patient Safety and Risk Management, The Doctors Company
Healthcare managers are making concerted efforts to cultivate a pervasive culture of patient safety. Creating a patient safety culture shifts the focus away from the blame game that punishes individuals for failures—which can increase liability over the long term—toward creating policies and procedures that cultivate an environment of openness and foster patient safety.

Aug 15, 2017
Objective Review of Potential Risks in a Medical Practice Can Be Beneficial
Ted Abernathy, MD, Managing Partner, Pediatric & Adolescent Health Partners
Ted Abernathy, MD, Managing Partner of Pediatric & Adolescent Health Partners discusses his experience with an assessment service offered by The Doctors Company which provided his practice with a comprehensive checkup of key areas and customized action plan.

Jun 14, 2017
How Medical Scribes Are Trained—And Used—Varies Widely
Jeffrey A. Gold, MD, Professor of Medicine, Director of Simulation, Oregon Health and Science University
Though it is the fastest growing medical field, there is little regulation or standardization for training medical scribes.

Mar 01, 2017
Reduce Patient Safety Risks with Vaccinations
Debbie Hill, RN, MBA, CPHRM, and Lisa McCorkle, MSN, CPHRM, Patient Safety Risk Managers, The Doctors Company
Whether seeing patients for back-to-school immunizations or preparing adult patients for travel abroad, this article can help doctors assess the vaccine administration protocol in their practice to reduce risks and enhance patient safety.

Dec 14, 2016
The Doctor’s Dilemma
Howard Marcus, MD, FACP
From The Doctor’s Advocate

Oct 26, 2016
Optimize the EHR: Better Workflow Means Better Work-Life Balance
Chad Anguilm, Director of Professional Services, Medical Advantage Group. Medical Advantage Group is a wholly owned subsidiary of The Doctors Company.
There are tools that can streamline patient care and payment workflows in the electronic health record (EHR). By dedicating time and effort up front to optimize the EHR, physicians can get relief from administrative tasks, reduce duplicate entry of data, and save time by not having to search for records in multiple places.

Jul 26, 2016
CANDOR Toolkit: Physicians Now Have the Right Tools to Do the Right Thing After an Adverse Event
Robin Diamond, MSN, JD, RN, Senior Vice President of Patient Safety and Risk Management
The Communication and Optimal Resolution (CANDOR) Toolkit helps hospitals and doctors communicate openly and effectively with patients after adverse events.

Feb 23, 2016
Smile! The Doctor Is on Camera: The Pros and Cons of Recording Office Visits and Procedures
Rich Cahill, Vice President and Associate General Counsel, The Doctors Company
As smartphones have become ubiquitous—giving patients a video and audio recorder that’s always at hand—the question of whether or not these devices should be allowed in the clinic or hospital setting is becoming increasingly more common. The issue of allowing patients to record their appointments requires balancing potential privacy and liability risks with the potential benefits of improved patient recollection of instructions and treatment adherence.

Feb 18, 2016
Are Decisions Shared?
Robin Diamond, JD, RN, Senior Vice President, Department of Patient Safety and Risk Management
There is a growing emphasis on patient-centered care and shared decision making in healthcare.
From The Doctor’s Advocate

Jan 13, 2016
There’s an App for That: Benefits and Risks of Using Mobile Apps for Healthcare
Robin Diamond, MSN, JD, RN, Senior Vice President, Patient Safety and Risk Management, The Doctors Company
With over 100,000 mobile health apps now available, physicians now have to handle an increasing amount of constant data and patient information that they did not have in the past. Mobile apps offer many benefits, but the use of these apps does not come without liability risks for doctors.

Dec 03, 2015
Stressed Out During the Holidays? Try These Tips to Avoid Burnout
Stress and fatigue, which can increase during the holiday season, can put physicians at risk of making significant errors and lead to negative patient outcomes.

Oct 19, 2015
Navigating Risks in Breast Cancer Diagnosis and Treatment: How Physicians Can Enhance Patient Safety
Penny Greenberg, RN, MS, Senior Program Director, Patient Safety Services, CRICO Strategies; Darrell Ranum, JD, CPHRM, Vice President, Patient Safety and Risk Management, The Doctors Company; Dana Siegal, RN, CPHRM, Director, Patient Safety, CRICO Strategies
Patients diagnosed with breast cancer must navigate the complex healthcare system while dealing with the emotions of their diagnosis, relying on the expertise, communication, and empathy of caregivers who practice in environments with inherent risks. A study by The Doctors Company and CRICO Strategies reveals the top patient safety risks in breast cancer diagnosis and treatment, and how to reduce those risks.

Jul 08, 2015
Laboratory and Diagnostic Test Tracking in Ambulatory Practice
Dana Faber, RN, BS, Patient Safety Risk Manager.
Inadequate clinical laboratory and diagnostic test tracking is a top factor leading to patient injury.

Apr 20, 2015
Shining a Light on Skin Cancer: All Doctors Should Be on the Lookout
Rosanne Cain, RN, BSN, LHRM, ASLNC-C, Patient Safety/Risk Manager, The Doctors Company
One in five Americans will develop skin cancer in their lifetime. Doctors of all specialties have a duty to take action for patients with suspicious lesions and to educate patients about skin cancer awareness. Referring patients for early detection and treatment can save lives and protect doctors from potential liability.

Mar 12, 2015
Social Media Resources for Physicians
Social media is a powerful tool for physicians, allowing them to engage with patients, grow their online reputation, and make their voice heard. These resources can help doctors get started on social media and expand their online presence.

Feb 25, 2015
Documenting Staff Competency
Nurses, medical assistants, and other clinical staff must be properly trained and certified. Physicians, or qualified supervisors, should observe staff members as they conduct specific procedures and document their performance.

Jan 01, 2015
Off-Label Use: Patient Safety and Risk Management Implications
Kim Hathaway, MSN, CPHRM, Patient Safety Risk Manager II, and Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company.
The standard for appropriate off-label use of medications and other products is what other similarly trained physicians would do, not what the manufacturer of the medication or product recommends.

Dec 10, 2014
Editorial Comment on Maintenance of Certification
David B. Troxel, MD, Medical Director, Board of Governors
Dr. Troxel suggests ways to restructure the MoC examination process to adapt it to changes in the healthcare delivery system.
From The Doctor’s Advocate

Aug 26, 2014
A Team Approach to Reducing Risk
Paul Bauer, MD, Children’s Mercy Hospital, Assistant Professor of Pediatrics, University of Missouri- Kansas City School of Medicine, and Tara Benton, MD, MSCI, Children’s Mercy Hospital, Assistant Professor of Pediatrics, University of Missouri-Kansas City School of Medicine
From The Doctor’s Advocate

Dec 20, 2013
Interactive Guide to Patient Safety for Office Practices
This interactive guide is designed to help you uncover areas of potential malpractice exposure in your practice.

Dec 08, 2013
Defective Devices
Jerrald R. Goldman, MD, Governor Emeritus, and Victoria H. Rollins, MHA, RN, Director, Patient Safety Programs, The Doctors Company
From The Doctor’s Advocate

Nov 21, 2013
Medical Clearance Does Not Clear the Patient or Physician of Risks
"Medical clearance" is when a surgeon requests clearance before performing surgery on a patient. The goals of the assessment are to determine the level of risk and to identify opportunities to mitigate risk, with an exchange of information between the surgeon and the assessing physician.

May 29, 2012
In Pursuit of Quality: Embedding Patient Safety into Practice
Sara Olson, BSN, RN.
The Doctors Company’s Quality Factor Program is an innovative initiative that helps practices implement and sustain patient safety improvements.

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