HealthLeaders Media PhysicianLeaders - February 11, 2010 | The Pressures on Physician Decision-Making View as a Webpage | Subscribe for Free
The Pressures on Physician Decision-Making
Elyas Bakhtiari, Managing Editor

In an ideal world, the only factors that would go into a physician's decisions would be his or her years of clinical training and an assessment of what's best for the patient. Unfortunately, healthcare isn't that simple. To get a better idea of which pressures influence physician decisions the most, we asked physician leaders about them as part of the 2010 HealthLeaders Media Industry Survey. [Read More]
  February 11, 2010

Editor's Picks
Physician payment patch in jobs bill
Congress hasn't completely forgotten about physicians now that Washington has turned its major focus from healthcare to job creation. In fact, tucked into the current jobs bill is a seven-month extension of the Medicare payment patch that's set to expire in March. The bill also seeks to change the definition of "hospital-based physician" in order to make more physicians who practice in hospital-owned outpatient centers eligible for incentive payments under the American Recovery and Reinvestment Act. [Read More]
The challenge of comparative effectiveness research
The Wall Street Journal has an interesting article about the challenges of getting physicians to incorporate comparative effectiveness research. It looks at a 2007 study that found stent procedures were no more clinically effective than a cocktail of generic drugs when treating patients with chronic chest pain. Although stent usage dropped initially after the study, levels have since grown and it is still a widely popular procedure. CER is supposed to work by just providing physicians with information and letting them change their own behaviors, but some think that the effectiveness research will have to be tied to reimbursement to be truly effective. [Read More]
Nurse Anesthetists Battle Overlooks Rural Doctor Shortage
My colleague Cheryl Clark tackles the controversy over CRNA independence in her column this week. A lot of the physicians who are fighting against allowing CRNAs to administer anesthesia without physician supervision are ignoring the serious problem of physician shortages in rural areas. For rural hospitals, CRNAs may be the only option for anesthesia, unless they pay exorbitantly to bring in a physician from another area. It would be irresponsible and possibly harmful to patients to rule out a viable care option when shortages are limiting access. [Read More]
Illinois top court strikes down medical malpractice caps
The Illinois Supreme Court struck down the state's medical malpractice law, saying it violates separation of powers by allowing lawmakers to interfere with a judge's ability to reduce verdicts, the Chicago Tribune reports. This is why a federal cap on malpractice damages would be so hard to enforce, even if it could pass Congress. These cases are handled at a state level and state courts would likely challenge the constitutionality of a federal cap. [Read More]
Business Rx
Three Tips to Help Ensure Effective EHR Implementation
Just getting started with your transition to an EHR? Consider these tips from experts in the field as well as some of the providers who've been in your shoes. [Read More]
Physician News
Texas nurse to stand trial for reporting doctor
New York Times - February 8, 2010
Less invasive hip surgeries make inroads
New York Times - February 9, 2010
Medical group urges new rules on radiation
New York Times - February 5, 2010
MassGeneral Program Brings Remote Doctor to the Bedside 24/7
Ben Cole, for HealthLeaders Media - February 8, 2010

Audio Conferences/Webcasts
February 23: ED Overhaul: Reduce costs, improve quality, and increase satisfaction
March 8: Physician Compensation Models in a Strained Economy
On Demand: Marketing Oncology: Service Line Strategies for Marketers

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From HealthLeaders Magazine
Beyond Meaningful Use
HealthLeaders February 2010
Technology can help the healthcare industry achieve better outcomes and cost savings, but only if providers incorporate decision-support tools and a coordinated approach to delivering care. [Read More]
Service Line Management
Imaging After the Recession
After freezing capital spending during the recession, hospitals are investing in imaging again. But reimbursement cuts and reform have changed the focus of the service line. [Read More]
PhysicianLeaders Forum

What Innovation Means to Healthcare: Contributor Jason Hwang, MD, offers examples of disruptive innovations that prove that value and affordability in healthcare are not mutually exclusive. [Read More]
Audio Feature

A Look at Physician Decision-Making: American Medical Association President J. James Rohack, MD, talks about the results of the 2010 HealthLeaders Media Industry Survey and the pressures on physician decision-making. [Listen Now]
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Resources From HealthLeaders Media

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