Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 I do not really have someone checking faxes when I'm out. Theoretically I would still have access to my EMR & could check them that way. However, to me the phrase " urgent faxes " is almost an oxymoron. In other words, if something is truly urgent then a fax is not an appropriate sole means of conveying the info. My phone message says I'm out of town & directs callers to my cell phone # for urgent matters. I've found that many specialists around here basically seem to disappear when they take a wk or two off. We often get pt's in the office that say " I need my meds refilled because my ortho (or whoever) is out of state. I called their office but they just told me he is gone for a week & can't help you until he gets back. " Surely these specialists must have coverage but that is not the message they are conveying. Even when I'm in the office an " urgent fax " could potentially sit in my to do list until the end of the day, so again I don't think faxes should be counted on for urgent matters anyways. 7 weeks vacation > > Hello, > > I believe I'm not alone in planning 7 weeks of > vacation per year. How does everyone work coverage > while away? Is there any way to have excellent > coverage without an employee? without a coworker? > > Gwen > > --- " L. Gordon " > > wrote: > > > , > > This is great! Thanks for setting it up. > > Gordon > > At 02:37 AM 7/11/2005, you wrote: > > >OK, I did it. I set up a very general framework > to > > get the " Ideal Health > > >Wiki " started. It is located at > > > ><http://idealhealth.wikispaces.org>http://idealhealth.wikispaces.org/ > > and > > >is completely free. Anyone can contribute or edit > > anything there, and > > >frankly there isn't a whole lot there so far. I > was > > thinking this could be > > >a way to give some permanence to some of the > > valuable ideas and > > >suggestions that have flowed through this > > listserve. Those who are new to > > >the group are usually very happy to find > > like-minded individuals, but have > > >to wade through months of old messages to > separate > > the wheat from the > > >chaff. The one downside is that all entries are > > subject to the Creative > > >Commons Public License: > > > > > > " Any and all works of authorship copyrightable by > > you and posted by you to > > >the Service are submitted under the terms of an > > Attribution-ShareAlike > > >Creative Commons Public License. Under this > > license, you permit anyone to > > >copy, distribute, display and perform your > Content, > > royalty-free, on the > > >condition that they credit your authorship each > > time they do so. You also > > >permit others to distribute derivative works of > > your Content, but only if > > >they do so under the same Attribution-ShareAlike > > license that governs your > > >original Content. The full text of the > > Attribution-ShareAlike Creative > > >Commons Public License is available at > > > ><http://creativecommons.org/licenses/by-sa/2.0/legalcode>http://creativecom > mons.org/licenses/by-sa/2.0/legalcode. " > > > > > >But that shouldn't be a problem since we WANT > > others to share this > > >information, as that is how an " Ideal " Health > Care > > system will come about. > > >I encourage everyone to contribute something. > Let's > > see what we can come > > >up with. > > > > > > Seto > > > > > >On Jul 10, 2005, at 10:44 AM, L. Gordon > > wrote: > > > > > >>I've been working on the issue of " pay for > > performance " and would suggest > > >>that those things worth " paying for " are worth > > listing. > > >> > > >>The public would love to find docs who offer > good > > continuity (i.e. the > > >>opposite of " I never get to see my doc. " ), with > > excellent access (i.e. " I > > >>can see you today regardless of 'urgency.' " ), > with > > good interpersonal > > >>skills (i.e. time to listen). > > >> > > >>If I were designing a site and asking colleagues > > to list essential > > >>attributes, I'd request each doc to attest to > > >>a) Same day access without screening for > " urgency " > > >> Measure of continuity (denominator = number > of > > Dr X patients seen in > > >>the quarter, numerator = number of those visits > > that were with Dr. X) > > >>c) Patient report of satisfaction with time > spent > > with provider > > >> > > >>In addition, there are key processes likely to > > lead to improved patient > > >>outcomes > > >>d) Have a clinical registry (see > > www.improvingchroniccare.org for > > >>definition and selection criteria) > > >>e) Have a method for reaching out to individuals > > with chronic disease and > > >>preventive care needs that have not been met > (see > > the Care Model at the > > > >><http://www.improvingchroniccare.org>www.improvingchroniccare.org > > site again) > > >> > > >>I don't believe that we will as individuals have > > enough of a denominator > > >>to post population outcomes, but I am very > > interested in the possibility > > >>of creating virtual groups that can post group > > level data on things like: > > >>Mammography rate > > >>Adult/pediatric immunization rates > > >>Pap rates > > >>Colorectal cancer screening rates. > > >> > > >>Percent of patients with chronic conditions who > > have met guideline (e.g. > > >>% diabetic people (without diagnosis of > > proteinuria) with annual > > >>microalbumin test) > > >>Percent of patients with chronic conditions who > > have achieved clinical > > >>targets (e.g. % diabetic people with A1c less > than > > 6.5). > > >> > > >>One internet format that might be easy to set up > > and maintain could be a > > >>Wiki site as previously noted by Seto: > > >> From his 5/4/05 post: > > >> " One possible solution I thought of that would > > also be fun would be to > > >>start a " wiki " . This is a website that is a 100% > > collaborative effort > > >>that allows anyone to contribute or edit > something > > to the whole project. > > >>It wouldn't really require much maintenance > > (except for the need to > > >>backup entries in case of disasters). The most > > well-known wiki is > > >>wikipedia at http://www.wikipedia.com. There are > > do-it-yourself wiki > > >>websites that will provide free hosting, eg. > > wikicities.com (which I > > >>think is affiliated with Google). This could be > > something analogous to > > >>open-source computing where a community of > > programmers contribute code to > > >>create a software product. In our case, a > > community of physicians could > === message truncated === Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.