tag:blogger.com,1999:blog-8258000951954235035.post5762444939979834056..comments2024-03-28T01:15:58.182-06:00Comments on Adventures in Improving Access: Time for a changeUnknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-8258000951954235035.post-52427012048526744642015-11-16T23:10:17.312-06:002015-11-16T23:10:17.312-06:00Cosmetic surgery is getting more prevalent either ...Cosmetic surgery is getting more prevalent either because people are more affluent or because the procedures are more affordable. <a href="http://www.cosmeticplasticsurgery.ph/" rel="nofollow"> tummy tuck cost</a>Anonymoushttps://www.blogger.com/profile/11778429790085078533noreply@blogger.comtag:blogger.com,1999:blog-8258000951954235035.post-4229819546731536772010-12-03T14:27:04.419-06:002010-12-03T14:27:04.419-06:00This is a fascinating challenge. It shows the com...This is a fascinating challenge. It shows the complexity of a surgeon's life. Any scheduling change in one area creates a "ripple effect" for other areas. In this case, there is a touch choice: OR vs. cystoscopy suite. The OR wins because the potential resource wastage is greater there than for the cysto suite. There are still the same number of urologists, in town, so someone is doing fewer scopes!Randy Friesennoreply@blogger.comtag:blogger.com,1999:blog-8258000951954235035.post-2367979902374834942010-12-03T05:26:49.492-06:002010-12-03T05:26:49.492-06:00I must add to Maura's statement and address a ...I must add to Maura's statement and address a given in the health care system today. It stands around the regulatory bodies making changes in techniques as the processing of the scopes, without having profound data to support and advocate their decision. The sterilization increase in time has caused much greater harm to those patients having to wait longer. I am also willing to believe based on our data at some surgery centers that possibly more harm than good in oncology alone. Regulators jump on the band wagon of increasing regulation versus increasing the surveillance of the regulatory bodies. I also believe that the majority of centers did not practice the best sterilization techniques of their instruments, thus the outcome is negative and with infectious results. Observe more places making their everyday routine to be the standard versus adding to the standard is where health care reform needs to start. Regretfully, patients suffer because of the lack of supervision that endoscopic centers have in that we all know that "while the cat is away, the mice will play". Cutting corners is what we do in health care, I am not proud of it, but it is what it is. What is the answer? The answer is that we need to get back to the basics of providing care and do our jobs and do them well. To do our jobs, we need the time to do them and with all the cuts, downsizing that happens religiously these days, we must pump more volume in without ensuring the quality of our outcomes are increased with the pump. Troy Lair, The Compliance Doctor, LLCTroy Lairhttp://www.thecompliancedoctor.comnoreply@blogger.comtag:blogger.com,1999:blog-8258000951954235035.post-65916312494270738852010-11-09T16:40:42.790-06:002010-11-09T16:40:42.790-06:00Kishore- thanks for tackling this and for your con...Kishore- thanks for tackling this and for your continued leadership. I think it is important to note that the change in sterilization process was required in order to meet national infection control standards, which is part of our commitment to patient safety. This is also required to meet accreditation standards and our accountability to the Ministry of Health.<br /><br />Maura Davies,<br />President and CEO, SHRMaura Daviesnoreply@blogger.com