Tag: Patients

The Role of Every Doctor in Improving the Opioid Crisis

Posted on by VettersEnt

The opioid crisis is ongoing, and every doctor has a role in providing excellent care for patients and preventing opioid overuse and misuse. While some people seem to think that the solution lies in never prescribing opioids, in reality, some patients are struggling with life-threatening illnesses and in need of palliative care that makes them an appropriate solution. Every physician must now walk a fine line between managing pain and prescribing in a manner that encourages addiction.

Changes in the Opioid Crisis

It’s unsurprising that there is a renewed interest in creating policies to limit prescriptions of opioids in the wake of rising deaths from overdoses. According to the CDC, overdoses from prescription medication are a leading factor in the 16-year increase in opioid overdose deaths. From 1999 to 2010, the amount of prescription opioids sold to hospitals, practices and pharmacies nearly quadrupled without an overall increase in the amount of pain that patients reported.

CDC Guidelines

The CDC released aggressive clinical practice guidelines that suggest limiting initial opioid prescriptions to 3 days unless it is a situation where there is active cancer, a need for palliative care or end-of-life care. The guidelines also caution prescriptions that contain more than 90 morphine milligram equivalents every day due to the increased risk of overdose and lateral efficacy of a stronger prescription.

The CDC’s clinical reminders are a launching point for your practice to serve as a resource for patients and prevent opioid addiction in your community. Some of the reminders include:

  • Start with low dosages
  • When opioids are prescribed for acute pain, prescribe no more than needed
  • Never prescribe extended-release opioids for acute pain
  • Always discuss benefits and risks and availability of non-opioid treatments with patients before prescribing or continuing a prescription

Assessing the Risk and Harm at Your Practice

When you are working with patients who are receiving one prescription for opioids or renewing a prescription, you should always make assessing risk and addressing potential harm a priority. To properly consider risk and harms:

  • Evaluate each patient’s risk factors for opioid-related side effects and hazards
  • Check the prescription drug monitoring program for prescriptions from other providers or high dosages
  • Avoid prescribing benzodiazepine and opioids concurrently
  • Use urine drug testing to identify undisclosed use or the presence of prescribed substances
  • Arrange treatment for opioid use disorder if a patient is in need

Help Impact the Opioid Crisis with Vetters Enterprises

Vetters Enterprises specializes in practice management, private practice business support and revenue cycle optimization. We can perform in-depth assessments of your practice or facility and identify potential issues. Let us keep your business as healthy as you keep your patients! Give us a call at (443) 352-0088.

Is Addressing Social Determinants of Health Vital to Patient Success?

Posted on by VettersEnt

There’s a lot of buzz around the social determinants of health in the healthcare community, and for many good reasons. The social determinants of health have been found to be critical in promoting optimal patient health, limiting disease and improving healthcare quality. 

What Are the Social Determinants of Health?

Social determinants of health are nonmedical things that affect a patient’s health outcomes and overall health. They can include where a patient is born, where someone lives, what job they have, their age and a wide range of other factors that all shape their daily life and health. These social determinants have a serious effect. One analysis of studies measured adult deaths attributed to social factors and discovered that in 2000, over 245,000 deaths could be attributed to low education, 176,000 to racial segregation, 162,000 to low social support, 133,000 to individual-level poverty and 119,000 to income level equality. For comparison, the number of deaths that could be linked to low social support was nearly identical to the number of deaths from lung cancer.  

The Reality in the United States

Currently, the United States is ranked among the 10 richest countries in the world per capita. However, place of birth is more strongly correlated with life expectancy than genetics. There is no one way to improve these statistics without the work of policymakers, physicians, communities and individuals. Community health partnerships are one effective way to address social determinants of health and support your community.

Getting Involved

How can your workers better address needs like transportation or access to healthy food? One family practice in Columbus, OH partnered with the Mid-Ohio Food Bank to pilot a health initiative for patients with diabetes. While the practice thought almost no patients were living with food insecurity, a whopping 43% of patients surveyed had trouble finding healthy food to eat. The practice added a mini food bank inside and offered participating diabetes patients fresh produce (from the food bank), recipes, cutting boards, peelers and a brief nutrition class. In the first 4 months of the program for 40 patients, 12 patients had reduced A1C levels and the majority of patients indicated positive results. Even more promising? Physician satisfaction increased and burnout levels decreased. While this isn’t feasible for every practice, it’s great food for thought for yours.

