Dr. Cagan. BCMS President and Moderator

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Lee Berry
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1 Dr. Cagan BCMS President and Moderator

2 Alternatives Careers for Physicians (Medscape Critical Care, 3/14/15) Hospital administration Hospital advisor for documentation, billing, quality, safety and Medicare audits Practice management consulting Practice management company employment Career coach for practicing physicians Medical computer technology Insurance claims reviewer Financial planner (based on experience in practice management) Venture capital company reviewing potential medical technology investments Retail or manufacturing (outside medicine) Employment by pharma Physician recruiting Freelance medical writer CME company Non-medical teaching (sciences) Encore career outside medicine (personal passion)

Financial planner (based on experience in practice management) Venture capital company reviewing potential medical technology investments Retail or manufacturing

3 Alternatives Careers for Physicians Medscape Critical Care, 3/14/15 Hospital administration Hospital advisor for documentation, billing, quality, safety and Medicare audits Practice management consulting Practice management company employment Career coach for practicing physicians Medical computer technology Insurance claims reviewer Financial planner (based on experience in practice management)

management consulting Practice management company employment Career coach for practicing physicians

4 Alternatives Careers for Physicians Medscape Critical Care, 3/14/15 Venture capital company reviewing potential medical technology investments Retail or manufacturing (outside medicine) Employment by pharma Physician recruiting Freelance medical writer CME company Non-medical teaching (sciences) Encore career outside medicine (personal passion)

(outside medicine) Employment by pharma Physician recruiting Freelance medical writer

5 The final approval of privileges to care for patients in a hospital rests with: Dr. Mydler 0% A. President of the Medical Staff/Chief of Staff 75% 0% 4% 21% B. Board of Trustees of hospital/organization C. CEO- Chief Executive Officer D. CMO- Chief Medical Officer E. MEC- Medical Executive Committee

President of the Medical Staff/Chief of Staff 75% 0% 4% 21% B.

6 All of the following except one are part of the patient experience measures (HCAHPS). 4% A. Pain management 4% 0% 8% 83% B. Nurse communication C. Doctor communication D. Cleanliness of the room E. Cost of hospital stay

7 Disruptive physician behavior has been linked to causing patient harm. 92% A. True 8% B. False

8 CMS (Center for Medicare and Medicaid Services) and some health insurance companies can decrease payments to a hospital for all of the following measures except one. 0% A. CAUTI- Catheter associated urinary tract infection 0% 8% 80% 4% 8% B. CLABSI- Central line associated blood stream infection C. Readmission to the hospital D. Failure to complete an updated History & Physical Exam E. Fall in the hospital associated with injury F. Pressure ulcer that develops during hospital stay

CLABSI- Central line associated blood stream infection C. Readmission to the hospital D.

9 Patient, physician, and employee safety is of critical concern in providing healthcare today. The most common etiology of patient injury in the hospital is: 0% A. Falls 84% 4% 12% 0% B. Medication error C. Wrong sided surgery D. Hospital acquired infection E. Diagnosis error

The most common etiology of patient injury in the hospital is: 0% A.

10 Which of the following lines from classic rock songs best describes the role of the CMO? 10% 0% 0% 0% 10% 81% A. You can t always get what you want. Rolling Stones B. We were born to run. Bruce Springsteen C. Don t stop believin. Journey D. Won t be fooled again. The Who E. Keep pushin on. REO Speedwagon F. All of the above

Rolling Stones B. We were born to run. Bruce Springsteen C. Don t stop believin.

11 Dr. Replogle ALTERNATIVES IN MEDICAL PRACTICE SESSION

12 1. What are the causes of the dysfunctional health services sector of the economy we find ourselves in? A. employer tax-advantaged payment of health care services B. third party-payers for health care services in general C. government welfare schemes like Medicare, Medicaid, Obamacare D. government wage/price controls and mandates E. use of insurance to pay for basic health care needs/wants F. all of the above

third party-payers for health care services in general C.

