Creating the “Workflow of champions” begs the question: What is your goal? The widespread phenomenon of medication supply problems and overconsumption is the #1 reported source of frustration on the part of clinicians managing patients for … [Read more...]
When A Patient Dies in Your Clinic, How Will You Be Judged?
Not long ago, a tort lawyer boiled it all down in a direct question to me, related to a case where someone else's patient had died... Were the actions of the physician reasonable given the circumstances? Whether we are considering … [Read more...]
Has Your Chronic Pain Agreement Passed the “Subpoena Test”?
Patient agreements can be an important tool to set reasonable expectations in advance around medication use. In the case of a bad outcome, a patient agreement might come under more scrutiny than you like. For so many reasons, its good to get it rock … [Read more...]
Hassles from Refill Requests? A Guide for Primary Care
If you are a Medscape user, you might have seen my recent post Patients Who 'Must Have' Pain Medicine NOW and a lot of folks were asking for examples of some of the tools I have put together for clinic managers, office administrators, and … [Read more...]
The One Thing Primary Care Needs
The One Thing Primary Care Needs (Answer: “Reverse Engineered” Physician/Patient Centric Support) Why won't CME alone be enough to fix painkiller problems in the clinic? Because administrators and support staff didn’t take that CME. If you have … [Read more...]
A Leader’s Guide: Eliminating Problems from Narcotics in Your Primary Care Clinic
What is A Leader's Guide? Have you often considered one of the most complex and challenging areas of modern medicine includes treating patients with chronic conditions, with medications otherwise prone to abuse? Medications that have a readily … [Read more...]