Health providers facing stiff HIPAA regulations

January 13, 2010

In the coming months, health care providers and contractors to the health industry can expect broader HIPAA coverage, beefed-up enforcement and stiffer civil penalties for violations. Read more

Credentialing file isn’t protected by peer-review privilege

October 15, 2009

The Board of Registration in Medicine may be entitled to look at certain documents in a doctor’s hospital credentialing file even though it hasn’t begun formal disciplinary proceedings against the doctor.

That’s the result of a new decision from the Massachusetts Supreme Judicial Court. Read more

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July 6, 2009

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Q & A: Mandated care

October 17, 2008

Q.  Does the government’s role in mandating medical services, either judicially or legislatively, negatively influence standards of care?

“Absolutely. They have a lot of good intentions, but they’re not working. We’ll have better health care in Massachusetts if we allow the doctors to police themselves. The Massachusetts Medical Society is fine. Tribunals are fine. At this point in time, there should be one moral and ethical mandate: to provide universal health care. Any other regulatory interference with the doctor-patient relationship is negative. I don’t tell lawyers how to practice law, or firefighters how to fight a fire. The U.S. has the resources and the ability to ensure that every sick person receives medical care. Beyond that, get out of my office.”

— Eric Ruby, M.D.

Chief of Pediatrics, Morton Hospital and member of the Mass. chapter of the American Academy of Pediatrics

“In my experience, the state’s role in mandating insurance coverage for medical services has had a significant positive impact on the availability of quality patient care. … [W]e must be mindful that legislative mandates may affect premiums. … There is also some concern that mandates for specific methods of treatment may become obsolete or be found ineffective as medical science and technology advance. … Legislators should anticipate the eventual emergence of new technologies and advancements in patient care before approving any new mandate, and they should continue to regularly review existing mandates to ensure their compatibility with current standards of care.”

— Rep. Peter J. Koutoujian,
D-Waltham

Chair of the Joint Committee on Public Health

“I would hope that any legislation concerning mandates would always be driven by applicable medical standards of care, without provisions woven in that reduce patients’ rights to legal recourse if they are victims of inappropriate care. If a piece of legislation results in substandard care due to a cost issue, that’s a problem, particularly for those who cannot advocate for themselves, such as the elderly or the poor. The bottom line is no legislation should obviate the physician’s responsibility to provide the appropriate standard of care. The patient’s right to that care is sacrosanct.”

— Annette Gonthier-Kiely
Medical malpractice attorney, Salem

“There are occasions where the government’s efforts to regulate the provision of medical services, including the manner by which individual physicians provide that care, have had a significant deleterious impact on the quality of care provided. My recent experience with some of the policies of the Board of Registration in Medicine speaks loudly to the effect of intrusive regulation on the maintenance of appropriate standards. Professional staff members of the board had created such a hostile environment between licensed practitioners, the government, hospitals and patients that there were a growing number of highly qualified Massachusetts physicians who periodically considered, or decided on, relocating to other jurisdictions. Recent changes in the composition of the Board hopefully will lead to the establishment of a more productive environment.”

—Paul Gitlin

Attorney, Rubin & Rudman, Boston, former chair of the Board of Registration in Medicine

Doctor can be sued for patient’s lost chance of survival

October 17, 2008

In a pair of closely watched cases that significantly expand the types of claims plaintiffs can bring against doctors in medical malpractice cases, the Massachusetts Supreme Judicial Court has decided that state law for the first time will permit “loss of chance” recovery.

Read more

Mass. doctor prosecuted for patient’s death

October 17, 2008

As state authorities bring what is believed to be the first-ever criminal prosecution in Massachusetts against a physician for negligence in the treatment of a patient, doctors have yet another source of stress.

Read more

Rx for Excellence: Register now!

October 10, 2008

Join us for a special breakfast and ceremony to celebrate the Rx for Excellence award winners at the Taj Boston on October 31, 2008.

Click here to register now.

Click here for a list of all 40 honorees.

Click here to read the profiles of the award winners.

Winners of the 2008 Rx for Excellence Awards

September 10, 2008

LEADERS IN QUALITY

Charlie Baker

President and CEO

Harvard Pilgrim Health Care

Beth Israel Deaconess Medical Center

George Blackburn, MD, PhD

Beth Israel Deaconess Medical Center

Associate Professor of Surgery

Michael Blau, Esq.

Partner

Foley & Lardner

Doug Brown, Esq. and John O’Brien

General Counsel and CEO

UMass Memorial Health Care

Jim Conway

Senior Vice President

Institute for Healthcare Improvement

CRICO/RMF

Risk Management Department

Lena Deter, R.N., MPH

Clinical Nurse Specialist

Hebrew Senior Life

Vincent DiCianni, Esq.

President of Affiliated Monitors

Andrew Eisenhauer, MD

Director, Interventional

Cardiovascular Medicine Service

Brigham and Women’s Hospital

Atul Gawande, MD

Brigham &Women’s Hospital

Dana Farber Cancer Institute

Allan Goroll, MD

Massachusetts General Hospital

Professor, Harvard Medical School

Cleve Killingsworth

Steve Fox

Blue Cross Blue Shield

of Massachusetts

Michael Howell, MD

Beth Israel Deaconess

Medical Center

George D. LeMaitre, MD

LeMaitre Vascular, Inc.

Founder, Director and Chairman

of the Scientific Advisory Board

Eric Linzer

Vice President

Massachusetts Association

of Health Plans

Massachusetts Coalition for the

Prevention of Medical Errors

Rosanna Means, MD

Founder, Women of Means

Medical-Legal

Partnership for Children

Boston Medical Center

Michael D. Miller, MD

Founder and President

HealthPolCom

Rick Mindess, MD

President and CEO

Wellport

Newburyport, Mass.

Laura A. Montgomery

Quality Manager

New England Cryogenics Center

Senator Richard T. Moore

Massachusetts State Senate

Chair of Senate Committee

on Health Care Financing

Delia O’Connor

CEO

Anna Jaques Hospital

ProMutual Group

Risk Management Department

Arun Ramappa, MD

Chief of Sports Medicine,

Orthopedic Surgery Department

Beth Israel Deaconess

Medical Center

Amy Rosen

Professor, Boston University

School of Public Health

Luis T. Sanchez, M.D.

Director, Massachusetts

Medical Society’s Physician

Health Services

Stephen M. Weiner, Esq.

Chair of Health Law Section

Mintz Levin

Anthony D. (Andy) Whittemore, MD

Chief Medical Officer

Brigham and Women’s Hospital

HEROES FROM THE FIELD

Mary Lou Ashur, MD

Carney Hospital

Commandant Michael Resca

The Chelsea Soldiers Home

Chelsea, Mass.

Paul Cirel, Esq.

Partner

Dwyer & Collora

Bruce F. Cohen, MD

Beth Israel Deaconess Medical Center

Michael Costa, Esq.

Vice President and General Counsel

American Renal Associates, Inc.

Sharon Donaghue-Naumnik

Vice President, Clinical Reimbursement

CareOne and HealthBridge Management

Jerry Fitzpatrick, MD

Bolton Family Medicine

Nancy E. Otovic, MD

Lahey Clinic

Delia Sang, MD

Ophthalmic Consultants of Boston

Steven Schachter, MD and William Mandell, Esq.

Beth Israel Deaconess Medical Center and Pierce & Mandell, P.C.

Parents, physicians settle over missed cystic fibrosis in fetus

June 14, 2008

During the course of a couple’s pregnancy, both parents were found to be genetic carriers of cystic fibrosis. Their OBGYN referred them to a geneticist for counseling.

Read more

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