13 2. What are the potential threats to physicians trying to operate outside the government controlled health care services system? A. financial insecurity B. threat to licensure C. threat to reputation media/political trashing D. government sanction E. higher threat of malpractice suit victimization compared to government employed physicians F. all of the above

threat to reputation media/political trashing D. government sanction E.

14 3. Why is freedom to choose important for contraception/abortion issues but not for all other health care decisions by individuals? A. political expediency B. typical ideological hypocrisy C. political correctness D. freedom of choice for me but not for thee E. all of the above

political expediency B. typical ideological hypocrisy C.

15 4. What is different about health care services from other services sectors that are not dysfunctional in the US? A. the belief that healthcare is a right B. the idea that all problems, real or imagined, can be solved by government regulation C. the idea that no problems can be caused by government action and the answer is always more government regulation or more money D. government involvement other than enforcing the law equally E. all of the above

the idea that all problems, real or imagined, can be solved by government regulation C.

16 5. How could you provide quality health care services that people are willing to pay for directly outside the welfare plans and government controlled hospitals and insurance companies? A. look at dental services, LASIK, cosmetic surgery B. avoid all third party payers C. avoid hospitals and JCAH accredited facilities D. be properly licensed, credentialed, and accredited but operate out of your office E. all of the above

look at dental services, LASIK, cosmetic surgery B. avoid all third party payers C.

17 6. What are the general economic effects of government wage/price controls and mandates? A. market distortions B. shortages C. black" markets D. all of the above

18 7. Why is it easier and less expensive to operating in health care services for things like cosmetic procedures, LASIK, or dental care? A. more control over services B. direct patient to physician relationship C. lower overhead D. less government inefficiency, graft, and corruption E. all of the above

more control over services B. direct patient to physician relationship C.

19 8. What are the causes of the rising or outof-control costs of healthcare in the US? A. market distortions caused by government wage/price controls B. malpractice insurance and avoidance of liability claims C. third party payers for health care needs/wants D. the use of insurance for basic health care services E. general government waste and inefficiency like the Denver VA hospital build F. all of the above

malpractice insurance and avoidance of liability claims C.

20 9. Why can t a physician, physician s group, or hospital survive financially with all Medicare patients (let alone Medicaid or Obamacare)? A. reimbursement for services too low B. market distortions on value, cost, prices C. overhead caused by government controls D. mandated services E. loss of control over services and relationship between patient-physician F. all of the above

market distortions on value, cost, prices C. overhead caused by government controls D.

21 10. What is the answer to our current problem in the health care sector and as physicians A. get the government out of controlling health care services B. operate outside the government-controlled system C. retire D. work as an employee and accept what you re paid and told to do E. any of the above

22 Approximately how many states have Direct Primary Care (DPC) providers? Dr. Flanagan 11% A. 10 7% 18% 64% B. 20 C. 30 D. 40

23 A Direct Primary Care Plan plus a High Deductible Health Plan (HDHP) meets the requirements of the Affordable Care Act. 90% A. True 10% B. False

24 Qliance (DPC) examined insurance claims data from 2013 and 2014 for approximately 4,000 Qliance patients covered by employer benefit plans, and compared the cost of their care to that of non-qliance patients who worked for the same employers. Not only did they have increased patient satisfaction but Qliance also saved employers what percentage of overall healthcare costs? 0% A. 5 4% 11% 86% B. 10 C. 15 D. 20

25 In 2014 the municipality of Frederick, CO (Nextera Healthcare members) ranked where among 300 employer groups in Colorado (represented by their insurance broker) when it came to actual claims made? 92% A. Lowest 0% 8% 0% B. Highest C. 25% D. 75%

26 Which of the following local breweries has been using Nextera Healthcare for years? 8% A. Avery 0% 0% 92% B. Oskar Blues C. Upslope D. Left Hand Brewing Company

28 The Board of Directors would like you to vote on the next meeting we will host this summer. 11% A. The Electronic PDMP 67% 22% B. Death With Dignity Bill C. COPIC Presentation on EMR Liability

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