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, …

Vaccine Refusal Policy Survey

I am trying to get an understanding of the relative percentage of pediatric practices who have vaccination requirements for their patients.  I don’t know for certain how common it really is – my gut feeling is that far more practices try to limit their patient bases to those who actively vaccinate than is understood. I’ve …

2015 CPT Update For Pediatricians (feat. Donelle Holle)

Donelle Holle is the greatest.  If you know who she is, I don’t need to explain, but for those who don’t: Donelle is one of a small handful of pediatric coding speakers worth listening to and perhaps the only person I fear following at a seminar.  Her dedication to pediatric coding education is unsurpassed. One …

New Years Resolutions

You’ve finally cleared out the empties from New Year’s Eve and have even been the gym a few times as one of your resolutions.  But what about your practice?  How can your practice “lose 15 pounds?” We start with an an annual assessment.  Making changes in your office is made easier with some data, some …

Russell Libby And the Ghost Independent Practice Future

Before I give my annual RVU update, I’m going to turn the mic over to Russell Libby, recent Buzzy Vanchiere Award recipient, in a piece that I’ll entitle “The Ghost of Independent Practice Future.”  Some of these…predictions will certainly come true.   It was 11 AM and I had already seen 10 of my prescheduled …