By Tim Gary
Electronic medical records have become vital to both hospitals and physician’s practices. They are a secure, electronic version of a patients’ medical history and often include all of the clinical data relevant to a patient’s care, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EMR automates access to information and streamlines the healthcare provider’s workflow. When a hospital EMR crashes or is breached it can be catastrophic. There is a real risk of liability exposure if the clinical staff’s access to patient records is cut off and the clinician proceeds with treatment without having access to all [Read More]

There are some high-rollers out there who are being asked to kick in some big bucks to bankroll what could be a $4-$5 million ad campaign to defeat legalized pot on the statewide ballot in November.

At an unannounced and closed door meeting during the week of June 11, the Senate Majority Leader asked the lobby shops in town that have a piece of this pot issue to meet to discuss the anti-pot strategy.

The unanswered question on the table was simple: Are these interests willing to shell out the money to run an effective vote no campaign?

No one around the table had the answer, but the pledge was made to make [Read More]

By GEORGE GAINES, MSW, MPH
The morbidity data from Michigan Community Health and the Detroit Department of Health show several disease outbreaks during the last two years. Here, I offer a description of the increases and a viewpoint on the causes involved.

A theory and hypothesis are derived from data from the study by Ford Hospital1 and the morbidity data from the City Health Department 2012 thru 2017. The supporting theory is the lack of household water will affect household sanitation increasing the risk for disease.

Given the fact of thousands of water-service shuts offs, sanitation is compromised increasing risk of disease. The hypothesis is outbreaks of waterborne disease in Detroit are caustically [Read More]

By PAUL NATINSKY
IndyCar driver Charlie Kimball says he is the first diabetic to start and finish the Indy 500. Legally, that is. Diabetic racer Howdy Wilcox II competed in the Indianapolis 500, finishing second in 1932, but he was disqualified before the 1933 race when diabetic symptoms revealed his secret.

Today’s racecar drivers travel much faster—in excess of 225 mph on oval tracks—than their compatriots of yesteryear. Consequently, the slowed reactions, vision issues and decision-making deficits characteristic of unmanaged diabetes are much more dangerous.

“Charlie needs to consistently keep track of before getting on the racetrack,” Michigan State University kinesiologist David Ferguson told MSU Today in 2017. “If his blood sugar is [Read More]

Setting a building on fire and then “rescuing” its inhabitants does not make one a hero—quite the opposite.

Thwarting the intent of a law by refusing to enforce it and then using that action to further undermine the law does not make one a skilled policymaker representing the will of the people—quite the opposite.

But that is what the president and his attorney general have done in supporting a lawsuit that would eliminate the Affordable Care Act’s requirement to cover pre-existing medical conditions, leaving those who are sick and uninsured without coverage options. The suit was filed by several conservative states and the ACA is being defended against by a group of [Read More]

By EWA MATUSZEWSKI
Several DO and MD primary care physicians recently noted to me the grueling commitment of preparing for their respective medical boards. These exemplary practice leaders have been physicians for several decades—and plan to continue working for the foreseeable future. Each of the physicians I spoke with is a PCMH champion with an outstanding reputation for serving their patients and the surrounding Macomb, Oakland and Wayne County communities.

Why do physicians with a career history of providing high quality care have to continue to take board re-examinations every six years? I’m looking for a reasonable answer, but the response currently seems to be, “so they don’t get kicked out of [Read More]

(Editor’s Note: The following is a statement issued by the Genesee County Medical Society, June 4)
The Genesee County Medical Society has reviewed the position taken by the Medical Staff of the Hurley Medical Center regarding the term “lead poisoned.” It’s very important to recognize there are no strict guidelines that would allow us to state that using the term “exposed” is different than using the term “poisoned” in regard to physiologic disruption caused by the toxic metal lead. It is vital to emphasize that there is no safe amount of lead when ingested by children, pregnant women, or any person daily for 15 months without any risk to health and/or [Read More]

By KEVIN R. MISEREZ, ESQ.
Wachler & Associates, P.C.
On May 29, the Centers for Medicare & Medicaid Services published its 60-day notice to allow interested stakeholders the opportunity to comment on CMS’s proposed Review Choice Demonstration for Home Health Services (revised demonstration). The Review Choice Demonstration is a revised version of the CMS’s previous Pre-Claim Review Demonstration for Home Health Services, which was paused by CMS on April 1, 2017. According to CMS, the revised demonstration will “offer more flexibility and choice for providers.”

Under the revised demonstration, home health agency providers subject to the demonstration have the choice of participating in either a 100 percent pre-claim review or 100 percent [Read More]

By ALLAN DOBZYNIAK, MD
The solution to healthcare’s costs and access problems is quite obvious. It has been repeatedly suggested that what is needed is a plethora of doctors. Of course this would lower cost and increase access. “Overpayment” of U.S. doctors would disappear as the market becomes oversaturated. Access to care would no longer be an issue as doctors compete for patients.

Only a few minor adjustments would be needed. Time and cost as barriers to manufacturing legions of new doctors could be rectified by eliminating the non-essential four years of college and the extraneous liberal arts courses. A year or so of several science courses in the local community college [Read More]

By: KERRY B. HARVEY & ANDREW L. SPARKS
Michigan, like the rest of the country, suffers from an opioid epidemic. Every day, more than 100 Americans die from an opioid overdose. Some economists estimate that the opioid crisis has cost the U.S. economy more than $1 trillion since 2001 and is on pace to cost an additional $500 billion through 2020.

The profligate use of opioid pain relievers has contributed mightily to the epidemic. A few data points tell the story:

• About a quarter of patients prescribed opioids for chronic pain do not use them as directed.

• Roughly 4 out of 5 heroin users first abused prescription opioids.

• United States [Read More]