In an interesting article in NEJM this week, researchers performed a sensitivity analysis of the cost of implementing the new IOM recommendations on work hour restrictions. The new recommendations include strict adherence to the 80 hour work week, 16 hour limit on continuous work, 5 hour protected naps for extended shifts, and reduced workload. For all ACGME-accredited programs, they estimated an annual labor cost of $1.6 billion to shift excess work from residents to other providers (abstract). Those are some expensive naps.
“Membership in the American Academy of Professional Coders has risen to more than 170,000 today from roughly 70,000 in 2008.” “The AMA owns the copyright to CPT, the code used by doctors. It publishes coding books and dictionaries. It also creates new codes when doctors want to charge for a new procedure. It levies a […]
Yeah, I know the headline drew you in. I sleuthed ya—but I have a reason. A study out in BMJ today, and its timing is uncanny given the immigration ban we are now experiencing. First, to declare my priors. I will take an IMG to work by my side any day of the week. You need […]
The Centers for Medicare & Medicaid Services (CMS) has not updated its rules (“conditions for participation”) for nursing homes in twenty-five years. Late last year they finally did. Many of the changes will have an impact on the daily lives of NH residents but are far removed from hospital medicine. Think a resident’s ability to […]