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Quality Care/Best Practices

The number one priority of the Washington State Medical Association (WSMA) is to make Washington a better place to practice medicine and to receive care. Improving the quality of care in our state is of utmost important to the WSMA and our physician members. 

Read WSMA Preceptor which is our 4-page quarterly publication on news and comment. Our goal with Preceptor is to better inform physicians and practice managers about the emerging performance, costs and quality measurements that are becoming integral to health care. This link is password-protected.


Latest News

Survey shows hospital patients satisfied with some aspects of care, dissatisfied with other aspects

The first-ever nationwide hospital quality survey by the Centers for Medicare and Medicaid Services found that 67% of patients said they would “definitely recommend” the facility in which they received treatment to friends and relatives and that 63% gave their hospitals a nine or 10 rating on a scale of zero to 10. However, many patients reported being dissatisfied with some aspect of their care, the survey found, from noisy rooms at night to a lack of instructions at discharge.

The survey was released on March 28. Randomly selected patients at more than 2,500 hospitals nationwide completed a questionnaire from October 2006 to June 2007. The survey asked 27 questions, such as how well physicians, nurses and other hospital providers handled complaints of pain, how well they listened to patients and whether they treated patients with respect. The online results also show hospitals’ performance on a number of clinical measures.

See how Washington hospitals fared.


 



Alternative Therapy

Alternative Therapies—report by the WSMA Executive Committee. This material includes links to websites which contain information about alternative therapies which physicians may find informative. (Coming soon.)

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Clinical Laboratory Advisory Council (CLAC): Practice Guidelines
Practice guidelines as provided by Washington State Clinical Laboratory Advisory Council.

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Epocrates
Discounted all-in-one mobile guide to drugs, diseases, and diagnostics.

Epocrates Drug Search Tool

Epocrates Online

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Free Medical Books

Over the next few years, many important medical textbooks will be available online, free and in full-text.

More information on these free resources.

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Genetics Testing
The AMA is offering Genetics in Clinical Practice: A Team Approach, an Interactive Medical Laboratory Virtual Clinic. This CD-ROM is now available at no cost to physicians and other health care professionals that have an interest in clinical genetics.

The program content focuses on simulated patients, who have - or are at risk of developing - four different diseases. It covers the assessment and counseling of patients; provides case-based learning, which allows you to explore the medical and psychosocial dimensions of genetic counseling; and includes mini-lectures from experts in the field. A patient interview feature allows users to hear how genetic conditions (breast cancer, myotonic dystrophy, sickle cell anemia and osteogenesis imperfecta) have affected the lives and families of real patients.

Limited copies of the CD-ROM are available. Send an email request that includes your name, shipping address and telephone number.

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Internet
Guidelines for the appropriate use of the internet in medical practice, adopted by the Washington State Medical Quality Assurance Commission.

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Lasers in Skin Care Treatment
Rules pertaining to the use of laser, light, radiofrequency and plasma devices, adopted by the Washington State Medical Quality Assurance Commission.

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Medical Marijuana

In November 1998, Washington voters passed Initiative 692 regarding the use of marijuana for certain terminal or debilitating conditions. The initiative became law on December 3, 1998.

Frequently asked questions about the law, including a downloadable Documentation of Physician Authorization to Engage in the Medical Use of Marijuana Form.

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Medical Treatment Guidelines
The Department of Labor and Industries published Medical Treatment Guidelines, which cover 21 conditions, as an educational tool for medical providers treating injured workers.

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Office-Based Anesthesia
Guidelines
Guidelines of the Washington State Medical Association (pdf file).

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Pain Management
The AMA's complimentary Pain Management continuing medical education series is available online. Pain is a symptom encountered by every physician, crossing all medical specialties. According to the American Pain Society, 50 million people are partially or totally disabled by pain and 45% of all Americans seek care for persistent pain at some time in their lives.

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Physician Consortium for Performance Improvement
The American Medical Association (AMA)-convened Physician Consortium for Performance Improvement® (Consortium) is committed to enhancing quality of care and patient safety by taking the lead in the development, testing, and maintenance of twenty-seven evidence-based clinical performance measures and measurement resources for physicians. The Consortium is comprised of over 100 national medical specialty and state medical societies; the Council of Medical Specialty Societies; American Board of Medical Specialties and its member-boards; experts in methodology and data collection; the Agency for Healthcare Research and Quality; and Centers for Medicare & Medicaid Services.

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Physicians Desk Reference - MobilePDR (TM) - free download
Clinicians with a Palm Pilot, Compaq IPAQ or other PDA can now download "mobilePDR" for free, gaining instant access to concise drug information for the 1,500 most prescribed drugs.

Learn more.

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STD Partner Treatment
Policy regarding treating partners of patients who have an STD, adopted by the Washington State Medical Quality Assurance Commission.

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WISHA Occupational Health and Safety Guidelines and Sample Policies for Medical Office—manual
You may order the WISHA Occupational Health and Safety Guidelines and Sample Policies for Medical Office online. The WSMA has developed its second edition of WISHA Occupational Health And Safety Guidelines and Sample Polices for Medical Office Manual. The manual, designed to save physicians and their staff time doing research and writing policy and procedure manuals, includes: A summary of regulations pertaining to blood-borne pathogens, hazardous communication and accident prevention, a Sample Policies and Procedures Manual available in hard copy and electronic format that can be used as a template for developing your own manual quickly and easily, WISHA Regional Directive 11.40, as well as other resources to help your practice comply with these regulations.

All practices in Washington state are required to comply with the Washington Industrial Safety and Health Act (WISHA) and its regulations (this law requires medical practices to have policies in place addressing accident prevention, hazard communications, and blood-borne pathogens). Failure to comply with the law and regulations can result in serious fines and penalties.

While these laws and regulations have been in place for several years, the Needle-stick Safety and Prevention Act resulted in new requirements for medical practices. The new regulations require offices to incorporate a process to identify and use safer devices in their blood-borne pathogen policies and procedures.


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