Address the Social Determinants of Health with Vetters Enterprises

Vetters Enterprises specializes in practice management, private practice business support and revenue cycle optimization. We can perform in-depth assessments of your practice or facility and identify potential issues. Let us keep your business as healthy as you keep your patients! Give us a call at (443) 352-0088.

How Price Transparency Can Increase Patient Satisfaction

Posted on by VettersEnt

Patients today are very educated about healthcare, and many are also footing a bigger proportion of the bill than ever before. As a result, there is a great deal of concern over pricing for health care services. While some offices worry about revealing too much about pricing, it can actually increase patient satisfaction. When consumers understand the quality that they are receiving for the price and the true value of care, they are more likely to make an educated decision.

Why Is Price Transparency So Hard?

Price transparency is a problem that many in the healthcare industry are already aware of. However, nothing captures a potential patient’s attention more than cost. As more consumers utilize high-deductible health plans (HDHPs), they are hoping to spend less in the short-term at the risk of shelling out more if they are injured. As a practice, it can be difficult to predict a course of treatment for a patient in advance, which leads to a misperception on behalf of patients that doctors are intentionally misleading about how much care will cost. 

What Solutions Could You Implement?

Some practices are experimenting with price estimators to increase price transparency and improve patient satisfaction. This allows you to engage the patient and explain potential treatments one-on-one. When presenting pricing, consider explaining things in one of two ways:

  • A bundled out-of-pocket estimate for medically necessary services
  • An estimate of the rate for a procedure covered by insurance and the associated patient costs

Remember that we are living in the age of Amazon, which means that consumers want the most possible for their money, in addition to transparency over what they will be getting. In your conversations, you should also make it clear that everything is an estimate. The projected costs might not align with the actual costs due to a variety of reasons.  

Showing Additional Benefits

While price is the biggest pain point when it comes to patient satisfaction, there are many other things your practice can do to show your value. Board certification, experience and patient experience all make a difference in what patients are willing to pay. When talking to patients and marketing, make it clear that you have plenty to offer beyond the actual services and procedures you provide.

Take Care of Your Physicians with Vetters Enterprises

Vetters Enterprises specializes in practice management, private practice business support and revenue cycle optimization. We can perform in-depth assessments of your practice or facility and identify potential issues. Let us keep your business as healthy as you keep your patients! Give us a call at (443) 352-0088.

How the 2018 Flu Epidemic Can Prepare Your Practice for the 2019 Season

Posted on by VettersEnt

The 2018 flu epidemic caused a frenzy across practices, the internet and communities throughout the United States. While many flu seasons over the past few decades have been unremarkable, the 2018 flu epidemic was notable for the severity of the virus and the deaths that occurred as a result. As in any field, it’s important to learn from the past to improve the future. The 2018 flu epidemic has many lessons to offer the average practice.

Communicate Clearly with Patients

Communicating with patients and employees is critical for triaging potential flu patients before they ever come in for an appointment. Doctor’s office and emergency room visits are not necessary for the majority of people experienced mild flu-like symptoms. Your practice should educate patients early on what symptoms are cause for concern and what symptoms do not mean they need to head right into the office. This limits both unnecessary strains on your resources and prevents exposure in your waiting room. If you can, include the most worrying symptoms that should lead to medical care (trouble breathing, chest pain, confusion, dizziness, etc.) in a brochure or email blast that you send out to patients.

Offer Protection Tools in Your Practice

When patients with flu-like symptoms arrive in your office, provide them with tissues and surgical masks. Always have hand sanitizer available for any visitor to your practice. If possible, keep patients with influenza symptoms away from other patients. If it isn’t possible to maintain more than one waiting room, mark off a specific area or prioritize patients with flu symptoms when filling exam rooms. This stops the spread of flu inside of your practice and makes patients visiting for unrelated reasons feel more comfortable coming in.

