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    ACP urges collaborative action to put patients before paperwork


    The policy recommendations include:

    • Stakeholders developing or implementing administrative tasks should provide financial, time and quality of care impact statements for public review and comment;

    • With more focus on value-based care, stakeholders should review and consider streamlining or eliminating duplicative administrative tasks; and

    • Aiming for performance measures that minimize unnecessary burden, maximize patient-and family-centeredness, and integrate measurement of and reporting on performance with quality improvement and care delivery.Nitin S. Damle, MD, MACP

    “We need to work together with payers and other stakeholders to really make a difference,” said ACP President Nitin S. Damle, MD, MACP, who is also a practicing physician in Wakefield, Rhode Island.


    Further reading: Top 10 challenges facing physicians in 2017


    Shari Erickson, MPH, vice president of governmental and medical practice for the ACP, said the organization has already sent advocacy letters to several stakeholders urging action on their policy recommendations, including America’s Health Insurance Plans, the Centers for Medicare & Medicaid Services and the Health Information Management Systems Society’s EHR Association, comprised of various system vendors.

    “We’ve already heard back [from some] interested in engaging in discussions with us,” said Erickson, adding that she was “encouraged” from the early feedback.

    Internists attending a session were thankful for the initiative, but others, like Puplampu, felt time was not on the ACP’s side.

    “This is a case of too little, too late,” said Henry Haire, MD, FACP, medical director for Florida Atlantic University’s Resident Internal Medicine Clinic, who, like Puplampu, left his day-to-day internist practice after 22 years to go to academia.


    Related: Is outsourcing the key to solving physician burnout?


    Now, as a teacher of future physicians, Haire said he sees residents already turning away from a career in practicing medicine for other endeavors due to the various stressors that await them in the profession.

    “We’ve killed the future of primary care practice,” he said. “But I believe there is hope.”

    Next: Reducing administrative tasks


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    • [email protected]
      Wow, good luck with this ACP, the solution looks as burdensome as the problem. May take as long to implement this plan as it did for healthcare to get to where it is now in this hot mess. I am loving a life of no insurance in Direct Primary Care!
    • [email protected]
      This article is laughable! I don't even understand the "steps" to avoid burnout listed above. More gobbledigoop from those entrenched in this mess we call healthcare. The ONLY viable solution is for more doctors to shed their practices of insurance billing and EHRs, return to well-kept written records and take care of your patients as your primary goal. Cash is king for many businesses including healthcare. Stop relinquishing control to NPs and PAs and take back patient care. Let patients know they are your primary concern. Charge a fair but low price for your services and only accept cash or check. Let the patients handle their insurance billing with a receipt from you for services rendered. Heck, they do it for their auto insurance when applicable! I have been doing this for years and have had to close my practice to new patients I was so over-whelmed. It is risky and scary but the overhead is much lower and the stress level is rock-bottom! Find a niche practice and talk to your patients. They are not getting that anywhere. They will value that above all else. Good luck. Things are not going to get better by creating more complicated business analysis steps that you have to have an masters degree to understand. We are physicians-not health care providers or wall street experts!
    • UBM User
      AMEN! You are right on! I bailed out of insurance and Medicare/Medicaid a few years ago and went back to practicing medicine the way we are supposed to: putting all our efforts and concerns into our patients. Now I really enjoy the calling God gave me.

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