Re: VBAC question
From: R. Daniel Braun (rd.braun@gmail.com)
Wed May 16 21:29:41 2007
Usually, these rules are established in the Departmental Staff meetings. If
so they can be revised and amended at the will of the Department staff.
Ask to see this in writing and find out where it came from.
Dan
On 5/16/07, Henry Gregor <henrygregor@yahoo.com> wrote:
>
> Another example of physician friendly, supportive hospital management?
>
> H
>
> *Lynn Montgomery <apgar10@thebirthcentermt.com>* wrote:
>
> Listers,
> I have a question for you. Our new clinic is approximately 6 blocks from
> the only hospital in town that does obstetrics. We are the only obstetric
> provider "off campus". However, prior to moving into our new clinic, my
> office was on the third floor of an office building "on campus" but across a
> large parking lot from the hospital – a situation shared by many other
> obstetric providers. When we moved into the new office, the first ten times
> I was called to L&D, I actually timed myself and the time it took me to get
> from the new office equaled the time from my old office "on campus" –
> sometimes even quicker.
>
> Last week our practice got called by the medical director of obstetrics
> informing us that the hospital med-mal policy stated that when a VBAC is in
> labor at the hospital, the obstetric provider must be "on campus", thus
> requiring only our group to leave our office and sit on L&D with a VBAC in
> labor – we currently do more deliveries than any of the other groups in
> town. I have several points of contention here:
>
> -First, I rather doubt that any insurance carrier came to our facility,
> looked around and decided to mandate that a physician be required to be "on
> campus". I could see the policy adopting a policy similar to ACOG of
> "immediately available" or maybe even, "in the hospital", but not a random
> "on campus". I am requesting a copy of the insurance policy to review the
> wording.
>
> -Second, six of the obstetric providers are 60 years old or greater and to
> randomly state that they can be "on campus", as opposed to me being 6 blocks
> away doesn't consider the fact that I can beat them walking from my place..
>
> -It would seem more appropriate in this circumstance for the hospital to
> simply adopt a no VBAC policy rather than create divisions within a section.
>
> Comments please.
> Lynn
>
> Lynn D. Montgomery, M.D.
> Obstetrics & Gynecology, Maternal-Fetal Medicine
> The Birth Center/Rocky Mountain Women's Health
> 1211 S. Reserve St.
> Missoula, Montana, 59801
> 406-549-0978
> fax 406-549-0987
> e-mail: apgar10@thebirthcentermt.com
>
> <http://us.rd.yahoo.com/evtH225/*http://new.toolbar.yahoo.com/toolbar/features/mail/index.php>wherever
> you're surfing.
>
--
R. Daniel Braun, MD FACOG(L) CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
--
R. Daniel Braun
"The way to health is an aromatic bath and scented massage everyday"..
Hippocrates
