I went in and filled out five pages of paper work three weeks ago for a colonoscopy procedure.


Yesterday I had to talk to this nurse practitioner for some reason.

She asked me 14 questions, all of which I already put in writing .

I was pretty confused that they don't read the stuff I already submitted.

So
Because she's the expert I asked her when she could schedule me,
She didn't know and couldn't find out.

So I asked for the same pre op prep that I had been given before,
She she didn't know what they gave me.

Now Ian thinking she can't read the records file either.

Now I am a little concerned.
.

Then I ask where the procedure will be performed, well she knew the hospital, but didn't know where it was or how to get there.

Kinda totally disenchanted.



W.t.f.

sounds like it was a pain in the butt to deal with

quote:

Originally posted by HRK:
sounds like it was a pain in the butt to deal with

Actually, with propofol it's pain free.

We've dealt with a lot of PA's lately . Most of them were pretty damn good .

quote:

Originally posted by HRK:
sounds like it was a pain in the butt to deal with

I got the joke..

I'm due for another colonoscopy.
As soon as my retirement insurance kicks in, I'll schedule it.

quote:

Originally posted by Blackmore:

quote:

Originally posted by HRK:
sounds like it was a pain in the butt to deal with

Actually, with propofol it's pain free.

Propofol...Best sleep you'll ever have! THE.BEST.EVER!!! When I was greeted (awakened?) by the nurse after my colonoscopy, she asked me how I felt and if I wanted to get up/get dressed. I responded that I felt great, but if it was OK I'd like to go back to sleep for a little while longer!

I agree 100% about stupid check-in systems that make you fill everything out or enter it all on the phone and then when you finally talk to a person they ask you all the same questions all over again. Why did I just spend all that time filling all that stuff out on the computer or over the phone if you're just going to ask it all again?

I recently had the opposite experience when I had to call a local plumber. I had used them once before and when I called to set up an appointment she already had all of my info pulled up on her system simply from caller ID on the number I'd called from. She had somebody out in less than two hours, too, and they did a great job.

If the freaking plumbing company can do that, why can't a multi-billion dollar hospital system?

You have no idea of the educational background of that woman (the NP). A four year undergraduate degree, years of experience, and likely a post-graduate doctoral degree with more years of experience.

Don't think for a second that she is just some flunky filling a spot.

It ain't her, it's the system the government has given us. And, she's just doing the job that she was hired to do.

And she's not a "physician's nurse practitioner".

My rant is about the administrators, not-so-much the practitioners:

They have outsourced their inter-office/inter-practice administration and coordination to YOU. It is now, more than ever your responsibility to manage delivery and/or transmission of referrals, prescriptions and their renewals, imaging records, and virtually everything they can pass off onto you. No other industry has developed such a terrible 'not my yob' mindset as healthcare administrators, IMO.

When I asked why they don't all use a secure, standardized hub to accomplish all this intercommunication, I was told it exists, but is too costly. WTF? My guess is it's because they can assign the patient the responsibility, and improve their bottom line.

BTW, PAs and APRNs are among the best of those I've dealt with. I believe it's the beancounters of the mega-carrier who've tied the hands of many employees.

Then today they text me wanting me to rate my experience.

Yeah I am going to wait until after the procedure.

It's just a bit worse than calling into a customer service line. You put your account and personnal ID info into the system, a person gets on right after and asks for all the same shit.

quote:

Originally posted by 92fstech:
I agree 100% about stupid check-in systems that make you fill everything out or enter it all on the phone and then when you finally talk to a person they ask you all the same questions all over again. Why did I just spend all that time filling all that stuff out on the computer or over the phone if you're just going to ask it all again?

I recently had the opposite experience when I had to call a local plumber. I had used them once before and when I called to set up an appointment she already had all of my info pulled up on her system simply from caller ID on the number I'd called from. She had somebody out in less than two hours, too, and they did a great job.

