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Practice And Policy Reset Post-COVID-19: Reversion, Transition, Or Transformation? | Health Affairs

  • 1.  Practice And Policy Reset Post-COVID-19: Reversion, Transition, Or Transformation? | Health Affairs

    Posted 08-31-2020 17:17
    An article of interest in Health Affairs (free access): https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2020.00612 

    New hope for reducing burdens on physicians' time and efficiency. Excerpt: "Clinical care in the United States has been transformed during the coronavirus disease 2019 (COVID-19) pandemic. To support these changes, regulators and payers have temporarily modified long-standing policies, recognizing the need for a trade-off between the costs and benefits of oversight during times of crisis. Specifically, there has been a heightened receptivity to the importance of preserving physicians' and other health care professionals' time, cognitive bandwidth, and emotional reserve for the direct care of patients, instead of squandering these resources on low-value tasks and frustrating technology."

    David
    David L Meyers, MD, MBe, FACEP
    Business/Mobile/Text:  410-952-8782

    Former Chief, Emergency Medicine; Sinai Hospital of Baltimore (ret)
    Board member; Chair, Governance Committee; Board Liaison-Patient Engagement Committee - Society to Improve Diagnosis in Medicine -
    Adjunct Faculty, Johns Hopkins University 



  • 2.  RE: Practice And Policy Reset Post-COVID-19: Reversion, Transition, Or Transformation? | Health Affairs

    Posted 09-01-2020 09:31

    Thanks, David!  This is terrific!  


    Throughout US Academic radiology, we are discovering (and inventing) a "new normal," with major changes in the day-to-day operations, including new divisions of labor (e.g., on-site teaching physicians with remote-reading radiologists backing up the clinical services, etc.).  Not all of our experiments have panned out but I think most of it has been for the better, and will likely continue once the acute COVID crisis is behind us.  


    I also noted increasing use of telemedicine, etc., in other specialties as well.  So many creative solutions have been deployed, and we are trying to think of creative ways in Radiology to support them. For example, Dr. Mosher (SIDM Board Member) has envisioned mobile community "M*A*S*H-unit" type imaging for patients, similar to our COVID tent-screening x-ray outposts, which could be rapidly set-up, taken down and moved to various convenient community locations during the week, in order to facilitate patients safely getting their outpatient x-rays ahead of their telemedicine appointments, for example.  


    All the best,


    Mike



    Michael A. Bruno, M.D., M.S., F.A.C.R.  
    Professor of Radiology & Medicine

    Vice Chair for Quality & Patient Safety

    Chief, Division of Emergency Radiology

    Penn State Milton S. Hershey Medical Center
    ( (717) 531-8703  |  6 (717) 531-5737

    * mbruno@pennstatehealth.psu.edu  

    1571679014277





  • 3.  RE: Practice And Policy Reset Post-COVID-19: Reversion, Transition, Or Transformation? | Health Affairs

    Posted 09-01-2020 12:04
    YES, TERRIFIC

    Wars are hell but they often have value.

    During the Franco Prussian war in 1870 - 71 pigeons were used to carry microfilm messages on their legs across German troops during the Siege of Paris. Projection of the film with readers to write out the messages with final delivery was successful. Fairly fast mail delivery occurred.

    In the same war they also used large balloons to take mail out of Paris. A few balloons went to foreign countries or were shot down. And I suppose the pigeons would get lost with the microfilm on the inward journey. Have not read which method was more accurate!

    But creativity seemed to work.

    Rob Bell