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PubMed1990

Unbundling could be costing you a bundle.

Here's what you need to know about the mysterious world of code manipulation. Consultants and payers claim it's responsible for physician charges increasing at an alarming rate.

Abstracting and Indexing↗
PubMed1999

Microdentistry: the new standard of care? Part 3. Is air abrasion safe?

Practicing microdentistry is not for the weak-spined dentist. It takes guts to face the possible challenges and resistance described in this report. Those who truly believe microdentistry will become the standard of care remain its best advocates. They are better equipped to manage any resistance encountered from peers, boards, insurance companies and patients. But to avoid legal and board troubles, always obtain informed consent from patients of indications, costs, risks of providing and not providing treatment, and alternative treatments and their costs. The debate over whether microdentistry will become the standard of care, replacing traditional restorative dentistry, continues. Most of those who hold onto the tried and true methods of traditional diagnosis and treatment are probably trying to err on the side of caution. Most of those who embrace microdentistry are not unscrupulous opportunists but are probably trying to provide the care that represents the highest quality in their opinion. Best case scenario, traditionalists and microdentists can coexist and dialogue peacefully within their communities and through their dental organizations to navigate the future of optimal treatment. Worst case scenario, attorneys and insurance companies will profit more than ever while the division in dentistry over microdentistry widens. The shakeout will prove interesting.

Air Abrasion, Dental↗
PubMedDate not supplied

Procedures provided to Medicaid recipients by pediatric, general and public health dentists in the commonwealth of Virginia: fiscal years 1994 and 1995.

PURPOSE: The purpose of this study was to report any differences found among the mean percentages of procedures performed by three types of dental providers for each type of service performed. The study focused on the types of services provided by dentists to Medicaid children in Virginia. METHODS: Medicaid claims field for dental patients younger than age 21 were obtained and analyzed for fiscal years 1994 and 1995. Dental providers were categorized according to their practice: general practice (GP), pediatric dentist (PD) and public health dentist (PH). Each type of practitioner (GP, PD, and PH) was evaluated for percentages of diagnostic, preventive, and corrective services provided to their Medicaid patients. The preventive category was subdivided into preventive services (scaling, prophy, fluoride and oral hygiene instruction) and sealant services. RESULTS: For each type of service, the mean percentages of procedures performed were compared among the three types of dental providers. The evaluation of the diagnostic procedure variable resulted in the finding that GP practitioners performed a significantly greater percentage of diagnostic procedures to their Medicaid patients than do PD and PH dentists (p < 0.0001). The percentage of preventive procedures performed by PD and GP dentists was not significantly different but was significantly lower than those performed by PH dentists (p < 0.0001). Finally, PD dentists performed a significantly greater percentage of corrective procedures than both GP and PH dentists (p > 0.0037). CONCLUSION: Differences were found among the mean percentages of procedures performed by the three types of dental providers for each type of service performed.

Adolescent↗
PubMed2002

A comparison of communication needs of charge nurses in two operating room suites.

To achieve the potential inherent in the use of computer applications in distributed environments, we need to understand the information needs of users. Communication is the method by which information is transferred and is essential for all organizational interaction. The primary goal of operating room coordination is to insure the prompt, safe, and effective care of surgical patients. Nevertheless, larger organizational goals and characteristics can influence individual operating room information needs. The purpose of this paper is to describe the differing information needs in two operating suites by documenting the communication of OR charge nurses. A data collection tool was developed to record: 1) the purpose of the communication, 2) mode of communication, 3) the target individual, and 4) the length of time taken for each occurrence. The chosen data collection categories provided a functional structure for data collection and analysis involving communication. Study findings are discussed within the context of opportunities for application design

Appointments and Schedules↗
PubMedDate not supplied

St. Mary's Hospital, rescued climber meet reporters as HIPAA rules begin.

St. Mary's Hospital, Grand Junction, Colo., is a regional hospital whose PR team is accustomed to media exposure. Just as tehy were instituting the patient privacy rules of HIPAA, a true-life reality drama landed on their doorstep. Aron Ralston, a 27-year old experienced mountain climber, became the hospital's highest profile patient and attracted worldwide media coverage after courageously rescuing himself from a near-disaster.

Adult↗
PubMed1987

Office surgery and the law.

The physician/owner of an office operating room can minimize his exposure to medical malpractice by avoiding the legal pitfalls outlined in this chapter. When patients do sustain injuries because of the surgeon's actions, many factors contribute to the patient's decision whether to take legal action. The behavior of the physician in dealing with the patient often determines whether postoperative problems are interpreted by the patient as unfortunate complications or errors by the physician. An open, truthful, and caring approach by the physician can avoid unnecessary trips to the courthouse.

Ambulatory Surgical Procedures↗