Posts Tagged ‘Medicare’
Wednesday, February 10, 2016 | By William Tinker | No Comments
This blog post was made by May 29th, 2015. It was originally posted on Home Dialysis Central
Instead of insisting that people must “comply,” offering understanding and compassion may go further toward helping people take on the self-management role that is so vital to long-term success with chronic disease.
At the NKF Spring Clinicals meeting in March, a comment I was told that someone made at the microphone during a session still bothers me months later. The gist of it was: “Why does all of the responsibility for improving outcomes fall on clinicians—where is the patient in all of this?” [Good point, but it goes on…] “I lose money if my patients don’t reach the quality targets. Why can’t we fine the patients if they don’t do their part?”—and audience members applauded!
Really?! We really have nephrologists who believe that punishing patients for not “complying” with their orders is going to improve outcomes? It seems that our community may need a refresher course in compassion. Continue reading “Nephrology needs more compassion—and less compliance” »
Wednesday, December 16, 2015 | By William Tinker | No Comments
A recent article at the website Futurism.com shed light on the progress toward an Artificial Kidney for those suffering kidney failure and presently undergoing traditional kidney dialysis.
Taken from Futurism article: Now, scientists from the University of California, San Francisco and Vanderbilt University have developed a prototype device that mimics the function of a human kidney. Amazingly, using a silicon nanofilter to remove toxins, salts, some small molecules, and water from the blood, the device, which is only the size of a cup, is designed to function without a pump or electrical power. It solely works on blood pressure.
For the whole story go to: http://futurism.com/links/goodbye-dialysis-nanotechnology-used-to-make-artificial-kidney/
Tuesday, September 2, 2014 | By arlene | No Comments
A frank discussion with family members of departed Dialysis Patients about the level of care provided to their loved one. Additionally the feeling of a lack of basic information on the care of the family member and how they felt out of the loop during the Dialysis process and care for their loved one will be covered.
The current problem with overworked and under trained technician’s which has led to patient injury and in some cases patient deaths needs to be addressed and changes legislated.
There are too many cases of patients being terminated from care for unjust causes; then blackballed from care by other clinics within the same company.
Listen on line at: http://www.blogtalkradio.com/dialysisadvocates/2014/09/05/dialysis-talk
To listen by phone or participate call (347) 857-3961
Thursday evening September 4, 2014
9:00 Eastern, 8:00 Central, 6:00 Pacific
Monday, January 13, 2014 | By Scott | No Comments
If you want to get a headache, read through the official
Medicare ESRD Network Organizations Chapter 7 – ESRD Complaints and Grievances
here is a copy.
A couple of highlights are below. You may want to consult a lawyer to guide you through this legalize document with cross references that no normal reader, let alone someone who is distress from poor and sometimes humiliating treatment, can truly understand. Will someone in the ESRD please translate this document so it is useful to anyone seeking help!?
It is the responsibility of the Medicare ESRD Network to assure that an impartial review of grievances by Network staff and the MRB occurs without conflict of interest.
But we’ve seen so many instances where the ESRD is creating documents and forms to protect their interests.
Is this guidance or a roadmap for confusion?
The Network shall assume a proactive role in the prevention, facilitation, and resolution of complaints and grievances, including implementing educational programs that will assist facility staff in handling difficult situations.
Why doesn’t the Medicare ESRD Network implement programs to dismiss dialysis providers who practice unethical procedures?
The Network advises anonymous complainants or grievants that their complaints/grievances will be investigated but the Network will be unable to report back to them without their name and address.
So with the fear of blacklisting or undue retribution, if it is anonymous, how do we know any action has been taken?
170 – Personal Representative
A personal representative is an individual designated by a court of competent jurisdiction or by the beneficiary, as evidenced by a document signed by such beneficiary, to act on his/her behalf. An individual/patient/beneficiary may designate whomever he/she chooses as his/her personal representative by executing a Power of Attorney, a Durable Power of Attorney, or a witnessed, signed, and dated proxy statement. The patient representative may act for the person they represent in any capacity that is authorized. The personal representative can be authorized to conduct a single transaction or to assume ongoing responsibility for an identified purpose such as a financial transaction(s), healthcare decision(s), ….
180 – Conflict of Interest
The Network ensures that a conflict of interest or potential conflict of interest does not exist among members of a complaint/grievance committee, a MRB committee, or a board of directors handling a grievance. Any individual who has direct involvement with the complainant/grievant or the provider under investigation, whether it is a financial, professional or personal relationship, should be excluded from participation in the investigation and resolution of the complaint/grievance.
If you really want to see the complete document, download the entire document, good luck.
Medicare ESRD Network Organizations, Chapter 7 –ESRD Complaints and Grievances