ClickCare Café

The Healthcare Collaborators It's a Mistake to Overlook

Posted by Lawrence Kerr on Tue, Feb 12, 2019 @ 06:00 AM

ben-white-998822-unsplashMost healthcare providers struggle to collaborate with even the most essential of their colleagues. Many of us are stuck in the "dark ages" of phone tag or hoping that the EMR/EHR manages to coordinate different provider visits and perspectives. (I'll give you a hint: it doesn't.) 

While iClickCare is commonly used in hospital settings, private practices, or home healthcare, you might be surprised to know that iClickCare actually originated in elementary schools, with a school-based healthcare program. Our Founder is a pediatrician and she created the tool to collaborate with nurse practitioners at local low-income elementary schools. The goal was to use telemedicine to collaborate, coordinate care, and keep young students in class by resolving health problems more efficiently.

So when I heard about a recent program with similar goals, I was glad to know it is succeeding -- even as there are key aspects of it that fall short.

 

In 2012, Children's Hospital Colorado started a program with school and corporate collaborators -- it works with school nurses to train students to manage their asthma more effectively. 

The question asked in the article, "Are schools part of the healthcare system?” is an important one -- and I would answer with a resounding Yes. As Dr. Deterding said, “Even though schools may not want to be a medical healthcare delivery system, they are. ”In fact, I believe that “the healthcare system” includes far more collaborators than one would think. It’s not just doctors, nurses, and hospitals. Our collaborators in medicine include social workers, teachers, parents, kids, school nurses, home health aides… the list goes on and on and is unique for each patient.

According to Fierce Healthcare’s summary, participants in the Colorado program "experienced a 22% drop in school absenteeism and an 80% decline in hospitalizations and urgent care visits among pediatric asthma patients.”

While this is an exciting program, with strong results, I do think that we can do even better. Ultimately, this program doesn't create a foundation to improve the way we care for young patients overall -- it simply resolves one aspect of a complex care scenario. While results were excellent, I worry that the intervention isn't holistic enough or sustainable because it's not involving the full picture of these young patients' care. That said, I think there are several crucial learnings from this project that we can all take away. 

3 Key Care Coordination Learnings from a School-Based Health Program:

  • The people closest (geographically or emotionally) to our patients may have the strongest ability to support them.
    In this case, the people consistently close to these young patients are school nurses. School nurses are close in terms of physical access, are embedded in the students' community and cultural context, and likely know the students personally. Similarly, it's crucial to recognize the similar closeness of wound care nurses, home health aides, teachers, social workers, and others. Medicine can become very hierarchical, in which specialists are hyper-valued. But the reality is that for the best care to happen, we need to collaborate with the people closest to our patients as well. 
  • Working across the continuum of care can be a powerful way of achieving new results.
    The new world of healthcare requires that we expand our understanding of who is part of the care team. But I believe that it's not enough to simply engage school nurses to execute a program. We must truly collaborate across the continuum of care. We have seen over and over again that this approach yields a strong ROI and best-in-class patient care.
  • Tools used to bridge different aspects of the healthcare system must be robust and flexible. 
    What does that mean specifically? It means that our tools must do more than support us in treating a single disease, as with this asthma program. Rather, we need tools like telemedicine-based healthcare collaboration that help manage asthma today, a cancer scare tomorrow, and a complex broken leg next year. Healthcare is too complex, and our patients are too valuable, to settle for single-use tools.

With the inspiration of both the strengths and shortcomings of this program, I encourage you to look more broadly in your practice today. More broadly in terms of who you see as part of the care team... and more broadly in terms of what you expect from the tools you use in your practice of medicine. Our patients deserve more and better care coordination and healthcare collaboration -- and we deserve more and better satisfaction from the work we do.

