By Jonathan Nelson
The long-anticipated scope of practice showdown of the 87th Texas Legislature took place Wednesday, March 24, in the House Committee on Public Health. Two TAFP members — Tina Philip, DO, of Austin, and Troy Fiesinger, MD, of Sugar Land — joined a number of physicians who provided in-person testimony against this session’s attempt to grant advanced practice registered nurses the ability to conduct medical acts without a delegation agreement with a physician.
House Bill 2029 by Rep. Stephanie Klick (R-Fort Worth) would allow APRNs to prescribe medications, order and evaluate diagnostic testing, and prescribe durable medical equipment, all without any physician collaboration. These actions are clearly defined as the practice of medicine under Texas law, yet the text of the bill states that should HB 2029 become law, an APRN performing one of these acts “is not considered to be practicing medicine without a license.”more
By Larry Kravitz, MD, and Tuyet Tran
Swirling down with the suddenness of an unheeded prophecy, a storm descends on us, threatening to strip away our comfortable manner of practicing medicine. We are losing our templates for ordinary living. Everything has shifted. The pandemic is upon us, and it is the tip of the spear for the revolution of our future medical world.
As I record this reflection, I gaze out upon an unfamiliar landscape, a vast white blanket spreads over the fields behind my house. A polar vortex of climate change origin has descended to latitudes never before so compromised. Electric power is gone. Phone service is spotty. The Internet is dead. Water, little that there is, must be boiled. The gears and engines of my city’s infrastructure have slowed to a cold, eerie, and silent halt. The roads are impassable. I can’t get to my office. I can’t reach my patients by phone. They are hurting today. And it’s not just the homeless under the bridges. This unprecedented vulnerability will stretch its menacing fingers to the apartments of our blue-collar underclasses, and even seep into comfortable suburban mansions. This week, almost no one will escape this tide of disruption. People are going to suffer. Some will no doubt die today. Some will die alone.more
By Elizabeth Kravitz and Larry Kravitz, MD
We are two generations of primary care providers. The father, a family physician, is in his 42nd year of medical practice. The daughter, just beginning, is a fourth-year medical student at Baylor College of Medicine pursuing obstetrics and gynecology. We are at opposite ends of our medical careers, but we collaborate on our health care perspectives more than we clash. Today, we share my daughter’s view of a physician’s role in promoting democracy.
With COVID-19 as a catalyst, the organizations developed recommendations to fundamentally change the way primary care is financed, improve health equity, and boost clinicians’ ability to offer seamlessly integrated care
By One Voice
Seven of the nation’s largest primary care physician organizations have released recommendations on the urgent need to change the way primary care is delivered and financed. The American Academy of Family Physicians, the American Academy of Pediatrics, the American Board of Family Medicine, the American Board of Internal Medicine, the American Board of Pediatrics, the American College of Physicians, and the Society of General Internal Medicine represent more than 400,000 physicians and have created a unified vision to change the conversation and modernize primary care as we know it.
This collaborative work comes at a critical time when the health of the population has weakened and the primary care setting has been severely strained by COVID-19. Handling nearly 40% of all health care visits, primary care clinicians have made incredible adaptations to continue to provide care during the pandemic, yet they have been largely left out of national pandemic relief legislation. A series of clinician surveys conducted during the pandemic has shown widespread closures and layoffs among primary care practices despite the critical role these practices and clinicians play in pandemic recovery efforts.more
By Edith Ortiz, MBA
The Child Psychiatry Access Network can assist a primary care physician during a mental-health-focused assessment in the office, providing them with education and recommendations for evidence-based interventions. Studies show that families place enormous trust in you, their family doctor, and often prefer to have mental health issues managed without a referral to a specialist. Our CPAN team is there to support that process as well as help locate mental health services when the problem is severe and warrants specialty intervention.
We are happy to take a call whether the patient is in your office or not. Call us when you get that inbox message and are not sure of the next steps. Call us when an intervention you have recommended is not effective. Call us when you want help explaining a mental health challenge to a family. You will reach a team member within five minutes of your call, and if a child psychiatry team member is needed to assist, they will call you back within 30 minutes.more
By Gracie Awalt, Marketing Associate
Texas Medical Liability Trust
A small, rural hospital contracted with an emergency medical group for emergency department coverage. The group was paid monthly by electronic funds transfer, or EFT, from the hospital’s account to the ED group’s account.
In June, the hospital received an email invoice from the ED group with instructions to send payment to a new account. The hospital sent the $200,500 payment to the new account on July 10.more
By Anticipate Joy
As a Texan, you may have been physically, financially, and emotionally challenged by the recent weather storm. As physicians, you likely have the added stress of the care of your patients during this challenging time. So this month we felt the need to focus on your emotional health. Are you taking care of your emotional health?
Let’s take a short quiz to find out by honestly answering the questions below:more