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Madison Health & Health Care Law Blog

Supporting doctors and nurses in interstate practice

The idea of tapping into technology to expand delivery of medical care to a wider base of American citizens is not new. Many in the industry, including insurance companies, have understood the potential benefits of creating such infrastructure.

Those with experience in this area know that wrangling the technology and making it scale to the size needed to match demand is one hurdle that has held things up. Another one is the issue of extending doctor and nurse licensing to support interstate practice. As we noted in a previous post, this is something that has been a focus of lawmakers for a long time. Last year it became a reality.

What doctors need to know before signing on the dotted line

Gender bias is not acceptable. Unfortunately, it exists and the healthcare industry is not immune to its effects. Myriad surveys have shown that even as more women are becoming doctors, they continue to suffer pay inequity compared to men. They also suffer bias within their professional ranks, with research finding that female surgeons more likely than male surgeons to see referrals decline after a single negative patient outcome.

As we have noted before, surveys of women doctors also reveal that most of them feel they are at a disadvantage across a broad spectrum of medical industry issues – from performance evaluations, incomparable pay and even in contract negotiations. But, just as care delivery can be enhanced through solid advocacy on behalf of patients, data suggests that legal advocacy on behalf of doctors and nurses can enhance their financial well-being.

I'm named in a DSPS complaint, what happens now?

The road to becoming a licensed doctor or nurse in Wisconsin is not an easy one. Therefore, if or when you are named in a formal complaint about care delivery you've been involved with, it needs to be taken seriously. Because it is a legal process, working with an advocate who knows your profession and the law is important.

It's useful to be aware that if the Department of Safety and Professional Services initiates an investigation of you, it may be based upon an initial complaint. However, the scope of the probe likely won't be limited to that issue alone. Your entire career could come under scrutiny and any issue discovered could lead to disciplinary action. Here's what to expect if a complaint is filed.

Data shows Wisconsin among best states for doctors, for now

Wisconsin is a great place to live. The breadth of nature on display through all four seasons and the long continuum of cultural and entertainment experiences available make it attractive. It's also a great place to work, as we noted in a post earlier this year on opportunities for nurses. Is it any wonder that the same source that informed that post finds the same applies to doctors?

However, those with experience in the business and legal facets of health care are aware that just because the numbers seem to add up to a positive environment doesn't mean it is always smooth sailing. The health care seas are always changing, meaning that navigating choppy waters isn't restricted to the Great Lakes and myriad smaller bodies of water that abound in our state. Still, the results of this research are encouraging.

Is the time ripe for the 'gig economy' in health care?

There are few who would argue the health care system in the United States wouldn't benefit from some shaking up. What form that shaking should take is the $64,000 question. Unfortunately, no clear answers have surfaced and debate continues.

Many stakeholders contribute to the discussion – doctors, nurses and other medical professionals not the least among them. And one of the most pressing concerns they likely have is about how any given business model will address the medical and legal hurdles they face in delivering effective care. Medicine is a complicated mix of science and art to begin with and economic realities only add to that complexity.

The opioid crisis in Wisconsin: What will come next?

The opioid epidemic has caused many things to come under scrutiny. This includes the opioid prescription practices of doctors. Across the country, various steps have been taken related to such practices to try to help address the opioid crisis.

What has been done in Wisconsin on this front? For one, the state’s medical examining board issued a special set of guidelines for doctors related to the prescribing of such medications.

Survey: Many female doctors have fairness concerns regarding contract negotiations

What terms their employment contract ends up containing can have major impacts on a doctor’s future. It can have major implications for both their personal and professional goals. So, what happens during contract negotiations can be of great significance for a physician.

Now, there are a range of concerns a doctor might have going into such negotiations. Among these are concerns about whether they will be treated fairly during the process. A recent survey suggests that such fairness concerns, including concerns about gender bias, may be quite common among female doctors.

Report: EHR use high among Wisconsin doctors

Doctors from different states vary in many ways. This includes in how common the use of electronic health records is among them. While EHR use has been growing in prominence over the past several years here in the U.S., it hasn’t done so at a uniform pace across the country.

How do Wisconsin doctors compare to physicians in the rest of the U.S. when it comes to EHR use? According to a recent report, EHR use is particularly high among Wisconsin’s physicians. The report was from the Office of the National Coordinator for Health Information Technology.

How much time does EHR work take up for primary care doctors?

Among the common tasks for doctors these days are those related to keeping electronic health records (EHRs). These tasks can take up a fair amount of a doctor’s time. Just how much time? A recent study suggests that it is typical for primary care physicians to use almost half of their work day on EHR-related matters.

The study focused on 140 Wisconsin primary care doctors. These doctors all had an association with the Department of Family Medicine and Community Health of the University of Wisconsin-Madison. Researchers looked at the EHR use of these physicians. The study found that, on average, about 45 percent of the doctors’ work day was taken up by EHR tasks.

Wisconsin nurses especially overworked?

How much stress a nurse is feeling can impact them considerably, both at work and at home.

One thing that could create a lot of stress for a nurse is having to deal with an especially heavy workload. A recent study indicates that workloads might be particularly heavy for nurses here in Wisconsin.

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Icenogle & Associates, LLC
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Readstown, WI 54652
Phone: 866-625-9104
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