 

Learn more about hybrid store-and-forward telemedicine and how it can help you do care coordination across the continuum of care:

ClickCare Quick Guide to Hybrid Store-and-Forward 

 

Tags: hybrid store and forward medical collaboration, nurse practitioners, nurse collaboration, healthcare collaboration software

Your Medical Team is Changing, Whether You Like It or Not

Posted by Lawrence Kerr on Tue, Jul 31, 2018 @ 07:00 AM

rawpixel-577480-unsplashOne of my favorite parts of medicine is the experience of working across the continuum of care, with providers from a variety of backgrounds. Certainly, colleagues like nurse practitioners and RNs are deeply valued but people like orderlies and administrators are also passionate parts of the healthcare system that form key parts of the team. 

In my practice, one of the most successful parts of the what we did was to demonstrate in word and action that every single person, who is part of the medical team, is deeply valued and has a unique contribution that only he/she can bring. This approach was brought into our lauded Cranio-facial Team, as well, through which providers from social workers to plastic surgeons to oral surgeons, each of whom collaborated on complex cases like cleft palate and cleft lip care. In short: much of the richness I find in medicine comes from the diversity in our medical teams. 

That said, it can feel unmooring or even alarming to notice the ways that our medical teams are changing, especially when it comes to a relative decrease in the importance of physicians and the boom in numbers of providers like nurse practitioners. 

A recent article in the New England Journal of Medicine, Growing Ranks of Advanced Practice Clinicians — Implications for the Physician Workforce, looks at the boom in advanced practice registered nurses (APRNs), relative to the almost imperceptible growth of physicians in the US.

To start, one simple fact stood out to me: “Throughout the history of modern medicine, physicians have made up the vast majority of professionals to diagnose, treat, and prescribe medication to patients.”  This, of course is changing. An increasing part of healthcare is done by advanced practice registered nurses (APRNs), including nurse practitioners and physician assistants. Even with the current numbers, 41% of physicians work with nurse practitioners.

While the number of physicians in the US is growing very slowly (projected at 0.5% per year 2016-2030), the number of APRNs is growing quickly. Training times for these providers are shorter and there are fewer institutional constraints. The article authors did a rigorous projection of expected physician growth alongside expected APRN growth, based on census data, growth rates, and other key data. The result is that comparing 2001 to 2030, the percentage of APRNs relative to the pool of providers and APRNs together will go from 13% to 35%.

As doctors, we can bemoan these changes. We are all too familiar with the depth and rigor of the training we’ve received and it’s hard to fathom how an APRN can provide care that is as good as training that is less sophisticated.

But the reality is that, as the study authors assert, "These dynamics will have lasting effects on the composition of the health care workforce and working relationships among health professionals.”  Our medical team is changing -- our choice is how we adapt our work so that our medical teams can be as effective and satisfying to us as possible. 

The authors state unequivocally that “The changing composition of the workforce will have implications for provider teams.”  They point out that primary care providers are tending to work in larger groups with varying backgrounds and types of training. But this doesn't always go smoothly. Alarmingly, a recent study of NPs and physicians working on primary care teams “found that physicians, other staff, and patients often confused the roles and skills of various providers and that these misunderstandings often led to practices undermining the productivity and efficiency of NPs.”

This is where I believe my colleagues who are innovating in the field of care coordination, medical collaboration, and hybrid store-and-forward telemedicine have some crucial insights to share. By using telemedicine-supported healthcare collaboration, we fundamentally change the orientation of medicine from a sole provider giving the best care she can to a team of providers offering the best care they can. If we are individual providers working on our own, APRNs are a threat to physicians, and vice versa. Further, their very existence muddles things, creating confusion in care plans and complicating care coordination. In many instances, this is how things are right now.

On the other hand, if we have a consistent system to use telemedicine-based healthcare collaboration to work as a team -- like iClickCare -- then APRNs and physicians can work together smoothly, each contributing his/her unique perspectives in a way that doesn't detract from the work of the other. 

And ultimately, that's a more satisfying, effective, easeful way to work, regardless of what the healthcare landscape looks like now, or in the future.

You can try iClickCare without cost or implementation challenges. Get it free here:

Try the iClickCare 14-day evaluation

Tags: nurse practitioners, care coordination, telemedicine technology, Physician Assistant, healthcare collaboration software

The Key People in Health Care Collaboration? They're Not Always Doctors.

