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May 17, 2018
              FHIweekly               
Volume IX |  Issue 20     
Informed Consent is Not Just a Piece of Paper 
Dana N. Taylor, MHA, CPHRM, CPPS
Mutual Matters

For years you've been told that informed consent is a process, not just a piece of paper. That's true, and now there's increasing scrutiny of those forms by regulatory agencies. What we've found, as with many of the Centers for Medicare and Medicaid Services (CMS) regulations, is that enforcement by state Department of Health investigators and review by The Joint Commission surveyors has been somewhat inconsistent. Interpretation of the regulations largely depends on the investigator's or surveyor's background.
Sponsor

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UCF's Limbitless Solutions Launches Clinical Trial Of 3D Prosthetic Arm  
Catherine Welch | WUSF

The University of Central Florida and Oregon Health & Science University have launched the first clinical trial for a 3D-printed prosthetic arm for children. The trial will follow 20 kids between 6 and 17 years old fitted with a custom designed arm. The clinical trial is a step toward getting approval from the Food and Drug Administration to market the prosthetic arm to the public.

"Being able to collaborate together, seeing those kids' smiles light up when they see the new arms that they might apply for, it's unbelievable. So happy," said Albert Manero, CEO and co-founder of Limbitless Solutions.
FHIcommunications
Telehealth delivers a win-win when the physician is onboard
Accountable Care Options

The biggest challenge when implementing a telehealth program isn't patient compliance, it's participation by the primary care physician. Doctors' daily schedules are so filled with  patient office visits that unless they set aside time for appointments with patients who have telehealth equipment in their homes, they don't experience the full benefits that remote health care can provide. 

Some physicians are doing a phenomenal job using telehealth to supplant office visits and monitor their patients. We call them our pioneers, and they speak to other doctors about utilizing telehealth, its advantages, and how to integrate it into the workflow. For example, a pioneer might have one day of the week where the office closes at noon. The physician allocates part or all of that afternoon for telehealth assessments.

Physicians quickly learn to give themselves a bit more flexibility because these appointments can take from 15 minutes to an hour. The appointment length depends on the questions they ask and the patient's circumstances... 
Sponsor
Nicklaus Children's Hospital is South Florida's only licensed specialty hospital exclusively for children, with nearly 800 attending physicians and more than 475 pediatric subspecialists.

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The Case For Professional, Not Just Personal, Resilience  
 
A Country Doctor Writes

  The answer to physician burnout is purported to be Resilience Training. That's like glorifying the natural ability of frogs to tolerate gradually heating and boiling water.

Unfortunately, healthcare today has some toxic ingredients, and physician burnout is directly related to them. Some forms of resilience training I have been exposed to are no more than mental escapes away from medicine, such as art, music and personal relationships.

Those types of activities may in some way, for some people, balance the toxicity that has infiltrated our workplaces, but they don't change the fact that every day as a practicing physician could be hazardous to one's mental, or even physical, health. 

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