Guidelines – PPEToolkit

Fluid Resuscitation

August 9, 2024May 15, 2024 by Lindee Abe, APRN, FNP-C, ENP-C

Lindee Abe, APRN Fluid resuscitation has been a staple of emergency medicine treatment for decades. Research has shown that more fluids does not always equal better outcomes for most patients. As practice has shifted over the years to favor using less fluids, it has become even more important for clinicians to select the right fluid … Read more

Current guidelines of managing pharyngitis

May 14, 2024February 15, 2024 by Payal Sharma, PA-C

Payal Shah, PA-C “My throat hurts.” “ It hurts to swallow.” “It feels like razor blades in my throat.” We have all heard different variations of this from our patients. Sore throat, or pharyngitis, is a common complaint seen in the primary care, urgent care and emergency department setting. Differential Diagnosis Differentials of sore throat … Read more

Osteoporosis Workup and Treatment

January 1, 2022 by Rob Beatty, MD FACEP

Osteoporosis workup and treatment is a common procedure in family and internal medicine. This disease is one of the most common bone diseases in the United States. Osteoporosis is a skeletal bone disease, and characterized by low bone mass. This conditions is the result of deterioration of the bone tissue with an increase in fragility … Read more

Part 3: How do PA’s and RN’s fit into healthcare reform

April 4, 2020August 2, 2018 by Rob Beatty, MD FACEP

And so the rest of this blog post comes to you – the biggest investment in healthcare.

MIP’s

Physicians, Physician Assistants, Nurse Practitioners – anyone who is considered a provider in healthcare, is now having their own quality measures applied to their care delivery. As part of the permanent “Doc Fix” the Medicare Access and CHIP Reauthorization Act (MACRA) was passed in 2015. CHIP is the Children’s Health Insurance Plan that provides matching federal payments to state-funded children’s insurance programs. MACRA is designed to shift the healthcare fee-for-service model of payments to the value-based payment (quality) payment model through Merit-based Incentive Programs (MIPs), which are designed to focus on quality measures at the provider level. Each specialty will have different requirements. The intent of these quality measures is aimed at reducing cost, but their application to current medical standards is debatable.