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Showing page 23 of 23 (229 total posts)
  • Physicians Quicker Than Retail Clinics?

    Medical groups have been throwing up all kinds of arguments against retail health clinics staffed by NPs. Here's a new one: Physicians are even quicker. In an article in yesterday's (Riverside, Calif.) Press-Enterprise, Dev Gnanadev, president-elect of the California Medical Association says, ''Health care is not McDonald's.'' But then he goes on ...
    Posted to ADVANCE Voice: NP (Weblog) on January 23, 2008
  • Hot Button Topic: Is the Type of Nursing Home Ownership Important?

    A recent September 2007 New York Times article entitled, At Many Homes, More Profit and Less Nursing, discussed the issue of profit and ownership, especially by private equity firms. This article especially was quite critical of many companies that reduce important nursing staff to enhance their profits. For those nursing homes, especially those ...
    Posted to Gerotalk (Weblog) on January 22, 2008
  • Root Cause Analysis as a Process, Part 3

    In the first two parts of this series, I expounded upon the need to develop a sound problem statement and to understand and not be misled by terms such as facts, validity and truth often used superficially in examining issues. In the third part of this series, a discussion on the process of root-cause analysis will follow. The key term ...
    Posted to Gerotalk (Weblog) on December 20, 2007
  • Root Cause Analysis—Facts, Validity, Truth, and Consequences, Part 2

    In part one, the emphasis was on attempting to make sure that a problem was adequately and soundly delineated before root-cause analysis is implemented.  In part two, examining the illusory concepts of facts, validity and truth will be examined.  Here again, just as with the problem statement, individuals often take these concepts for ...
    Posted to Gerotalk (Weblog) on December 20, 2007
  • Root Cause Analysis—Starting Out With A Problem, Part I

    Nursing care facilities are faced with a myriad of problems daily.  In addition, solving problems in nursing care facilities is often far from simple solutions.  However, those that work in long-term care administration have often heard of the phrase-looking for the root cause.  Its use in long-term care has often become ...
    Posted to Gerotalk (Weblog) on December 11, 2007
  • Getting Stuck in the FUD

    Among the many interesting and motivating tidbits ACNP president Susan Apold shared at the organization's clinical conference was some background on a strategy that organized medicine seems to have adopted toward NPs. Here's a Wikpedia description of the strategy, which is called FUD: Fear, uncertainty, and doubt (FUD) is a tactic of rhetoric ...
    Posted to ADVANCE Voice: NP (Weblog) on November 21, 2007
  • Why Can’t We Quit?

    Have you all been watching AMC's Mad Men, the TV series about a Madison Avenue advertising firm in 1960? The premise explores the lofty question of how we create truth — and sell falsehood. We follow the power of sex, ethnicity and money through each episode. The women wear bullet bras, and the men swill bourbon from bottles kept in their desks. ...
    Posted to ADVANCE Voice: NP (Weblog) on November 15, 2007
  • Taking Charge of Retail Health

      Here at ADVANCE, we have been closely watching the convenience care revolution. The development of this business and practice model can be a great thing for nurse practitioners, but only if NPs take an active role in shaping it. At ACNP's clinical conference last month, 40 or so NPs attended a session on the retail health revolution. The ...
    Posted to ADVANCE Voice: NP (Weblog) on November 13, 2007
  • Retail Clinic Strategery

      Opening my Providence (Rhode Island) Journal this morning (OK, online), I saw yet another report on physician objections to retail or convenient care clinics. The same article, but with different names, has been showing up about once a week somewhere in the country for the past 3 years. The article always cites physician charges that ...
    Posted to ADVANCE Voice: NP (Weblog) on October 26, 2007