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Open Secrets in your field (1 Viewer)

northern exposure said:
RokNRole, I think he is also implying that your pharmacy must have been closed on New Year's Day and you didn't get a refill before the holidays. Or maybe it is just me.

You should share your theories with your new boss and help him really confirm he made the right choice by transferring you to Dallas.
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Every day I awake with one pleasure

that pleasure is that I am not you

 
shuke said:
Agreed, but they do act as factories in a sense of trying to move "product".  My wife had some major surgery a few months back. She stayed one night.  It was obvious the hospital wanted her out the next day to have the room.  
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This has far more to do with insurance companies and what they will pay for than hospitals. Also, people recover faster from MOST surgeries by getting up and moving around. post-operative pneumonia used to be a major problem, but we've learned that movement, expanding and filling the lungs as soon as possible, is the single most important thing that can be done to prevent that pneumonia. We've also learned that patients often recover more effectively at home

 
ProstheticRGK said:
Yeah, I hear you. It can have that feeling a lot. The main problem with healthcare/hospitals is that there are so many masters to serve. Insurance companies will often approve only a one-night stay after a given procedure. You have to go a long way out of your way to justify why a person might need to stay another night or two, and they'll probably still push back and deny.

Also, in my experience, a hospital is about the worst place to convalesce, unless you're medically unstable and need monitoring/care round the clock. It's hard to sleep; you're confined to an uncomfortable bed; the food is bad and unhealthy and you are exposed to germs/disease/possibility of human error in medication administration. Much better off being home.
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this

 
I design/engineer fighter jets

- The technology that goes into a 5th gen A/C is even cooler and crazier than one could dream up.

- The time/money wasted by govt contractors would run a public company bankrupt in 2 months. This is across the board. Every program and every aspect of it.

- Big aerospace companies don't make their $ building jets, it's the 30+ years of performing maintenance, logistics support and contionius upgrades that bring in the $.

 
I used to manufacture computer chips. 

intel used to sell Abby ch of varieties of chips, some high performance, some lower. In many cases these were the same chip designs, just that some tested better than the rest at end of line

 
Watching Cops trying to break open a car window with a night stick or by punching it is almost pointless.  Using a vehicle's own antenna will break open a window in one or two shots.  Bend it back, line up the shot and let it fly. 

Throwing crushed up spark plug shards also goes right through the glass. 

 
Nothing too grand, just general advice. Get yourself a health screening and when you're due a preventive screening (mammo, colonoscopy, whatever), get it done. 

Statisitically speaking, you're saving money and pain, not to mention your life.  There is no benefit to living with your head in the sand. 

 
I would suggest that hospitals are one of the few types of organizations in this country where the needs of the consumer line up correctly with the needs of the organization.  The patient wants to get healed and and have a comfortable as possible stay attended to by competent professionals.  The hospital also wants to the patient to get healthier, for a variety of ever expanding financial incentives, plus positive reviews, survey results, and word of mouth.  The only area where the two are at odds a bit is in the % of professional vs non professional staff and overall staff ratio.  

 
renesauz said:
I'm an RN and can testify to this being wrong here too. We are ALWAYS looking for ways to get better. That said, patient satisfaction surveys are a lousy way to measure quality. Patients do NOT typically know what's good for them, and kissing patient's (more often in my case, patients' families) asses in order to get a better score undermines healing.
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Hospitals are focusing on value based purchasing which incorporates outcomes and quality against costs.  The unspoken part of the equation is minimizing exposure.

Starting from here (assuming ACA doesn't get repealed), hospitals will get serious dings/bonuses in reimbursement based on outcomes and quality - HAC/CLABSI/etc plus patient satisfaction.

Hospitals DEFINITELY will game the system at the expense of possible outcome gains if it benefits them against their scores.  For example, midlines are a huge fad right now.  Midlines have their place, but I am getting calls on a weekly basis from hospitals who figure out that midlines to not count as central lines and therefore are not reported with regard to complications like infections.  Accounts are cutting their PICC/Central Line numbers drastically and over using midlines to dodge reporting.  The midlines have the added benefit of costing less and being easier to place which leads to improved patient satisfaction.

So I would say the answer is in the middle.  Of course hospitals are trying to help their patients, but they will absolutely cut corners if they can minimize exposure and cost while arguing (right or wrong) that is also good for the patient.

