The American Board of Medical Specialties last fall began offering board certification in palliative care, and CMS has recognized the subspecialty, removing hurdles to reimbursement. The attention, along with other factors like the fulfillment of the work and a hot job market, is prompting more physicians to consider focusing on palliative medicine, whether they're in the middle of their careers or at the outset.
Cleveland Clinicâ€™s division of general internal medicine decided to try â€œgeographic roundingâ€ï¿½ after a patient satisfaction survey revealed that many patients were unhappy that â€œmy doctor is never around.â€ï¿½ That sentiment is starting to change now that hospitalists spend more time actually talking with patients and less time getting to them.
Not long ago, a patientâ€™s advanced age was a serious, potentially prohibitive risk factor when considering surgery. But innovations in surgical techniques, better patient care, and improving attitudes towards aging have led to octogenarians routinely surviving surgery and often significantly benefiting from it, allowing them to enjoy an improved quality of life for a decade or more afterward.
Two experts summarize best practices.
New research on heart failure, elderly surgery at AHA Scientific Sessions.
In accordance with a law passed by Congress late in 2006, physicians and other eligible professionals are able to receive bonus payments of a percentage (increased to 2%) of their total allowed Medicare charges, subject to a cap, by submitting information for defined quality measures.