In rural Wisconsin, nurses come to the farm

from WBTV:

In the end, farm wives helped the group realize health care needed to be delivered like agricultural services.

“The vet comes to the farm. The milk man picks up delivery at the farm. The feed comes to the farm. Why should we make them change that?” said Rhonda Strebel, the nurse who launched the program and now serves as its executive director.

Former E.R. doctor sentenced for raping, killing pregnant woman

From Digital Journal:

Other women had come forward to state that they had answered Craigslist ads from Dr. Ali Salim before, and were drugged and raped while unconscious by the emergency room doctor. Ads posted on Craigslist show that Salim in the past had offered to provide drugs for prostitutes in the past.

A radiation oncologist and a firefighter/paramedic have a conversation on a plane

From Kevin MD:

On a recent cross-country flight, I feigned sleep and overheard the following conversation between my seatmates: a radiation oncologist (I’ll call her “Dr. M”), and a former firefighter/paramedic called, “Captain.” Thought you’d like to listen in.

DR. M: You guys have been my heroes for a long time, the way you constantly put your lives on the line.

CAPTAIN: We’re in serious danger 10% of the time, at most. Moderate danger another 10%, for a grand total of 20% or so.

DR. M: Interesting, and how odd, the 20%. About 20% of my patients are Stage IV with poor prognosis. Most of the rest get better.

Hospital experiments with value-based insurance

From Fierce Healthcare:

Consumers are paying too much money for “bad” healthcare–treatments, tests and procedures that don’t address their conditions effectively, a trend one hospital hopes to reverse by implementing value-based insurance, Reuters reported.

San Luis Valley Regional Medical Center in Alamosa, Colo. is conducting a two-year, value-based insurance experiment in which patients pay for procedures considered ineffective or unnecessary. The hospital hopes to encourage patients toward solutions that will help them, as opposed to less effective options, according to the article.

Pilot program seeks to divert dental cases from ER

From the Kansas Health Institute:

Truman Medical Centers and four safety-net sites are preparing to launch a three-month pilot project aimed reducing the number of dental cases treated in the emergency room.

Organized through the regional Oral Health Access Committee, the “direct referral” pilot could reserve as many as 75 slots per week at the clinics for emergency cases sent from Truman.