Posted by Lawrence Kerr on Mon, Aug 17, 2015 @ 07:30 AM

Medical collaboration across the continuum of care

 

One thing people have a hard time understanding about iClickCare is that it enables fairly open-ended communication and collaboration among multiple people on a patient's case. Everyone from aides to caregivers to parents to specialists to nurses teachers have been known to collaborate -- even on a single case. 

  • No, we explain, it's not just the transmission of orders through a medical system.
  • Yes, we assure, it's different from one-to-one text messaging, both because multiple parties share opinions in one place and because you can use multimedia. 

Not every medical provider appreciates just how important this is. But the ones who have collaborated with different kinds professionals throughout their career "get it" immediately:

  • "So, a teacher can collaborate on a patient's case and share how the surgery is affecting the patient at school? THANK GOODNESS."
  • "Finally! I can include technicians and aides in the conversation, who often have more up-to-date knowledge of the patient's status!"
  • "The fact that everyone on the case can 'ring in' on their timeframe, and that we can review all those comments later-- well, it changes everything." 

The sense of relief and excitement that many providers feel when they learn they can use a telemedicine tool to do medical collaboration across the continuum of care is palpable.

This sentiment was echoed recently in a couple of pieces from doctors in the New York Times. Dr. Klitzman shared his discomfort in trying to connect patients to the religious and spiritual help they may need -- and feeling like there was no mechanism to communicate with people outside of the patient's medical team who could help with their medical care. He says, "I occasionally noticed priests in white collars and rabbis wearing yarmulkes or black hats riding the elevators and walking the halls, but was surprised to find that other doctors and I simply ignored them, never speaking to them." There are simply not good protocols for including "providers" that aren't necessarily the traditional core team in the care of our patients. (In this case, religious leaders and caregivers.) That's a big reason iClickCare is intentionally "open-ended" (even as it is HIPAA-secure) so that providers can loop in the people most crucial to the patient's holistic care -- whether those people are doctors or not.

A related episode was described by Dr. Zuger. She shared a humbling moment when a patient was given an X-ray on the wrong foot because she'd accidentally made the order that way -- and the technician insisted that the X-ray be done consistent with the order, despite the patient's repeated protests. How much simpler would it be if the tech could have sent the prescribing physician a quick message to confirm the order? That way, all the providers, across the spectrum of care, are providing value -- not just following orders in a chain of command.

We're big proponents of the use of telemedicine for this kind of medical collaboration, but it can happen in real life (and real time), too. It just takes the bravery to ask the questions, the humility to collaborate with whoever is the most appropriate, and the creativity to find and make the protocols yourself.

 

You can try iClickCare for free, if you want to experiment with this kind of medical collaboration. Click here to find out more: 

Try the iClickCare 14-day evaluation

Tags: telemedicine, medical collaboration, nurse practitioners, good medicine, healthcare collaboration, nurse collaboration

5 Lies About Healthcare Provider Burnout

Posted by Lawrence Kerr on Tue, Nov 19, 2013 @ 08:07 AM

teatime resized 600

Healthcare provider burnout is something we talk about a lot in this blog. But that doesn't mean that we're not prone as anyone else to believing the lies, myths, and misinformation realted to the extreme stress and fatigue that providers face. 

Sometimes we just need to understand what is happening in our lives in order to change it. So, in our quest to support happy providers and healthy patients...

