Snags in the US Health Care System – NY Times

I saw the common sense that can underlie workarounds when my hospital floor instituted bar code scanning for medication administration. Using a hand-held scanner to register bar codes on medications and patients’ hospital bracelets sounds smart. But then some medications routinely came without bar codes, or had the wrong bar codes, and we nurses weren’t given an easy way to report those errors. Patients’ wrist bands could be difficult to scan and the process disturbed them, especially if they were asleep. The lists of medications on the computer screen were also surprisingly hard to read, which slowed everything down.

But the biggest problem was that the scanning software did not work with our electronic medical records — so all drugs had to be checked off in both systems. This is a huge problem when dealing with patients like those receiving bone-marrow transplants, who might get 20 drugs every morning — some of which are delivered through IVs and come with nonstandard doses. What was already a lengthy process suddenly took twice as long.

The American Medical System Is One Giant Workaround, New York TImes
By Ms. Brown is a clinical faculty member at the University of Pittsburgh School of Nursing.

From the comment section:

I am a nephrologist (kidney specialist) who has been practicing for 40 years. I have been forced to use electronic health records by insurance companies and Medicare. If you attempt to read encounter notes from an EHR you realize that the purpose is not to transmit medical information, but rather to optimize coding and billing. I will read a referring doctor’s note in the EHR and be unable to find a section that describes what the doctor is thinking and planning to do to treat the patient. It’s all about diagnostic codes and billing.

My insurance company requires that I use home delivery after the third prescription refill. I initiated a change last Thursday. I have contacted the pharmacy through its phone app, Internet, and telephone. I have done the same with my health care provider. I spent a total of two hours working on this during business hours so far with no success. Today, I discovered that the aforementioned move must be approved by my insurance company. That’s right, the same insurance company that requires me to use home delivery is holding up the transfer. It will be at least another 72 hours before the medication is shipped. As a result, I will probably run out before it gets here.

It took me 21 months and hours and hours of phone calls and letters to get a cholesterol screening covered by my insurance company. The cash price that the lab was charging: $900. Yes, almost a $1000 dollars for something I could have paid out of pocket less that $60 (which is what insurance covers). The kicker is that $3.78 WAS paid out by the insurance company for the blood draw.

A yearly cholesterol screening is covered item number 8 on my 100+ page insurance coverage contract. It is listed on the first page as a covered item. After dealing with the insurance company for 6 months and having the claim denied 3 times, I was told to appeal. My appeal was denied, 15 months later. As far as I can tell, my insurance company breached state law no less than 3 times in terms of timeliness and inappropriate denials.

The insurance blamed the doctor, the doctor blamed the lab, and the lab blamed the insurance company.

 

Big problems in Tech

Ellen Pao – Has Anything Really Changed for Women in Tech? NY Times Op-Ed asks the question.

Susan Fowler – Blog post from February 2017, regarding her time at Uber. Specifically, her first hand recounting of harassment, human resources denial, and sexism in the work place.  (Mentioned in the above Pao article.) Reflecting on one very, very strange year at Uber. 

Note well. Something is wrong in tech culture.