Educate About the Flu Vaccine

One of the key hallmarks of the 2018 flu epidemic was many patients ignoring the influenza vaccine because of perceived ineffectiveness or other concerns about vaccines. When visiting with patients, take time to explain why flu vaccines are important, even when the past year’s vaccine was perceived as a “failure” in some circles. Answer questions with respect, and understand that patients are often undereducated or misinformed on the subject of flu vaccinations. Start promoting the vaccine’s availability early in the year and reach out to patients who haven’t been vaccinated by the start of flu season to make it clear that it isn’t too late.

Flu Epidemic Guidance for Your Practice from Vetters Enterprises

Vetters Enterprises specializes in practice management, private practice business support and revenue cycle optimization. We can perform in-depth assessments of your practice or facility and identify potential issues. Let us keep your business as healthy as you keep your patients! Give us a call at (443) 352-0088.

The Effect of Social Media on Patient Health

Posted on by VettersEnt

From late nights spent staring at Instagram feeds to thumb injuries from scrolling too much (seriously), social media has a serious effect on patient health. While the impact on physical health might not be as prevalent, the effects on mental and emotional health can be very serious.

The Power of Social Media for Public Health

One of the most beneficial effects of social media and mobile connectivity on public health has been the opportunity for more healthcare providers to meet patients where they are. The Suicide Hotline expanded to add chat and text messaging options, allowing people of any age to receive crisis mental health consultations anywhere in the country at any time. Facebook has also added a feature where friends can anonymously report a post that another friend makes as concerning, and the platform will provide the friend with mental health resources. These are just two examples of how social media can provide people with health resources when they are at their most vulnerable.

Social media also makes health information more accessible, which can be a good or bad thing. While it makes it easier for people in food deserts to learn creative ways to prepare healthy food on a budget without access to a great deal of produce, it can also make it easy to disseminate false medical information.

Social media can also be an excellent place for vulnerable patients to connect with one another. It can be especially empowering for patients with rare conditions to meet people, across the country or the world, who are experiencing the exact same thing. While some patients would have suffered their entire lives with loneliness, social media can provide them with a place to connect.

The Negative Effects on Patient Health

Social media addiction is a growing problem, especially in young adults and teenagers who are used to spending the majority of their time on digital devices. An estimated 210 million people are suffering from addiction to social media. Young, single females are the most likely to deal with an addiction. Don’t think you’re a compulsive social media user? 50% of people driving while using a smartphone are checking social media apps. Over 70% of adults sleep with or next to their cellphone. Finally, almost 75% of Americans check Facebook on a daily basis.

As providers, it’s important to realize that patients might be using social media as a stand-in for other healthy parts of life, like spending time with friends and family. Or, they might be using social media to distract themselves from mental health difficulties.

What are the potential negative effects of social media on physical patient health?

  • Carpal Tunnel Syndrome from typing and swiping on a mobile phone too frequently
  • Eye problems can occur from staring at screens for long periods of time
  • Chronic fatigue is common in teenagers who stay up late to check social media networks instead of getting enough sleep
  • Lack of exercise or an increased risk of leading a sedentary lifestyle
  • Distraction while walking or driving, which can lead to accidents or injuries

Improve your Practice Health with Vetters Enterprises

Vetters Enterprises specializes in practice management, private practice business support and revenue cycle optimization. We can perform in-depth assessments of your practice or facility and identify potential issues. Let us keep your business as healthy as you keep your patients! Give us a call at (443) 352-0088.

How to Empower Patients Throughout the Diagnostic Process

Posted on by VettersEnt

When asked what they would improve about their patients, many doctors will indicate the desire for patients to take more control over their health, whether that means putting recommendations into practice or making an effort to build relationships with their doctors. How can you empower your practice’s patients throughout the diagnostic process?

What Do Patients Want from the Healthcare Experience?

A 2016 study of patients examined what patients want the most from their providers. A whopping 75% of patients indicated the desire for a more personal relationship with their providers. The majority of patients also wanted greater convenience and access to digital tools. These desires especially come to a head when patients are experiencing an illness or ailment and going through the diagnostic process.