A roundup of 5 lies about healthcare provider burnout we've come across:

  1. Doctors are most impacted by provider burnout.
    Actually, nurses, aides, and other key players in medicine face burnout in equal or higher numbers as doctors. This profile shows a vivid picture of one nurse's stressful day -- and we find it helpful to know that regardless of our role on the team, we're all facing the same stress. 
  2. Feeling burned out means you don't like your job.
    As RN Theresa Brown points out in this Huffington Post article, that's far from the truth, "You can feel like you love a lot of things about your job but you can still be getting burned out about the job."
  3. Burnout comes from caregiving at work. As baby boomer parents reach the age when they need caregiving, there are increasing numbers of healthcare providers whose caregiving starts again as soon as they get home. These double-duty providers need to take special care to prevent caregiver -- and healthcare provider -- burnout. 
  4. Giving and caring is what burns us out. 
    Counterintuitively, it may be the barriers that keep us from giving that really cause a sense of frustration and helplessness. Recently, an experienced physician in Boston spent 2 hours on the phone trying to get a patient's insurance approval, finally giving up and handing her the $30 to buy pills. The doctor was sanctioned and an uproar ensued. When "random acts of kindess" are cause for disciplinary action, burnout is inevitable. 
  5. Doctors don't worry or make mistakes.
    We actually think it's this expectation of physician infallibility that contributes to burnout. This interesting TED Talk "playlist" presents talk after talk about what keeps doctors up at night -- a perspective that might help us all stay a little saner. 
Curious whether telemedicine can help you cut burnout? Click here for our field guide to what is available...
ClickCare Quick Guide to Telemedicine

Tags: healthcare provider burnout, provider burnout, nurse practitioners, good medicine, healthcare

Could Medical Collaboration Have Saved This 12-Year-Old?

Posted by Lawrence Kerr on Thu, Oct 24, 2013 @ 03:25 PM

schoolgirlatdesk resized 600

A few weeks ago, a 12-year-old girl told her teachers that she was having trouble breathing. Since the school has no nurse, and no way to access medical help other than via 911, the school held the girl until dismissal and then sent her home.

A few hours later, she died.

The uproar caused by the girl's tragic death has been intense. But the circumstances leading to the death have little to do with the errors of individual educators and everything to do with broader trends in both education and healthcare. The girl was sent home without any medical care or attention because there was no nurse. In fact, NBC reports that the number of nurses in Philadelphia public schools are almost half what they were in 2011. Where there is a nurse, they often cover 2-3 schools, at a minimum.

As Eileen DiFranco, a school nurse recently said, "I think of educators as a caring web that surrounds all of our children. Well, there are gaping holes in that web that simply cannot be filled, or have not been filled." Unfortunately, the story of the girl in Philadelphia is part of a trend in high demand for healthcare and provider shortages that are going to worsen these "holes in the web."

We see a way to fill those holes. You may know that ClickCare was actually founded in underserved school health centers. Even back then, school health was a cornerstone of care in underserved communities, where busy providers and understaffing made medical collaboration crucial. Medical collaboration -- especially with hybrid store-and-forward telemedicine -- means that providers can cover and coordinate care for many more people than they could without it.

Could one nurse, covering 2-3 schools, but connected to other medical collaborators via ClickCare, have saved this little girl? We think so. And we're grateful for all the medical collaboration that doesn't make it to the news every day -- because it works.

 

Get more medical collaboration stories and tools in our quick-guide:

Download Quick Guide Medical Collaboration

 


Tags: medical collaboration, nurse practitioners, good medicine, telemedicine solutions

The Shocking (and obvious) Truth About Medical Collaboration

Posted by Lawrence Kerr on Mon, Aug 12, 2013 @ 09:41 AM

This post was originally published on July 24th. Since this piece of our website was not working for all viewers, we're republishing some selected posts this week.  

Working with the doctors and nurses I see every day is one of my favorite things about this work. I also observe a lot of folks working together, and the frustrations and successes I have been seeing made me want to look in the literature for other perspectives on medical collaboration. I found many articles, but two of them really struck me. 

The first was about teamwork on inpatient medical units and the second discussed barriers to nurse-physician collaboration. They made some pretty stark observations about the ways healthcare providers are failing to work together effectively -- and why. 

Sure, we're working in teams and we're trying hard. But working in a team is not the same as working together in a team.

These studies found 4 key barriers to medical collaboration:

  1. People aren't in the same place at the same time. This may sound obvious, but the fact that medical teams are working in different buildings, across organizations, and over different shifts creates a unique communications challenge. Communications systems that ignore this challenge (like video conferencing systems or pages in hospital hallways) ultimately fail. 
  2. Common systems don't work. Healthcare providers report that the communications systems they're expected to use don't facilitate collaboration or coordination of care. Whether it's an EMR, a paging system, or telephone calls, providers are frustrated with the current options. They're old technologies that don't match the pace, aspirations, or reality of healthcare today. 
  3. Coordination of care is basic, and not happening. You would think that the question, "who is taking care of this patient?" would be pretty basic. But providers report that coordination of care is taking up increasing amounts of their time and happening poorly. So poorly, in fact, that knowing who is taking care of a given patient is becoming a daily challenge.
  4. The "cockpit approach" doesn't work. Well, to be more specific, it does work -- 10% of the time. In a few specific situations, like in ERs and NICUs, applying learnings from airplane cockpits works (e.g., using checklists). But as Zwarenstien and Reeves point out, 90% of medicine takes place outside of this type of setting. The rest of medicine involves fluid teams, long-term and complex problems, and takes place in different locations and different times. That means that the cockpit construct doesn't help much, and these teams are left without a solution.

These barriers are familiar to me, both in our own hospital setting, and in the experience of many ClickCare users. The good news is that time and time again, I've seen creative, courageous nurses, aides, and physicians overcome these barriers, creating better patient care and a better provider experience.

What ClickCare's users taught me about breaking through to medical collaboration: 

  1. Accept that this is your problem, even if it's not your fault. We may not have caused these difficulties in collaboration and communication, but we're suffering from them. The good news is that we've noticed ClickCare users getting a lot of satisfaction and stress-relief from collaboration. It wasn't their fault that it wasn't happening in the first place, but it did benefit them to make it happen.  
  2. Experiment. There isn't a one-size-fits-all solution for collaboration, and so we have to experiment with figuring out what can work for us. The thing about experimentation, though, is that new efforts may not work right away. In the words of Seth Godin, "Anyone who says failure is not an option has also ruled out innovation." 
  3. Choose a communications technology that works for you, even if not everyone is using it. As human beings, we have a tendency to wait for permission, to wait for standardization, to wait until we find out what everyone else is doing. But given the slow rate of change in the medical world, we have to take change into our own hands. Even if not everyone has adopted a new technology, it could easily be the right thing for us, for our organization, and for our patients. 
Try the iClickCare 14-day evaluation

Tags: medical collaboration, coordinated care, collaboration, communication with patients, provider burnout, nurse practitioners, good medicine, collaboration leadership, nurse collaboration, clickcare

Medical Collaboration: A Weapon Against Burnout

Posted by Lawrence Kerr on Wed, Aug 22, 2012 @ 12:39 PM

Telemedicine sometimes seems as though it makes more stress, rather than less. This is particularly true for staff who have technologic fatigue. Collaboration might be different. 

As reported by Health Day, nearly 50% of physicians report one of the signs of burnout. This is not a new phenomenon and has been reported before. A study by Tait Shanaflet in the August 20, 2012 Archives of Internal Medicine reported on physicians who had experienced at least one of several significant symptoms: emotional exhaustion, cynicism, low professional esteem, depression, suicidal tendency, enthusiasm dissipation, and negative views about balance between work and life.

What happened to the bushy-tailed, bright-eyed high school students who really wanted to be a doctor?  That discussion should wait. More important, what can we, each of us, do about it, now?

Get a friend.

There is both old and new research, as well as popular advice to endorse this idea. A brief, quick read with a few starting references is available at this blog

Medical collaboration reduces burnout and stress of providersWe used to be able to find a friend in the hallway, the doctor's lounge, or the ER at night. We used to get subtle emotional support while we asked for help with a problem patient. No more! HIPAA, hospitalist practice, outpatient practice, surgi-centers, and an atmosphere of regulation and sometimes mandatory reporting of behavior, have all formed an invincible, unbeatable team of isolation implementers. When we were residents, a nurse became both confidant and mentor. As we mature in practice, these relationships are even more important, but ever more difficult to nurture. Each contributor to healthcare, whether administrator, support staff, high-level or low-level should help each other. However, there is no system to do so, and worse, such relationships are discouraged. 

iClickCare is the medical collaboration app from the company ClickCare. Even before the app was born, before there was a company, two physicians struggled to solve their own problems in medicine. Their mantra was (and continues to be) "Access, Collaboration, Education."

The very features and coding of iClickCare are designed to be a legal/modern substitute for the hallway, lounge and ER. iClickCare fosters those same interactions that are so difficult to experience now, and the network encourages all providers to take part. 

By Medical Collaboration, patients get the best of their providers' knowledge. The providers get the best of each other's advice, perspective, support and respect. The weight of each decision can be shared. The joy of friends can be experienced again.

You can go to your home feeling satisfied and not alone.

Join us, build your network. None of us should suffer what this study uncovered. Each of us can do something about it!

                                            Click me

You can be collaborating and working with friends immediately. Full functionality for 14 days; and then read and comment after that for Free.

Tags: telemedicine, medical collaboration, medical collaboration software, nurse practitioners, nurse collaboration, medical students

CMS Innovation Grants and ClickCare. Medical Collaboration is Key

Posted by Cheryl Kerr on Mon, Jul 09, 2012 @ 07:31 PM

CMS Innovation Grants
Congratulation to all winners of the CMS Innovation Grant Awards!

Let us help assure funding continuation by making it easier for your project to access care for patients, empower providers to collaborate and educate future providers. A common thread found in the many, many of the awardees, is care coordination and that is the mission of ClickCare as recently described in the NYTimes and in a shout out by Steve Wozniak at the American Telemedicine Association.

CMS says that the following is involved for the continuation of funding:

            Replicable innovation:
The Affordable Care Act (a.k.a. Obamacare) may or may not change things, but iClickCare replicates coordinated care.

            Rapid implementation, 6 months or sooner:
ClickCare stands ready, with its agility, compliance and quick implementation. Six months can pass alarmingly quickly, especially when a program is being launched. December 6 is predated by summer, Thanksgiving, and the holiday season. That is not much time to work. We invite you to piggyback on 16 years of experience and software development.

December deadline of CMS Innovation grant start is soon

            Workforce development and deployment:
Their frequent references to using midlevel providers to provide care. This is certainly a topic of our times, but is it innovative?  What about collaborating with those who are really at the bedside, home and workplace?  And doing it in a simple and user friendly manner!

            Efficient and sustainable use of funds:
Implementing iClickCare involves a software subscription on the internet, iPad or phone for a very low price that is further discounted for volume customers

            Reporting and monitoring:
iClickCare can provide both consultation and service to allow each member of your team to not only transfer data, communicate, coordinate, but also collaborate. Everything is archive and pdf reports show usage.

We at ClickCare stand ready to help you meet your goals of improving healthcare in our country!

Tags: medical collaboration, coordinated care, HIPAA Collaboration, nurse practitioners, mobile health

Chapter 6 of Medical iPhone Photography on Turkey Day!

Posted by Cheryl Kerr on Thu, Nov 24, 2011 @ 07:51 AM

Collaboraton pardoned this turkey
  • How to get clear photographs,.

  • How to zoom and use macro.

  • Pardon me, but what about gloves?

Tricks for iPhone camera handling are discussed. It is also remembered that a blurry photograph is frustrating to see (unless it's a background) but it can be better than nothing. Whether you're a physician, a nurse practitioner, a therapist, an aide, or a specialist or anyone else who cares, this is just part of good communication.

Click me

While you are taking Thanksgiving pictures, REMEMBER TO HOLD THE CAMERA STILL. Clear photographs will even make Thanksgiving happier!

