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David Joyce MD, MBA started the topic in the forum 5 years, 1 month ago
Let begin with a quick introduction. It is always nice to know who your are in class with.What is your experience with Advanced care Planning in your practice? Do you have a formalized practice? Is it every provider for themselves? Do you view it as a profit opportunity? Do you see value in it as a practice activity? Do you have a “best…[Read more]
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David Joyce MD, MBA started the topic Instructor Question – Start Here in the forum Needle Safety Discussion Forum 5 years, 1 month ago
I can’t count the number of times I was stuck with a sharps in my career. Never did I report the incident. I am sure I had reasons but they are hard to recall. Needless to say I was lucky. What are your concerns about accidental needle sticks at work? Is it something you even think about? Are you more or less likely to report the inciden…[Read more]
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David Joyce MD, MBA started the topic in the forum 5 years, 2 months ago
Please introduce yourself to the class and share your current experience using elastic tape in any wound care or chronic edema patients.
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replied to the topic in the forum Mike Niehoff M.D. 5 years, 2 months ago
I am concerned about needle sticks and I do think about it. Sometimes I blame myself because I was distracted.
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David Joyce MD, MBA replied to the topic in the forum Mike Niehoff M.D. 5 years, 4 months ago
“Our hospital always says it is losing money. An impossibility in Maryland. The idea behind creating value and being paid foe value is to increase quality and decrease cost. This theoretically should attract more patients.”
Maryland is a special case. In patient care is already paid under the preset budgeting system. Here is the thing that m…[Read more]
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and
Bryan Steinberg are now friends 5 years, 4 months ago
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David Joyce MD, MBA replied to the topic in the forum Mike Niehoff M.D. 5 years, 4 months ago
My name is Dave Joyce and I am your class instructor. I was an OB/GYN physician and practiced in the U.S. Army at Ft. Hood, Tx. and in a small group practice in Annapolis, Md. I don’t practice anymore, but my wife does and I still retain what it was like to see patients every day and be on call. Hopefully you will get a sense from the course th…[Read more]
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David Joyce MD, MBA started the topic in the forum 5 years, 4 months ago
Welcome to the Needle Safety Class. It would be nice to leave a short introduction so we can get to know our classmates. -
David Joyce MD, MBA started the topic in the forum 5 years, 4 months ago
I can’t count the number of times I was stuck with a sharps in my career. Never did I report the incident. I am sure I had reasons but they are hard to recall. Needless to say I was lucky. What are your concerns about accidental needle sticks at work? Is it something you even think about? Are you more or less likely to report the incid…[Read more]
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changed their profile picture 5 years, 4 months ago
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changed their profile picture 5 years, 4 months ago
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posted an update 5 years, 4 months ago
@bsteinbergccvtsa-com
Dr. Steinberg:
Welcome to the Physician Leadership Program. I saw you were on a few minutes ago. I am Paul Gurny, Dave Joyce’s partner. We are so glad that you are taking the program. I believe you will find it very useful to your practice. There has not been one physician that has not benefited from the program. We hope you…[Read more] -
David Joyce MD, MBA replied to the topic After participating in this CME activity: My understanding of the provider and patient responsibilities in medication management are improved. in the forum Mike Niehoff M.D. 5 years, 4 months ago
I will get you some answers to this Brooke, ASAP.
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David Joyce MD, MBA replied to the topic After participating in this CME activity: My understanding of the provider and patient responsibilities in medication management are improved. in the forum Mike Niehoff M.D. 5 years, 5 months ago
I have actually spoken to more than a dozen men with ED and suing a needle is a non starter for them despite the fact that the results are so predictable. A Lenis device would be an overwhelming positive addition for all of them.
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David Joyce MD, MBA replied to the topic in the forum Mike Niehoff M.D. 5 years, 5 months ago
Thanks Terry, all fixed now. I sent you a personal note of thanks that included the correct answer.
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David Joyce MD, MBA replied to the topic Asset Protection for Physicians 1.5 CME in the forum Mike Niehoff M.D. 5 years, 5 months ago
With new tech the distinction between approved and unapproved is fuzzy. Physicians use “unapproved” devices and therapies all the time in an “off label” application. The device is approved by the FDA for injection. Is it approved for insulin? Who does the approval? Is it the payers, Medicare, FDA? What happens is that the market actually does the…[Read more]
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David Joyce MD, MBA started the topic Asset Protection for Physicians 1.5 CME in the forum 5 years, 5 months ago
I received this comment from Brooke Klatt:
“Also, it was a little bit confusing about FDA approval on Diabetes. In one of the slides it showed that FDA approval for Diabetes use was “*awaiting approval”, however insulin is one of the medications/indications for use. I very possibly could have missed something, which is why I found it con…[Read more]
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David Joyce MD, MBA started the topic Thank You!! in the forum 5 years, 5 months ago
Take a moment and share an experience with stem cell tissue products. Do you have any advice your those starting out? Any useful hints? This promising technology has the potential to relieve a great deal of suffering. Discussion among fellow clinicians can go a long way to moving the therapy forward and providing the greatest value for our patients.
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David Joyce MD, MBA started the topic CME Activity: COVID-19 CME Course Requirements in the forum 5 years, 5 months ago
Stem cells, stem cell tissue products, amnion, umbilical cord, U.S. and overseas therapy, what is your role in the stem cell business and what is your opinion of the level of transparency of products promotion.Come back to the forum at the end of the course and tell us your reaction.
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David Joyce MD, MBA started the topic in the forum 5 years, 5 months ago
Take a second and introduce yourself to the class. - Load More
Dear Bryan:
You are so right! In Maryland it does not pay to be efficient. I think I told you I was the Deputy Secretary of Health under Governor Ehrlich. I am also very familiar with the HSCRC and the way rates are set in Maryland for hospitals. If a hospital is efficient; i.e., the cost to provide a service is less than what the HSCRC allows…[Read more]
Bryan:
One other item, how do you like the courses so far? I would be very interested in getting your opinion. Is there anything you would change or add? Is the course material easy to understand, applicable, and practical? Thanks for enrolling. If you have any colleagues who might have interest in the program, I would be pleased to speak with them.
Paul
hello
(preciousabba@hotmail.com)
How are you today?.My name is (precious abba)I hope you are in perfect health and i pray that this message should find you in peace. It will be my pleasure to read from you as always. I am very happy the way God has brought us in contact with each other. But plea
se i will love to know you more please write me to…[Read more]