Embrace the Benefits of the Internet

Building a relationship with patients doesn’t mean spending hours in each appointment getting to know their favorite color. Instead, it means being open to a patient’s concerns and being accessible where and when they need you. The internet is an amazing tool for staying connected with patients and empowering them throughout the diagnostic process. When most patients have a concern, they will head straight to the internet to learn more and ask questions. If your practice offers a secure health portal where they can find out more and send messages, patients will be able to equip themselves with knowledge and feel more understood.

Communicate Clearly and Offer Actionable Plans

Empowering a patient does not start or stop in the exam room. Since so many patients feel comfortable seeking health information from other sources (that may or may not be reputable), it’s important for doctors to offer them clear, achievable and realistic action plans. Giving patients accurate information will soothe fears that inevitably occur during the diagnostic process and prevent patients from clinging to false ideas.

Encourage Wearables and Tracking Methods

If patients are concerned about their health or going through the diagnostic process, encourage them to track symptoms and activities that promote health. Whenever patients actually start to measure and pay attention to their health, they will be more empowered to make the changes necessary to improve the metrics. From keeping a food diary to tracking blood sugar, small changes can add up to lifestyle transformations.

Partner with Vetters Enterprises Help with Your Value-Based Care Reporting

Vetters Enterprises specializes in practice management, private practice business support and revenue cycle optimization. We can perform in-depth assessments of your practice or facility and identify potential issues. Let us keep your business as healthy as you keep your patients! Give us a call at (443) 352-0088.

The Importance of Verifying Patient Eligibility

Posted on by VettersEnt

When does your practice verify patient eligibility, co-pays and deductibles? If your answer is anything other than “in advance,” you are wasting valuable time and money. Why is verifying patient eligibility in advance such a necessity for today’s practice?

The Patient Verification Process

When a patient visits, your office needs to know what their insurance company requires for co-pays and deductibles in addition to the patient’s eligibility for services. This can be done by using the patient’s insurance card to verify information with the carrier. While primary care doctors typically only worry about whether or not the insurance is valid and what the patient’s financial responsibility is, specialists are often under different sets of rules. Waiting to verify a referral or specialist eligibility until a patient shows up for their appointment is never a good idea.

In addition to the above, your practice also needs to know whether you are considered in network or out of network. Are you seeing Medicare patients? Understanding the benefits that your patient has is critical, because many patients confuse Medicare Managed Care Plans with other Medicare offerings.

Checking in Advance is Critical

If you aren’t already convinced after reading the above, consider how much time it takes you to verify that information for each patient. Some insurance companies have excellent customer service, while others take at least 30 minutes to reach on the phone. If a patient comes in without a referral, your receptionist will spend valuable time trying to track down the referral instead of assisting other patients.

Verifying New Patients

Every time a new patient calls to schedule an appointment, take the time to discuss their insurance coverage with them and forward any necessary paperwork. Investing a small amount of time before the initial appointment can save money and time the day of. To determine a patient’s insurance eligibility, you should always collect the following:

  • Name and date of birth
  • Name of the primary insured
  • Social security number of the primary insured
  • Carrier
  • ID number and group number
  • Contact information for the insurance company (should be listed on the insurance card)

Next, take the time to call the insurance company and confirm:

  • That the patient is currently covered by the insurance
  • The coverage effective dates
  • Whether your practice is in network or out of network
  • If the services that the patient will be receiving are covered
  • If a referral or pre-authorization is needed

Verifying Current Patients

Every time you see a current patient, verify that nothing has changed with their insurance since their last visit. Again, a little bit of time invested before they come to your office will ensure prompt payment and correct eligibility.

Bring Your Verification Into the Modern World

For a faster way of verifying patient eligibility, use a web-based system like IntakeQ. Your practice can load intake forms directly to a secure website and get notified every time a patient completes them. This allows you to verify eligibility in advance and without the hassle.

Vetters Practice Management Consulting

Vetters Enterprises specializes in practice management, revenue cycle optimization, and private practice business support. We can perform detailed assessments of your practice or facility and identify potential issues. Let us keep your business as healthy as you keep your patients! Give us a call at (443) 352-0088.