 
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wilked said:
I used to manufacture computer chips. 

intel used to sell Abby ch of varieties of chips, some high performance, some lower. In many cases these were the same chip designs, just that some tested better than the rest at end of line
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So I shouldn't buy chips from this Abby person?

 
RokNRole said:
Every day I awake with one pleasure

that pleasure is that I am not you
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:lmao:  Zing. You really got me there. 

You are an interesting hybrid of the guy that always said "Inconceivable" in The Princess Bride and Dr. Doofenshmirtz from Phineas and Ferb.

 
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5Rings said:
Alot of truth in this statement.

Also, Dentists remain the most highly compensated of the non-specialist medical professionals but insurance and huge school loans are limiting current profitability. And yeah, you might want to ask your Dentist if your crown was made in the USA.  At one time, 1/3 of restorations were being made in unregulated countries like China.

average net income was $179,960 for general practitioner (GP) dentists and $320,460 for specialists in 2015. Also, the average annual net income was $195,200 for owner GPs
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I completely agree and let every patient know that their crown is being made by our local laboratory just a few miles away...  but I felt like that statement was made by a jaded ceramist who was venting.

I just don't see that level of "malpractice" floating around or hear about it when I talk to my broad dental network of friends.

Now, if you told me that dentistry could be done at a higher level than it is.. you bet.    Is corporate dentistry heading towards ruining the profession?  It just might be.

As for the latter statement...   what does income level have to do with fraud?   If someone is doing great in their profession maybe it's because they have great marketing, great business sense, are a good doctor doing a wide variety of procedures...  it doesn't have to go straight to fraud land.

 
LarryAllen'sJockstrap said:
I design/engineer fighter jets

- The technology that goes into a 5th gen A/C is even cooler and crazier than one could dream up.

- The time/money wasted by govt contractors would run a public company bankrupt in 2 months. This is across the board. Every program and every aspect of it.

- Big aerospace companies don't make their $ building jets, it's the 30+ years of performing maintenance, logistics support and contionius upgrades that bring in the $.




 
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That is so crazy.  The concept of the razor and razor blades sticks to billion dollar jets.  

 
Dentist said:
I completely agree and let every patient know that their crown is being made by our local laboratory just a few miles away...  but I felt like that statement was made by a jaded ceramist who was venting.

I just don't see that level of "malpractice" floating around or hear about it when I talk to my broad dental network of friends.

Now, if you told me that dentistry could be done at a higher level than it is.. you bet.    Is corporate dentistry heading towards ruining the profession?  It just might be.

As for the latter statement...   what does income level have to do with fraud?   If someone is doing great in their profession maybe it's because they have great marketing, great business sense, are a good doctor doing a wide variety of procedures...  it doesn't have to go straight to fraud land.
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Sorry man, I didn't mention fraud anywhere.  :shrug:

eta--yeah, I re-read the post I quoted.  I agree sounds like a jaded 18 layer stacker.  and as you and i have discussed before, you are on of the good guys

 
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RokNRole said:
I try to participate in the thread normally but there are always several characters that come along to attack me and ruin the entire thread.

the mods should do something about them constantly derailing threads
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:lmao:  Yes, "the Others" are always the problem. You, of course, share none of the blame.

Let me spell it out for you. Somebody asked you in one of your threads why you don't confine all of your questions, thoughts, etc. to one thread? 

You replied that you tried to do that in your Dallas Year One thread, but it died out.

So, what conclusion would any reasonably intelligent person derive from that?

 
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northern exposure said:
:lmao:  Yes, "the Others" are always the problem. You, of course, share none of the blame.

Let me spell it out for you. Somebody asked you in one of your threads why you don't confine all of your questions, thoughts, etc. to one thread? 

You replied that you tried to do that in your Dallas Year One thread, but it died out.

So, what conclusion would any reasonably intelligent person derive from that?




 
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On target.

But I think it's "What would a psychotic, heroin addict derive from that?"

I think we have our answer.

 
bentley said:
Whatever you're doing here seems to be much of the problem. No need to respond to everything.
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No need for them to attack every post I make

the problem is the mods not enforcing the rules. They need to ban people for the constant personal attacks on me or others

onpy an unintelligent person would side with them and blame me. You are no better and also contributing to derailing good threads

 
RokNRole said:
No need for them to attack every post I make

the problem is the mods not enforcing the rules. They need to ban people for the constant personal attacks on me or others

onpy an unintelligent person would side with them and blame me. You are no better and also contributing to derailing good threads
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I have no idea who you or "they" are, but I'm beginning to understand their point.

 
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