Monday, June 25, 2007

Doctor groups ask: Is prescription info used to improve safety or to boost sales?

AMA faces storm on data sales - Doctor groups ask: Is prescription info used to improve safety or to boost sales? By Bruce JapsenTribune staff reporterPublished June 24, 2007

How do pharmaceutical companies know which doctors prescribe the latest and most expensive brand name drugs? They have inside information on the prescribing habits of virtually every doctor in the United States. Pharmaceutical and device manufacturers buy this information from the American Medical Association and from companies that match the AMA's data with pharmacy records. While such practices have gone on for years, the issue is expected to be a hot topic at this week's annual meeting of the AMA in Chicago, with some groups planning to protest during the gathering at the Hilton Chicago. "Doctors are not aware that companies are out there that know every prescription a doctor prescribes," said Dr. John Santa, an internist at the Portland Veterans Affairs Medical Center and consultant to the Prescription Project, which is part of a coalition trying to curb drug companies' access to doctor prescribing information. Read more...

Monday, June 11, 2007

The Joint Commission’s New Speak Up™ Program

The Joint Commission’s New Speak Up™ Program
Urges Patients to ‘Know Your Rights’

(OAKBROOK TERRACE, Ill. – June 8, 2007) The Joint Commission has launched a national campaign to help Americans understand their rights when receiving medical care. “Know Your Rights” is part of The Joint Commission’s award-winning Speak Up™ program that urges people to take an active role in their own health care.

Patients who ask questions and are aware of their rights have a greater chance of getting the care that they need when they need it. “Know Your Rights” provides tips to help people become more involved in their treatment, thus improving the safety and quality of care received. The campaign advises patients that they have a right to be informed about the care they will receive; get information about care in their preferred language; know the names of their caregivers; receive treatment for pain; receive an up-to-date list of current medications; and expect that they will be heard; and treated with courtesy and respect.

“Knowing your rights regarding treatment and care is the foundation for all interactions with your caregivers at health care facilities. Candid conversations between patients and their caregivers will help facilitate the delivery of safe, high quality care and ultimately, enhance recovery,” says Paul Schyve, M.D., senior vice president, The Joint Commission.

Specifically, The Joint Commission advises people to:

· Think about how family or friends can play a role – Patients should ask how to designate a family member or friend as an advocate who can get information and ask questions. It is also important to understand the decisions an advocate cannot make for you unless they have been legally assigned that responsibility through an advance directive or power of attorney.

· Understand rights related to information – The law requires health care providers to keep a patient’s health information private, so a form must be signed if a patient wants his or her information shared with his or her advocate or others. Patients also have a right to have care providers fully explain treatment options and risks.

· Ask questions before entering a health care facility – Discuss issues such as infection control, life support, spiritual needs, security, how to handle a problem or complaint, any procedures that cannot be done at the facility for religious reasons, and how to obtain copies of medical records and test results.

· Ask your doctor questions – It is important to know how often the doctor will visit during a hospital stay, who is responsible for care when the doctor is not available, what happens if life-saving actions are taken, and how care will be handled if a test or procedure shows that another procedure is needed right away

The Joint Commission’s “Know Your Rights” safety campaign is part of its Speak Up program. The basic framework of the Speak Up campaign urges patients to:

Speak up if you have questions or concerns, and if you don't understand, ask again. It's your body and you have a right to know.

Pay attention to the care you are receiving. Make sure you're getting the right treatments and medications by the right health care professionals. Don't assume anything.

Educate yourself about your diagnosis, the medical tests you are undergoing, and your treatment plan.

Ask a trusted family member or friend to be your advocate.

Know what medications you take and why you take them. Medication errors are the most common health care errors.

Use a hospital, clinic, surgery center, or other type of health care organization that has undergone a rigorous on-site evaluation against established state-of-the-art quality and safety standards, such as that provided by the Joint Commission.

Participate in all decisions about your treatment. You are the center of the health care team.

Consumers can download the free Speak Up brochure that provides specific guidance
to exercise their rights by visiting The Joint Commission website, www.jointcommission.org. Speak Up™ brochures also are available on understanding medical tests, recovering after leaving the hospital, preventing medication mistakes, preventing infections, preparing to become a living organ donor, avoiding wrong site surgery, and preventing errors in care.

All of the Speak Up brochures are being redesigned in an easy-to-read format and will also be available in Spanish. To sign up to receive future issues of Speak Up via e-mail, please go to www.jointcommission.org/signup to join the Speak Up listserve.

Friday, June 08, 2007

Family's fight for malpractice disclosure keeps son's memory alive

Centennial Citizen
By: Peter Jones, Staff Writer
It would be difficult not to feel the sadness that permeates the Centennial townhouse of David and Patty Skolnik.
David sits for only a few minutes to talk about his family tragedy before restlessly getting up to putter around the house and water plants.
Patty's warmth is immediate and welcoming, but the loss of Michael, her only child, has left scars that cannot be hidden by a bittersweet smile. Read more...