OB-GYN-L Messages for June, 2005: Re: Admitting labs, wasTocolytics

Re: Admitting labs, wasTocolytics

From: Charlie Chambers

cchamber@gorge.net

Mon Jun 13 20:46:48 2005

Boy, if that doesn't tell people how screwed up the system has become then nothing will convince them. Seems that all we keep doing is adding patches to the system to somehow improve how things work. It's like system software that after enough version updates, you need a complete new operating system. However, I'm skeptical because some people are making way too much money on the current system, i.e. third party payers, executives, pharmaceutical companies etc. Our government truly has become about who has the money and therefore, the lobbyists. ************************************************************************ **** Charlie Chambers

"...not because I regard fishing as being so terribly important but because I suspect that so many of the other concerns of men are equally unimportant-and not nearly so much fun." John Voelker ************************************************************************ ***** On Jun 13, 2005, at 6:38 PM, Joanne Bulley, MD wrote:

> I agree with you ... but some of the hospitals that have mostly
> medicaid want / need the highest possible DRG find they get paid more
> if
> they have the H/H showing the degree of drop in H/H ... So there are
> definitely places where the lab test is ordered just for the fact that
> it will increase reimbursements on some patients ...
>
> Joanne
>
> At Mon, 13 Jun 2005, Elrod Darryl G MAJ 48 MDOS/SGOBO wrote:
>>
>> I go with the flow and order a new CBC on admission. What I refuse to
>> do is order a 'routine' postpartum CBC on vaginal deliveries. What a
>> waste of time and money. They are ALL anemic and if they have any
>> significant bleeding that requires treatment, you'll recognize it and
>> then order a CBC.
>>
>> Glen
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>> Joanne
>> Bulley, MD
>> Sent: Sunday, June 12, 2005 2:04 AM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Re: Admitting labs, wasTocolytics
>>
>> They hospital may get paid more (a higher DRG) IF there is a drop in
>> the
>> HGB pre and post partum ... other than that I don't think you need to
>> do them again. It would not likely alter care anyway - and I do
>> believe
>> in not ordering a lab test unless it is part of your decision making
>> for
>> the current level of care.
>>
>> Joanne
>>
>> At Sat, 11 Jun 2005, RModugno@aol.com wrote:
>>>
>>> In a message dated 6/11/2005 4:59:48 PM Eastern Standard Time,
>> igold@cox.net
>>> writes:
>>>
>>> OK, so this is a good question. Earlier in the week, I'm admitting
>>> my
>> first
>>> patient since bieng credentialed. The nurse asks me which labs I
>>> want,
>> CBC,
>>> type and screen? I look at the chart and see that the patients labs
>> were done
>>> in the lab at this hospital, so it would seem repeating the type
>> uneccessary.
>>> Last Hgb 11.6 at 36 weeks, hospital lab. What would I do with a new
>> result
>>> anyway, other than shrug. So what do you all do, recommend? (I told
>> her to
>>> defer labs)
>>>
>>> Ingrid Gold, CNM
>>> Phoenix
>>>
>>> In our hospital - anesthesia will NOT place an epidural if they do
>>> not
>> have
>>> a current platelet count. We therefore do a Heme 8 and also an
>> rpr(trird
>>> trimester reqd by state law if not already done)
>>>
>>> Robert Modugno MD MBA FACOG
>>> Marietta, Ga
>>
>> --
>> Joanne Bulley, MD
>> Keene, NH, USA
>>
>
> --
> Joanne Bulley, MD
> Keene, NH, USA
>

use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
	Returns per screen: Require all keywords: