i think that healthcare is extremely over-managed....by politicians. we are facing massive changes mandated by the current administration. changes that were written in closed door meetings, with very little input from the healthcare community. and written by politicians who are constantly worried about keeping their jobs, and advancing their personal agenda, and their party's agenda.
i'll give you a couple of example of the unforeseen problems that are being created by this system with the recent changes in the healthcare laws. these are events that happened to me personally just last week. plus they only deal with one very small section of a huge and extremely complex law. a section called
example #1. as we all know women who give birth sometimes get very emotional due to their hormones being all out of whack. we recently had a mother who decided that she and her baby needed to go home ama-21 hours after giving birth. and to make it even more complex, the baby was combs+. needless to say the doctor was not willing to write discharge orders, something that i personally agreed with.
example #2. i had a mother who had a baby that was 6 weeks old and rsv+. the baby had spend 19 days in the nicu at birth with respiratory problems. she was demanded that we sedate the baby so that she could get some rest. she also wanted us to give the baby for cough suppression-something that would drastically increase the baby's risk for pneumonia, and that the doctor would never do.
now is where you ask what that has to do with over regulation? actually it is simple,
hcaps is a survey that covers patient satisfaction. low scores can cause a hospital to loose 30% of their medicare/medicaid reimbursements. and that can cost a hospital millions every year.
now, do you think that either of the people i mentioned are going to give the hospital good scores?
sure, hospitals are going to try very hard to get good scores by keeping patients happy. but don't you think that this will pressure hospitals, doctors and especially nurses to put the patients happiness before what is in the best interest of the patient?
sure, we can inform the patient of the risk, but is the patient in the best shape emotionally to make an intelligent choice? what about when someone else is making the choices for the patient and is making choices based on emotions, not facts.
and what if the patient wants something (i.e. medications) that only a doctor can order, and the doctor does not want to write the order due to it involving a high risk for a negative outcome?
now this is something that any medium size hospital will have to deal with on a near daily basis.
so can you see how this regulation can cause problems, and even increase the number of incidences for a negative outcome?