If you do nothing.. you get nothing !

A ‘Dirty Bomb Explosion’ Patient Satisfaction

http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/48857

In the early 2000s the federal government discovered a new metric, patient satisfaction, and mandated hospitals to begin measuring and reporting satisfaction survey results. A generous interpretation is that the Centers for Medicaid and Medicare Services (CMS) mandate is a misguided attempt to guarantee quality in the healthcare for which they were paying.

According to USA Today, the management consulting firm Hay Group, found two-thirds of physician pay incentives are based on patient satisfaction scores.” It is clear that the American consumer believes MORE care is BETTER care, and American physicians have fed into that consumerism as a matter of self-preservation.

Patients no longer trust physicians because we have stopped acting like physicians and are behaving more like corporate spokespeople, reading pre-written, scripted, focus-group-tested, and consultant approved administrative talking points rather than having open and honest dialogue with them.

Physicians and other healthcare providers need to be able to focus on the needs of their patients rather than the expectations of administrators. That’s the irony of patient satisfaction — it distracts and ultimately removes the physicians’ attention from where it belongs — on the patient..

https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/cms10287.pdf

Star (satisfaction)  rating system for Medicare Part C and D  http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/Downloads/2014UserCallSlidesPlanPreviews.pdf

 

we keep premiums low by excluding expensive care

Growing number of restrictions in ACA drug coverage

http://www.wfaa.com/story/news/health/2014/12/12/word-warning-aca-drug-coverage/20327819/

Herrick says many health insurance companies are cutting back because enrollees are sicker than anticipated.

“That can drive up the costs of the plan,” he explains. “Meaning premiums will rise next year. So a way plans tend to deal with that is they might increase the cost sharing for certain drugs or certain services, which allows the plan to provide a cheaper premium.”

Within 259 pages of fine print, Tim Conway’s plan states it “does not provide coverage for compounded medications.”

Did you ever wonder why pharmacies can sell Rxs for only $4.00 ?

Some Indian drugmakers routinely toss out bad test results: Bloomberg

http://www.fiercepharmamanufacturing.com/story/some-indian-drugmakers-routinely-toss-out-bad-test-results-bloomberg/2014-12-03

At least a dozen drugmakers with operations in India were accused by the FDA last year of routinely throwing out negative test results of bad batches of pharmaceuticals, some of which eventually made it to U.S. consumers.

Bloomberg scoured FDA records, some obtained under the Freedom of Information Act, and found that failed batch tests designed to check for impurities were often deleted by a technician and then retested and labeled as safe.

According to a November 2013 FDA document, agency computer forensics experts found 5,301 failed chromatography test results that had been deleted at one Sun Pharmaceutical Industries facility alone, Bloomberg said.

W.Va. heroin overdose deaths in 2012 tripled

donquixoteRx drug overdoses linked to doctors; prescriber names to be sent to prosecutors

http://www.wvgazette.com/article/20141214/GZ01/141219687

But you won’t find the first mention of Heroin mentioned in this article !

West Virginia has the highest drug overdose death rate in the nation. The state also has the second highest rate of prescription drug use. West Virginia pharmacies fill more than 5 million prescriptions for controlled substances each year.

West Virginia has the highest drug overdose death rate in the nation. The state also has the second highest rate of prescription drug use. West Virginia pharmacies fill more than 5 million prescriptions for controlled substances each year.

Highest use of meds.. in WV.. there is a lot of people that work in the coal mines… hard work plus BLACK LUNG… think that there might be a higher needed for meds ?

Under the 2013 law, the state’s Office of the Chief Medical Examiner must send the names of drug overdose victims to the panel every six months.

From October 2013 through last March, about 150 West Virginians died of drug overdoses, according to the data the panel is now reviewing.

In about half of those deaths, the overdose victims took drugs prescribed legally by doctors or other medical professionals, such as a physician assistants or nurse practioners.  

They did not say they were prescribed for the person that overdosed on ???

The review panel examined each case and flagged 57 deaths that might be related to doctors’ mistakes or wrongdoing. The panel investigated whether doctors prescribed an excessive number of pills, or wrote prescriptions for two or more drugs that can be lethal if combined.

Not all doctors linked to overdose deaths will have their names sent to the medical licensing board and prosecutors. About 30 doctors instead will receive “educational letters,” urging them to use caution when prescribing.

“Maybe they didn’t prescribe anything that, alone, was terrible … or it wasn’t illegal or improper to prescribe the drugs, but they get a letter saying please use the utmost of care and make sure they’re not getting anything else from other prescribers,” Potters said.

