POBScast

POBScast

By Osborne, Anwar
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POBScast episodes

  • The Dr. Stephen Pitts Sit-Down

    This week, Dr. Wheatley and I sit down with Dr. Stephen Pitts.  If you haven't read much of his health services research, then you are missing on some hard-hitting data about the role of the emergency department in national healthcare.  In addition to this special insight, Dr. Pitts was there at the beginning...of much of emergency medicine.  Hear how his first obs unit had a rough time and then get his take on where he thinks obs is going in the future.  There is real EM wisdom here to be attained!  Hope you enjoy!

    35 min
  • Flu in Obs and MOON in Obs

    Hi guys!

    This month we're talking about influenza and the MOON.  Do you put influenza-like-illness patients in your obs unit?  We talk some about the issues surrounding this treatment pathway and share the nitty gritty details of how both of the hospitals Wheatley and Osborne are handling Medicare Outpatient Observation Notice Act implemenation.

    The MOON slides from Mike Ross's update at ACEP 2106 are HERE

    The CMS form examples are HERE

    18 min
  • New Hot Articles in the World of Observation

    Hey guys!

    This podcast, Dr. Wheatley and Dr. Osborne discuss some of the newest literature as it pertains to obs. Instead of butchering these innocent people's names, we put the info here!


    First we discussed this hot hot article from NEJM.

    Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope.

    N Engl J Med. 2016 Oct 20;375(16):1524-1531.

    Prandoni P


    Then we talked about this correlating study.

    Short-term Prognosis and Current Management of Syncopal Patients at Intermediate Risk: Results from the IRiS (Intermediate-Risk Syncope) Study.

    Acad Emerg Med. 2016 Aug;23(8):941-8. doi: 10.1111/acem.13013. Epub 2016 Aug 1.

    Numeroso F


    Then we talked about this interesting abstract. This is from the forum at ACEP and you can click the link to the PDF. It's abstract 76.

    Effect of a Sickle Cell Vaso-occlusive Crisis Observation Unit Pathway on the Admission Rate for Frequent Emergency Department Users

    Loeffler P, Sturgis L, Muelller T, Gibson R, Lyon M/Augusta University, Augusta, GA


    Then we finished with AHRQ study. It's also free can be found here!


    We hope you enjoy!






    30 min
  • ACEP 2016 Podcast
    Did you miss the meeting of the Obs section?  Do you want to catch up on the MOON and what's going on with the psych-in-obs issue?  Well, look no further.  Dr. Wheatley and Dr. Osborne sum up the meeting and share their insights on the near future of obs and what's going on with the MOON act.  Don't miss this one!
    29 min
  • Sooo...this Observation APC for 2016 pays how much more???
    If you are as deep in the world of Obs as Wheatley and Osborne, you'd know it's no secret that the facility payment for obs care has increased significantly.  We sit down with the Godfather of Obs, Mike Ross, who is break down the background and the future of this payment.  It's all you need to know and more to get up to speed on this important obs issue.  In fact, it's so much stuff, we gotta put some in this blog post just to keep it all straight!
     
    This PDF covers how short stay inpatients will be reviewed.  

    26 min
  • Sooo…this Observation APC for 2016 pays how much more???
    If you are as deep in the world of Obs as Wheatley and Osborne, you'd know it's no secret that the facility payment for obs care has increased significantly.  We sit down with the Godfather of Obs, Mike Ross, who is break down the background and the future of this payment.  It's all you need to know and more to get up to speed on this important obs issue.  In fact, it's so much stuff, we gotta put some in this blog post just to keep it all straight!
     
    This PDF covers how short stay inpatients will be reviewed.  


    26 min
  • Biggest Issues in Our Obs Units
    Hey guys!  Matt and I talk shop during this podcast and get down to the nitty of the gritty in operational details in one our best shows yet.  You've probably run into a lot of the same problems we have had and we're not perfect!  Also, we give some upcoming important dates about meetings and the big obs conference.  We even get to some listener emails.  Enjoy!
    33 min
  • Pobscast from Boston without Obnoxious Accents!!
    We recorded this one guerrilla-style in Boston.  So, those occasional loud bumps are just lobsters trying to get in on the action.  Wheatley and I sit down with Dr. Chris Baugh from Harvard to discuss some of the high points of the section meeting.  We cover a lot, but if you want to catch up on the Notice Act, read about that here!
    21 min
  • Don't Call it a Comeback Pobscast
    Hey!  We discuss some of the finer updates around the 2 MN rule.  Additionally, we discuss Ben Sun's syncope paper and a smaller paper hammering home the points about how observation care does not hinder massive benefits from seniors.  Hopefully, we saw everyone at ACEP this year.  It was great.  Stay tuned for obs medicine conference.  THE DEFINITIVE ONE!
    35 min

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