Meeting the front line and academic leaders of this emerging paramedical sub-specialty and hearing their stories #mihcp #communityparamedic #sdoh

Joined March 2020
Integrated: the Community Paramedicine podcast retweeted
IT’S NOT THE DOCTORS DRIVING UP HEALTHCARE COSTS!!! LOOK AT WHAT THESE SOULLESS, GRIFTING, CHARLATAN, MONEY WORSHIPPING, INSURANCE COMPANIES ARE DOING!!! THEY ARE LYING ABOUT DIAGNOSES TO MAXIMIZE BILLING!!! WHY ISN’T THE FEDERAL GOVERNMENT AUDITING THESE THIEVES AND TAKING THEM TO COURT?!?!!? @CMSGov, @SecBecerra, @FTC QUIT BEING INDUSTRY SHILLS AND DO YOUR GODDAMNED JOBS!!!
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And the impact this has on not only patient outcomes but patient engagement overall can only be guessed at... – at Boston, PA
Replying to @chungk1031
It’s not a technology barrier, it’s a perverse incentive barrier. Hospital and multispecialty group administrations have big incentives to make filesharing as difficult as possible: 1) Outmigration moat: if it’s too easy to share films to outside physicians, patients might get a second opinion and stick with the outside doc. Making file sharing difficult makes it harder for patients to leave. 2) HIPAA enforcement paranoia: Admins believe that it is easy to get sued/fined if you accidentally share too much info (violating privacy), whereas no one has ever heard of getting sued/fined for sharing too little info. 3) Lack of feedback: If your healthcare group is bad at sharing films with physicians inside your group, those physicians will complain and admin has pressure to do something. But if you’re bad at sharing outside your group, the outside physicians have no way to get anyone to listen to their feedback.
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Many people read your note
People who read your note: EMTs PCPs Coders Patients Lawyers Auditors Coroners Future you PT/OT/STs CDI nurses Insurances Hospitalists Abstractors Consultants Pathologists ER physicians Social Workers Appeals teams Bedside Nurses Case Managers Mortality committees to name a few
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Who else is here for the 2023 Mobile Integrated Health and Community Paramedicine Clinical and Leadership Summit? Talking about the @CAMTS1 #MIH #MIHCP program standards later today @namihp @AtriumHealth
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Excellent thread and has significant implications beyond physician specialization and compensation
Just came across this tweet and it does a better, concise job of explaining the persistent, structural undermining of #valuebasedcare than most any other single source I've read.
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The @AtriumHealth #MIHCP #CommunityParamedic summit is the largest #MIH centered professional conference and should be on your priority travel list
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Great synopsis and some real action items
Things I'm thinking about while sipping a beer before flying out from #NAEMSP2023 1) There are so many brilliant minds in EMS. Agencies across the country and the world are pushing the industry forward.
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Certainly critical for physicians, but understanding regulatory burden and not falling prey to unnecessary "CYA" complications (that tend to compound) is key to improving access to care and decreasing barriers ama-assn.org/practice-manage…
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Say it louder for your peers and the rest of us in healthcare/medicine
Replying to @Nouronal
More often than not numerous risk factors are inaccurately oversimplified into a patients race which leads to (a) premature diagnostic closure and (b) false attribution of biological significance to race