The Journal of medical practice management : MPM
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When healthcare is fully compliant with the Patient Protection and Affordable Health Care Act, U. S. health care providers lose their one inalienable American right, namely freedom, and can no longer fulfill their fiduciary responsibility to patients.
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Unfortunately, cliques aren't a problem that you left behind in high school. Workplace cliques can be just as or even more troubling for you today, especially if they have the potential to affect your career, employee morale and performance, and your medical practice more broadly. This article describes workplace cliques in detail. ⋯ It describes five common workplace cliques: management, veteran, prior relationship, status, and homophily. It offers medical staff employees 10 strategies for working effectively alongside of a clique. Finally this article describes the pitfalls and risks of belonging to a workplace clique.
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Provider feedback reports (PFRs) offer one way for providers to use their electronic health record (EHR) data to understand aspects of their clinical performance and improve quality of care. The Primary Care Information Project (PCIP) serves as a bureau of the New York City Department of Health and Mental Hygiene and as a Regional Extension Center that helps area healthcare providers adopt and achieve Meaningful Use of EHR systems. This study analyzes improvement on multiple quality measures pre- and post-receipt of a comprehensive, EHR-based PFR that PCIP created for its member providers. ⋯ Pre-PFR receipt, improvement between high and low performers varied per measure. Post-PFR receipt, low performers improved more than high performers on all measures, and more than themselves in the pre-PFR period. Findings suggest PFRs derived directly from provider EHRs may particularly assist lower-performing providers to improve performance.