Does JCAHO mandates about pain apply to corporate med services?

sjoe · Oct 5, 2002

JCAHO has nothing to do with it, except that the docs have to perform at the accepted "standard of care" required by their situation. If you're not getting what you need, go to the ER. IMHO.

frankie · Oct 5, 2002

deespoohbear - so sorry you are in pain - unfortunately, physicians do not have to comply with the JCAHO stuff we know.

I would suggest you see another MD. This one sounds like he/she has a pre-concieved notion of your pain management - so why see the MD? If you are forces to see MD D/T workmans comp or some other such issue, I would still see another MD, make the insensitive one aware, and take care of yourself. You only have one back, keep it in good shape. I might also mention physical therapy for stretching and exercise and muscle strengthening. Good Luck -frankie

deespoohbear · Oct 5, 2002

Thanks for the tips. I have already been in PT because I was having back pain for a month. It was getting better, then I screwed it up Monday night.

If I am still in pain Monday, I will just call my own physician and pay for the visit myself. (It is only a $10 copay). I seen this MD because this is the one are facility says we have to see when we are injuried on the job. He definitely would not be my first choice.

frankie- What do you mean by "physicians do not have to comply with the JCAHO stuff we know." Our facility is always after the doctors about signing off their orders, their documentation and such. I am confused by your statement. :confused: Could you be more specific about it? Thanks.

frankie · Oct 5, 2002

despoohbear

MDs are not inspected by JACHO. They must comply with the orginazational policies of the institution that grants them privleges, but as far as I know, they themselves, in practice are not inspected. There was talk of doing this for MDs. I do not know when JCAHO can/will implement this. So the thing to know is an orginization pays JCAHO lots of money to come to the facility and give it accreditation. JCAHO is a private company. Without JCAHO accreitation, the orginization is limited by insurance providers, association, etc...that requirre JCAHO accreditation. However, MDs are reimbursed without accreditation. that is something to chew on! take care of your back - frankie

deespoohbear · Oct 5, 2002

Frankie-If I understand this correctly the physician is suppose to comply with facility policies in which they have privileges but not their "way of practicing medicine at the facility?" The MD I am seeing is employed by our hospital, and the corporate med services are a part of our facility. So this physician is bound by facility policy regarding pain control in accordance to JCAHO, I think. Gee, it is too late for me to be thinking this hard. Thanks for explaining this too me. :rolleyes: