Category: Administration
Keywords: administrative harm, employee, adverse events (PubMed Search)
Posted: 6/26/2024 by Steve Schenkel, MPP, MD
(Updated: 7/15/2024)
Click here to contact Steve Schenkel, MPP, MD
“Administrative harm” (defined as “the adverse consequences of administrative decisions within health care”) is a relatively new term for challenges that arise in complex health care work environments.
41 mostly hospitalists participating in interviews and focus groups found that the concept resonated, and that administrative harms could arise at all levels of leadership, negatively impacted both workforce and patients, were challenging to measure, and pointed to a lack of leadership responsibility and accountability. The group also suggested many approaches and solutions for prevention.
The article is here, https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2820266. If interested, take a look at the thematic tables 2 and 3.
There is a brief editorial comment here, https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2820275.
Category: Administration
Keywords: staffing, employment, Teamhealth, Medstar, Edelman (PubMed Search)
Posted: 3/16/2024 by Steve Schenkel, MPP, MD
(Emailed: 4/17/2024)
(Updated: 4/17/2024)
Click here to contact Steve Schenkel, MPP, MD
Emergency Medicine staffing groups can be organized in any number of ways. Here’s Leon Adelman’s take:
Read more at https://emworkforce.substack.com/p/state-of-the-us-emergency-medicine-677. Read closely and you’ll find a reference to Maryland.
Category: Administration
Keywords: employee, independent contractor, employment, job market (PubMed Search)
Posted: 1/12/2024 by Steve Schenkel, MPP, MD
(Emailed: 2/28/2024)
(Updated: 2/28/2024)
Click here to contact Steve Schenkel, MPP, MD
The relationship between an Emergency Physician and the hiring group (whether large or small) may be one of employer-employee or contactor-independent contractor. There are legal job protections for employees that don’t exist for independent contractors. There are also regulations that define an independent contractor. Enforcement of these regulations varies but may be increasing. This has implications for the Emergency Medicine job market. We have the highest percentage of independent contractors of any medical specialty.
See more at Leon Adelman’s Emergency Medicine Workforce Newsletter, here https://emworkforce.substack.com/p/thousands-of-employed-emergency-physicians
Category: Administration
Keywords: Medicare advantage, insurance, payor (PubMed Search)
Posted: 1/12/2024 by Steve Schenkel, MPP, MD
(Emailed: 1/30/2024)
(Updated: 1/30/2024)
Click here to contact Steve Schenkel, MPP, MD
Approximately half of all Medicare beneficiaries are now enrolled in Medicare Advantage plans. Why does this matter?
Intrigued? Learn more at https://www.nejm.org/doi/full/10.1056/NEJMhpr2302315 or https://www.kff.org/medicare/issue-brief/medicare-advantage-2024-spotlight-first-look/.