Compliance

A81D3E8A-6396-454F-8A19-430D8F126432“Better was a poor and wise youth than an old and foolish king who no longer knew how to take advice.”
‭‭Ecclesiastes‬ ‭4:13‬ ‭ESV‬‬

Compliance

My friend in the insurance industry and I discussed the relatively recent emphasis on compliance in our respective businesses and concluded that all the associated added expenses of mandated compliance have added virtually nothing to society except excess costs. Certainly I have seen so much government regulation in healthcare that is just ridiculous, another byproduct of too many lawyers. We allow non-medical people to decide what is “good” medicine, which always requires excessive documentation, documenting what I call ”e-garbage”, instead of medically relevant facts. And I can’t imagine how we plan to save years of electronic health records, since computers have made it so easy to generate volumes and volumes of senseless information. Of course, the electronic health records are astronomically expensive and have accounted for an increase in medical error deaths. Finally, while we have compliance departments that make sure we practice “good” medicine, we have far too few “hands on” patient care staff. Literally patients can bleed to death without anyone noticing while in a hospital intensive care unit, while the hospital is being compliant.

Healthcare Reform

DD1D526C-043A-452C-9493-AE7E8CDF2B08Healthcare Reform

Today I read an article about how the high cost of our healthcare relative to other countries primarily results from the higher cost of pharmaceuticals, insurance companies and administrations. Certainly I feel validated in my long-standing beliefs. But the complexities of our system, considering the expectations and entitlements coupled with liability fears, make solutions seemingly impossible. Earlier this week, one patient who was prominent in the community, expected special treatment because of his social status. Another patient who is totally noncompliant with medical advice expected special treatment because of his sense of entitlement. Adding to the problem, the medical system has prioritized patient satisfaction over quality and allows patients to make poor decisions with little resistance from the physician because of the fear of low patient satisfaction survey scores, which adversely affect reimbursement. Many of us physicians with great ideas are squelched because we represent good patient care over this bureaucracy; and, in case there is any question, WE are not in charge anymore.