Confessions Podcast #3: Featuring Suzanne Berman And Your Practice Management Calendar

This may be long overdue, but worth the wait.  A few months back, Dr. Suzanne Berman (star of SOAPM list and stage) emailed me with a question about her practice.  That question led to a quick back and forth exchange of “all the things a practice should do on a periodic basis.”  We brainstormed a …

Vaccine Storage and Safety (Guest Blog and Survey)

The message comes from Robin Warner, who has some important things to say about vaccine refrigerators.  I know I must seem a little vaccine-focused lately, but these issues are vital and I am grateful for the work of Dr. Warner and Dr. Barden.   This past weekend, I had the good fortune of being able …

VFC Vaccine Survey

About a year ago, I posted a link to a survey for anyone here who gives VFC vaccines.  If you do, please take 3 minutes to respond to this. The AAP is working hard to get VFC flu shot distribution fixed. I’ll let Dr. Diasio speak for himself. We are continuing to try to improve …

New Patient Visit Benchmark and the ACA

I mentioned I had a lot of work to do after the NCE this week.  Here’s one of the items hanging over my head (next: Down Syndrome growth charts!). During my lecture on pediatric benchmarks, someone threw me a curveball.  I feel like I’m usually pretty good with my ability to answer questions about the …

Vaccine Storage and the NCE

I have a lot of followup to do from the NCE, wow.  Overwhelming. I need to start with vaccine storage.  PCC’s own Graham Barden and Robin Warner did amazing work in the AAP’s vaccine fridge booth, showing off the vital commercial level products.  How can you spend $2-3K on a fridge for your house to …

Confessions Podcast #2 – Practical PCMH

Oh, things are starting to get interesting with the podcast. In this episode, I work with Tim Proctor @ PCC to discuss his practical experience working with dozens of pediatric practices to get them to PCMH recognized.  If you’ve never even started the process, Tim gives some good advice.  If you’re previously recognized, Tim tells …

EHR Impact On Time In Primary Care

A few weeks ago, we encouraged you to complete a survey hosted by Physicians’ Alliance.  The goal was to look into the great EHR skeleton-in-the-closet issue: how much extra time has your EHR taken from your day?  I have a survey over there on the right which indicates a significant number of practices are spending …

96110 Coverage During Well Visits

This blog is going to raise more questions than it answers, but one let’s get one of the few clear answers we have out of the way: pediatricians do not appear to follow Bright Futures’ periodicity schedule for developmental screening.  I realize that may not shock many of you, but you might be shocked to …

PCMH’s Impact on Cost and Quality?

I am, as a rule, a big fan of the PCMH concept.  The process for recognition and the inability to get those outside your circle to participate – namely, specialists are other things entirely, of course.  Even with those caveats, PCMH remains perhaps the best opportunity for practices to develop the discipline and receive the …

VFC Flu Vaccine Delay Survey

Yes, I am asking you to complete another survey.  But it’s vital and fast – and needs to be done this weekend!  And the topic is especially timely.  Our last survey here got picked up by the national media.  Let’s see what we can do here to change VFC vaccine delivery.  The survey is here, …