Tags: nurse practitioners, iPhone medical apps, clinical photography, medical photography, iPhone

How to Collaborate, Coordinate and Be Off Call

Posted by Lawrence Kerr on Mon, Nov 21, 2011 @ 06:11 AM

 

The holiday season is descending up on us.  How do you know that? Two ways:  

  1. Christmas carols on the office radio. 
  2. Everyone starts writing on the on-call calendar, trading, prioritizing, discussing.

Telemedicine can make this easier or harder. One way to make it easier is to to be sure that you sign out your telemedicine responsibilities just as you do your patients. On-call and coverage are issues. Continuity and coordination of patient care are others.

Who is “on” is a big deal.  So big, as a matter of fact, that we found more that 20 words to describe it. We are sure that you have heard that Eskimos have 100 words to describe snow.

Calendars dictate on-call telemedicine.Hawaiians similarly have many words to describe the emotions of the ocean (full disclosure: some think that  this is an urban myth, see (http://en.wikipedia.org/wiki/Eskimo_words_for_snow). Hawaiians have many words to describe the many emotions of the ocean; these words describe their close relationship to their environment.

Beeper does not help collaboration

But have you thought about the fact that nurses and doctors have over 20 words for on-call and coverage?

In our solution, as we enter the crucible of the holiday season, we offer a system that lets users build there own coverage groups and on call notifications. Try to explain that to software engineers. We found that our everyday terms aren’t explicable to very smart people, and our developers are, indeed, very smart people! So, in order to help us clarify what we wanted to say, we started to place the very simple terms into a table. After a few minutes we had added row after row, and discovered nuance after nuance.

We even remembered, that in the modern day of medicine, there is yet another phrase: “Post-Call.” This is a phrase that makes collaboration and ClickCare even more important.

Please look through the table below and add your own words about call and coverage in the comments. But remember, as difficult as it may be, this is a family oriented site, so don’t offer the words that you really use when you have to cover and have to be on call! With great discipline and restraint we, ourselves, were very responsible and even controlled!


 Download our 10 stepsto simply collabora  

 

Root Word

When used

Root Phrase

Modifying Phrase

iClickCare

Cover…

Talking to someone who needs to know your schedule:

I’m covering ___

the ER, at Hospital A, but not B, and I am on hand an plastic call

Overview: on call list checked

 

Talking to a patient who is another doctors patient and in the hospital, or talking over the phone

I’m covering FOR

Hello Ms Jones, I’m Dr Down, I am covering for Dr Salk this weekend.  How are you doing…

Overview: on call list checked

 

Answering: Who is in you coverage group?

I cover WITH

these other doctors

Coverage group

 

 

I cover

GI with Dr Wagenstein, but I cover pediatrics with Dr Down

Two organizations

 

ER

Who is covering for

Dr. X?

 

 

 

Who is on call for…

Plastics

 

 

 

Who covers with

the new doctor

 

Privileges

Administrator

…privileges to cover…

You are part of the ENT department, you do not have privileges to cover cardiac surgery

Departmental control (credentialing)

Department

Academic

…in the department of…

I have a dual appointment in the surgery department, the vascular section and the radiology department

I have been trained, certified and credentialed in two specialities.

 

Administrator

…in the department of…

The disciplinary action will be reviewed by the surgery department and then referred to the medical executive committee

Policy and procedure on done by department.  Often historical and anatomically based.

On Call

Talking to someone who needs to know your schedule:

I’m on call at__

the ER at Hospital A, but not B, and I am on hand an plastic call

 

On Call and Coverage

 

I’m covering ___

our practice, but I am not on call for the ER

Call vs coverage

Default

Medical personnel,

regulatory agencies,

civil lawyers, criminal lawyers.

Expectation is that all patients need availability at all times.  To not provide it is abandonment both morally and legally. This is a long tradition.

I did not know I was on call.  I left a message I was out of town.

Did you contact your coverage and document that in the chart?

Slang

in the barrel, in the box,

 

 

 

 

On

On for what

 

 

 

Nurse

my shift

 

 

 

 

on duty

 

 

 

 

off

 


Tags: medical collaboration, medical responsibilities, coordinated care, nurse practitioners, on call

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