Shortages Addressed with a Change in Practice
Tuesday, December 2nd, 2008
pic by ND or not ND
If children made government policies they would not be complicated, they would be simple and the rules would bendable for the circumstances at the time.
The Physician Shortage and the Child Clinical Mental Health Specialist Shortage can be better addressed by utilizing group sessions to expedite access to treatment. The key is providing a level of care sooner than later. The secondary benefits are that patients learn from other patients asking questions, share what is working for them, and become a network for identifying resources.
The lack of experts in any field should not result in policies that create waiting lists to seek care. Federal compliance features especially in health care are inconsistent among the regions of the United States. The latitude for allowed for accessing services in Rural areas has result in innovative ways to provide care. However, in Urban areas a similar latitude is missing.
The rules for reimbursement is an all or nothing standard and it prevents access to care. The real weight to decision making that should be used for giving latitude is whether any level of care should be allowed if it improves access or the outcomes to physical or mental health care. Pricing should then be set accordingly.
One standard for all when it is know that there are the have’s and the have not’s for accessing care is unfair, especially when there are solutions to improving the level of access.
Allow Community Health Centers and nonprofits to offer services at a standard that can be meet within the pool of available workers in the geographic area. The Federal government has already designated by census zone those areas that lack sufficient resources, therefore I would advocate such should trigger automatic latitudes for creating access to care and levels of care.


