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How a neurosurgeon recommends approaching concussions Print E-mail
Written by Marc Arginteanu, MD | KevinMD   
Tuesday, 04 June 2019 14:06

When I served as president of the New Jersey Neurosurgical Society, I met a lot of people from around our great state. One question that I heard from many parents and coaches was, "After a concussion, when is it safe to let a student-athlete return to play?" It is an important question because hundreds of thousands of high school students in the USA suffer concussions annually. I have given this question careful consideration during my decades of neurosurgical practice. With the recent formation of a new professional football league, a public posting of my professional opinion is timely.
Last Updated on Tuesday, 04 June 2019 14:10
University of Miami Health System Launches Executive Health & Concierge Medicine Program Print E-mail
Written by FHInews   
Friday, 24 May 2019 09:05

The University of Miami Health System has launched an executive health and concierge medicine program that will provide personalized and expedited care to its members.

Stephen V. Avallone, MD, Director of Executive Health and Concierge Medicine, launched the program alongside Cristina I. Pravia, MD, Associate Director of Executive Health and Concierge Medicine, both of whom previously launched a similar program at Cleveland Clinic.

Executive health and concierge medicine are two different models of care. Executive health involves a single visit of several hours with a set fee. The UHealth executive program consists of a thorough physical examination, blood work, cardiovascular screening and pulmonary evaluation, and consultations with a nutritionist and an exercise physiologist.

By contrast, concierge medicine is a membership model in which patients pay an annual fee not only for an annual expansive physical exam, but also for 24/7 phone and email support toward patient health education and annual exam health goals. The smaller concierge practice panel and substantial electronic communication connection translates into easier scheduling of appointments with their physician.

“Drs. Avallone and Pravia will help us make UHealth a leading destination for top-quality executive and personalized health care with a global reach,” said Dipen J. Parekh, MD, Chief Clinical Officer of UHealth, and professor and chair of the Department of Urology. “Their expertise will make our programs second to none.”

A physician in a typical practice might have 2,000 to 3,000 patients; a concierge practice physician might have 300 to 600 patients. This smaller and more connected practice model builds stronger doctor-patient relationships, providing health care in a more efficient, effective manner. This results in stronger patient-doctor relationships and more informed recommendations that result in better outcomes for the patient.

 “The individuals we see in executive health are high achievers who have a lot of stress in their lives, but only about half of them are business executives,” Dr. Avallone said. “The other half may be teachers or firefighters — people in other professions with long, demanding work schedules who don’t have a lot of free time for doctor’s appointments — and international patients who fly in to Miami knowing they can complete their examinations and tests in a single day.”

If an examination does turn up a medical issue, the program can arrange to have that patient meet with a specialist.

“That’s the advantage of being at an academic medical center, said Dr. Pravia. “The patients don’t have to be referred out and spend weeks going from appointment to appointment.”

Last Updated on Friday, 24 May 2019 09:45
Ultra-Processed Foods and Weight Gain Print E-mail
Written by FHI's Week in Review   
Monday, 20 May 2019 19:59
Less-expensive, easier-to-prepare ultra-processed foods can make you fat, a new study says. People limited to a diet of primarily highly processed foods ate more calories and gained more weight than when their diet mostly consisted of minimally processed foods, finds the study, published May 16 in the journal Cell Metabolism.
Read more in the current issue of Week in Review>>

Last Updated on Monday, 08 July 2019 14:28
Medscape Physician Wealth and Debt Report Print E-mail
Written by Medscape   
Friday, 17 May 2019 17:16
Today's financial picture for physicians shows both highs and lows. Some doctors are stockpiling savings while others are struggling to pay off debt and live a comfortable lifestyle. For this report, we used data from the annual Medscape physician compensation survey (producing the most in-depth and widely used physician salary survey report in the United States), which provides responses from about 20,000 physicians in more than 29 specialties each year. Physicians told us about their saving, spending, and investing habits, as well as how they manage their finances.

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Last Updated on Friday, 17 May 2019 17:17
Cyber Security Training for Employees Print E-mail
Written by Tom Murphy | Danna-Gracey   
Thursday, 02 May 2019 10:16
When it comes to preventing a data breach or cyber security issue at a medical practice, employers and employees should attempt to be as knowledgeable as possible to avoid making errors. This ultimately means that the practice needs a proven cyber security training program in place to make sure all employees are up to date on all security policies at all times.

Cyber security training for employees of a medical practice is an ongoing process, and early detection of a data breach or other cyber event is critical when it comes to preventing a practice from losing thousands of dollars in damages, as well as damage to the practice reputation and credibility. Practices should consider doing more to ensure that all employees are consistently updated and informed about potential security vulnerabilities and how to recognize and avoid them.  

The following are some cyber security tips for medical practices:  
  1. Require Strong Passwords. Secure passwords are typically the first step in safeguarding sensitive data and patient information. Every employee needs to know how to create strong passwords. This includes using a mix of characters, numbers, and letters, and never sharing passwords among employees.  
  2. Consistently Evaluate Vulnerabilities. Practice leaders need to understand the vulnerabilities and consistently evaluate the systems and employees on a regular basis to recognize potential weaknesses.  
  3. Implement Cybersecurity Tests. These tests, sometimes called “live fire” training, provide the practice or employer the ability to determine just how educated and prepared their employees are when it comes to avoiding one of the many cyber security issues. The most popular form of this test is when the employer or contractor simulates phishing scams to see how many employees open attachments.  
  4. Keep the Lines of Communication Open. Cybersecurity policies need to be communicated throughout the practice and training should be held on a regular basis to keep all employees informed and up to date on all the practice requirements, and to ensure understanding of the practice response plan in the event of a breach or cyber event.  
  5. Make Sure Practice Leaders Are Involved. All practice leaders and management need to understand the importance of having a strong cyber security training program, as they are the ones responsible for the budget and for making sure that everyone knows the implications a cyber event can have on a practice.  
All medical practices should have a robust cyber liability policy that will protect them from the potentially large costs associated with a cyber event.

Tom Murphy specializes in professional liability and workers’ compensation. He is an experienced risk management consultant, providing physicians and various medical entities with risk and claims management techniques for implementation. In addition, Tom performs malpractice claims studies for medical specialty societies and maintains an advisory position for various societies involving malpractice, claims and workers’ comp claims. He is often a guest lecturer for various medical societies and associations.

Contact Tom

Last Updated on Thursday, 02 May 2019 10:21
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