Re: administrator and hosp legal team MAKING clinical decisions for ob ultrasound!!!!
From: art fougner, md (evsono@pipeline.com)
Sun Mar 4 10:18:23 2001
if you feel that strongly, call their bluff! otherwise, they win.
art
At Sat, 3 Mar 2001, guy venezia wrote:
>
>my partners and i have been recently told by our hospital administrator
>how and who can do our ob u/s's!!!
>our office is located in a building connected to the hospital (prof
>building)
>anyway, our office techs and ob docs are accreditated in ultrasound and
>do over a thousand ultrasounds a year. (5 partner group)
>the hospital, on the other hand, do far much less ob ultrasound and are
>inadequate in doppler, cervical length and other dx screening. thus,
>when we have high risk pts in the hospital (l&d), we have been wheeling
>them down the
>hallway into our office for the ultrasound with our tech and real time
>observation by me or one of our partners if need be. this is for
>improved pt care; the actual cases of these each year has very little
>financial impact. (approx 12 -18 per year)
>our admin just told us we could not bring pts to our u/s dept for
>testing secondary to legal and insurance issues.
>we suggested pts sign a waiver or sign out and thus be informed of the
>procedure. this too was denied.
>the admin WILL allow pts to leave the floor to smoke outside
>and to leave the hospital to have a post partum tubal done at another
>surgery center and be brought back to the hospital until discharge.
>we as a group believe that pt care is being jeopardized
>for possible financial reason or turf reasons from the hospital. we are
>at a lost as to what to do. one of my partners suggested we discharge
>the pt, get the u/s in our office and then re-admit the pt later that
>day.
>any suggestions or comments???
>thanks
>guy
>
>--
>guy venezia
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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