April 24, 2014

2008 Industry Outlook

Healthcare 2008

Stretched thin: The Florida Medical Association pleads for more residency programs.

Jeff Brooks | 1/1/2008
The Trends
Continuing problem with uninsured patients (estimated at one in four patients under 65 in Florida)
Rising emergency room visits — up to 7.3 million in 2005
Increased interest among many hospitals in telemedicine. Creating communication links with physicians through teleconferences would
allow patients to consult a physician while holding down costs
Effort to get state legislators to allow automatic enrollment in an employer’s health plan
Continuing shortage of nurses
Attracting established doctors to Florida is also problematic — due to low Medicaid reimbursements in Florida, a large uninsured population and strong competition from other states. In Florida, the average Medicaid reimbursement rate is 56%, compared to 95% in North Carolina, 92% in South Carolina and 90% in Mississippi.

“There’s competition around the country for doctors,” Altenburger says. “In Florida, doctors are losing money to see these patients, so the question becomes ‘why come to Florida?’ ”

Another issue is Florida’s three strikes malpractice law, the only such law in the country. Altenburger says although the law has never been applied, other states use it when recruiting physicians. “On average, neurosurgeons are sued every other year. Why take a chance? Two strikes, and I’m gone. You can’t afford to lose your license.”

Lynne Takacs, director of communications and press relations for the FMA, says there’s a bill currently in the works to give sovereign immunity to physicians working in emergency rooms.

“We have to make Florida a friendly environment for physicians,” Takacs says.

10 Most Common Reasons
for Hospital Admission
Reason
Cases
Giving birth
221,490
Psychoses
90,649
Gastrointestinal & digestive disorders
73,559
Heart failure
69,161
Chest pain
61,359
Cardiac catheterization
52,733
Pneumonia
52,323
Hip & knee replacement
50,210
Chronic obstructive pulmonary disease
49,340
Total
758,323
Top 10 as a percent of total discharges
33.2%
Source: Florida Hospital Association, 2006

Going Green
Hospitals are increasing their efforts at conserving resources, says Rich Rasmussen, vice president for strategic communication for the Florida Hospital Association.

“We’ve had in-depth discussions, and we’re looking at recycling programs that are much more aggressive in dealing with biohazardous waste,” Rasmussen says. “We’re also looking at fuel cell technology for hospitals.” The FMA is also working with doctors in rural areas to implement electronic medical records. Some doctors in larger cities already use EMR, but physicians in smaller communities are more likely to use paper records. “We think it will save considerable resources,” says Lynne Takacs, director of communications and press relations for the FMA.

Tags: North Central, Healthcare

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