If the freaking plumbing company can do that, why can't a multi-billion dollar hospital system?

It could just be that they are asking for the same information to verify what you entered is correct.

More likely, the info you fill out is sold to an outside source.

quote:

Originally posted by oldbill123:

More likely, the info you fill out is sold to an outside source.

Would that be a HIPAA violation?

quote:

Originally posted by vinnybass:
My rant is about the administrators, not-so-much the practitioners:

They have outsourced their inter-office/inter-practice administration and coordination to YOU. It is now, more than ever your responsibility to manage delivery and/or transmission of referrals, prescriptions and their renewals, imaging records, and virtually everything they can pass off onto you. No other industry has developed such a terrible 'not my yob' mindset as healthcare administrators, IMO.

When I asked why they don't all use a secure, standardized hub to accomplish all this intercommunication, I was told it exists, but is too costly. WTF? My guess is it's because they can assign the patient the responsibility, and improve their bottom line.

BTW, PAs and APRNs are among the best of those I've dealt with. I believe it's the beancounters of the mega-carrier who've tied the hands of many employees.

When I see a patient, I do NOT ask them the same questions again. I DO review what is in the chart and ask is this correct? Of course there are always a few more questions from my experience and to learn what is going on. When I trained ( in the PRE MRI era, when getting a CT was an act of congress) our education was, take the time to take a good history, and 90+ % of the time that will tell you the diagnosis. Problem is in a lot of practices where providers are graded on speed not accuracy- the time to take a good history is lost, and diagnostics ( lab and radiology) are used to fill the gap, at much greater expense, and not always giving you the answer you need.
And as I indicated in another post patient demands play a role-“ how can he know what is wrong with my knee without an MRI!?”
Insurance rears its head too- despite your iron clad history and exam, we will not authorize surgery until confirmed with xxx test ( which incurs costs on the system and in a lot of cases, is transferred to the patient due to today’s preponderance of high deductible/ high co pay insurance plans.

Ha ha. I've aged out, no more colonoscopy for me.

One empathizes.

I recently filled out the forms. When I go to the appt not even a week later, the first thing they do in the appt is ask the same questions as the form. Allergies? Alcohol? Tobacco? blah blah blah. I stopped at the beginning and said this information must be in the forms I filled out. They said, yes, just checking.

On one hand, I can understand the verification if it's extremely relevant. Like, I came in on an infection complaint and they might want to give me antibiotics. So reviewing medication allergies like penicillin or whatever is good and relevant.

BTW, I've been going to this health system for 20 years. They have all my history on file already. Why do I need to fill out the forms again? Why do we need to review and spot check? Especially since during the interview they referred to my prior history.

Left hand, meet the fucking right hand. Wankers.

I spoke with a medical professional about this wide spread practice.

He said that if I want "the good ole days "

Where there was only the doctor a receptionist and a nurse ,
It is very possible, but!

My copay will go from $30.00 to $240.00 . And he will be booked out 45 days.
As

The doctor will only see nine people a day instead of 16.

He said the patient/ doctor numbers are super way out of whack .

quote:

Originally posted by bendable:
I spoke with a medical professional about this wide spread practice.

He said that if I want "the good ole days "

Where there was only the doctor a receptionist and a nurse ,
It is very possible, but!

My copay will go from $30.00 to $240.00 . And he will be booked out 45 days.
As

The doctor will only see nine people a day instead of 16.

He said the patient/ doctor numbers are super way out of whack .

concierge doc?

quote:

Originally posted by Gustofer:
You have no idea of the educational background of that woman (the NP). A four year undergraduate degree, years of experience, and likely a post-graduate doctoral degree with more years of experience.

Don't think for a second that she is just some flunky filling a spot.

It ain't her, it's the system the government has given us. And, she's just doing the job that she was hired to do.

And she's not a "physician's nurse practitioner".

You make it sound as if her education makes her actions acceptable. I do not see how education makes it alright but that is just me.