The panel also identified pharmacists who could face discipline. Their names will be sent to the pharmacy board, but not to law enforcement. The pharmacists will receive letters from the panel later this month.

“If [people who overdosed] went to multiple doctors and got multiple prescriptions that they ended up dying from, but the one pharmacy filled all the prescriptions, that’s going to be a red flag,” said Mike Goff, who administers the drug monitoring program at the state pharmacy board

How many programs do we need to fail at the same goal ?

Isn’t this why D.A.R.E. (Drug Abuse Resistance Education) was created for in 1983 ?

http://www.dare.org/about-d-a-r-e/

NECC’s 14 owners,Pharmacists and others arrested


14 Arrested In Deadly Meningitis Outbreak Linked To Framingham Pharmacy

http://boston.cbslocal.com/2014/12/17/necc-owner-employees-arrested-in-deadly-meningitis-outbreak/

Cadden and Glenn Adam Chin, a pharmacist who was in charge of NECC’s sterile room, are charged with racketeering for allegedly causing the deaths of patients who received tainted steroids manufactured by the company.

Both are accused in a federal indictment of “acting in wanton and willful disregard of the likelihood ” that their actions would cause death or great bodily harm, officials said.

Chin’s lawyer, Stephen Weymouth, said he was stunned that prosecutors charged his client with second-degree murder under the federal racketeering law and that they allege that he and Cadden caused the death of patients.

All you need is a home computer ?

Overdosed: Addicts easily game a system with fraudulent prescriptions/Video

http://www.providencejournal.com/topics/special-reports/overdosed/20140406-overdosed-addicts-easily-game-a-system-with-fraudulent-prescriptionsvideo.ece

http://www.fiercehealthpayer.com/antifraud/story/forging-prescriptions-easy-criminal-says/2014-04-11

Forged prescriptions for controlled substances contribute to addiction, overdose deaths and increased healthcare costs. Prescription forgery is enabled by lax prescribing laws, limited tracking systems and medical professionals’ resistance to stricter prescribing practices, according to The Providence Journal. Prescription forgery is an underreported crime since doctors aren’t required to report patients who abuse prescription drugs. Further, the HIPAA privacy rule generally prohibits doctors from testifying against patients. Often by the time a pharmacist learns of a forged prescription, the suspect has left the store with drugs in hand. A criminal profiled by the ProJo, for instance, forged prescriptions by adding doctors’ names and DEA numbers to phony scripts created on a home computer. He used prepaid cell phones (so numbers couldn’t be traced) to call in prescriptions posing as a doctor. Then he filled more than 100 prescriptions in four months at 34 pharmacies. “They would just fill what I brought them,” he told the ProJo. “It’s crazy how easy it is.

Walgreens confirms flu patient records went to third parties


Walgreens confirms flu patient records went to third parties

http://www.wftv.com/videos/news/walgreens-confirms-flu-patient-records-went-to/vC59nH/

Watch your back – you could be labeled as incompetent based on health issues

York man suspended from practicing pharmacy

http://www.ydr.com/local/ci_27144583/york-man-suspended-from-practicing-pharmacy

The state Board of Pharmacy said Matthew Crouse is unable to practice due to a physical or mental disease disability.

He was indefinitely suspended for no less than three years retroactive to Feb. 19, 2013, according to a news release.

 

Sign away your rights and sell your soul to CVS ?

Former CVS Pharmacist Urges Company’s Employees to Learn about the New “Opt-Out” Option in Their Training Modules

http://beforeitsnews.com/the-law/2014/11/former-cvs-pharmacist-urges-companys-employees-to-learn-about-the-new-opt-out-option-in-their-training-modules-2456030.html

WESTBURY, NY — Anthony Tristano, an award-winning former Supervising Pharmacist who worked for CVS for more than 20 years, says that all employees undergoing LEARNet training must be made aware of how the company’s recent change in its work policy may deprive them of their rights.

CVS Health announced its new CVS Health Arbitration of Workplace Legal Disputes Policy last month in a manner that created an uproar within the ranks of Pharmacists, Pharmacy Interns, Pharmacy Techs and front-store employees.

The policy asks employees to preemptively give up their rights and to commit, as CVS notes at the bottom of page 6, “not just to go to arbitration instead of court, but to go to arbitration as a single individual party (where the focus will be on your claim) and not as part of a class or collective or representative action.” In other words, if an employee has a complaint with CVS, they must go it alone, in private arbitration, and they may not seek to recover for anyone else. This is supposed to form a mutually binding contract between CVS Health and its employees.

CVS Health just rolled this new policy out, with existing cases pending in multiple states by current and former CVS employees who are seeking to publicly protect the rights of their colleagues on a class-wide basis.