PICA Insights

The Risks and Benefits of Patients Recording Visits

Aug 5, 2025 11:21:26 AM / by PICA Risk Management Specialist posted in Risk Management

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Patients recording, either audio or video, their encounters with healthcare providers has become increasingly common. While healthcare providers may be alarmed when a patient asks to record their visit, it is not necessarily a bad thing. Recording patient encounters has both risks and benefits.

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Reducing Staff Turnover at Your Podiatry Practice

Aug 5, 2025 11:12:30 AM / by PICA Risk Management Specialist posted in Practice Management

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Staff turnover places a significant strain on an office's finances and resources. It leads to expenses related to recruiting, hiring, and training new employees, along with the cost of covering temporary staffing needs. Productivity often declines as attention is diverted to focus on the hiring and onboarding process. Additionally, turnover can negatively impact staff morale, especially when the remaining employees must take on extra responsibilities to compensate for vacant roles.

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Major Changes Proposed for Medicare Reimbursement of Skin Substitutes

Aug 5, 2025 10:59:34 AM / by J. Kevin West posted in Compliance

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The Centers for Medicare & Medicaid Services (CMS) has proposed significant reforms to the Medicare Part B payment methodology for skin substitute products. If adopted, the proposed changes1 would significantly decrease the reimbursement rate for such services.

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Office Staffing: Handling Time Off Requests

Jul 8, 2025 10:22:00 AM / by PICA Risk Management Specialist posted in Practice Management

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Managing office staffing and handling time-off requests effectively is key to maintaining smooth operations, avoiding staff burnout, and ensuring good patient care. 

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Having Difficult Conversations with Patients

Jul 8, 2025 10:15:51 AM / by PICA Risk Management Specialist posted in Practice Management

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Having difficult conversations with patients and their family is one of the most challenging yet important responsibilities in healthcare. These conversations can involve topics like delivering bad news, discussing prognosis, setting boundaries, addressing non-compliance, or managing unrealistic expectations.

Here are some steps you can implement to optimize difficult conversations you need to have with your patient.

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Compassionate, Inclusive, and Competent Healthcare: Focus on the LGBTQIA+ Community

Jun 6, 2025 11:40:44 AM / by PICA Risk Management Specialist posted in Compliance, Practice Management

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While most healthcare providers are compassionate and want to provide optimal care to their patients, implicit biases exist. Healthcare providers may not be aware of implicit biases, which may be subtle and unintentional, that can influence clinical interactions, lead to a lack of trust between the patient and the healthcare provider, and result in healthcare disparities.

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Managing Patient Complaints to Optimize Outcomes

Jun 6, 2025 11:40:07 AM / by PICA Risk Management Specialist posted in Practice Management

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You strive to provide quality care and good customer service to your patients. But inevitably, you will have a patient or patient’s family member that is not satisfied with the care you (or your staff) provided.

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The Impact of Physician Burnout

May 12, 2025 2:40:12 PM / by PICA Risk Management Specialist posted in Practice Management

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Physician burnout is a long-term stress reaction characterized by emotional exhaustion, depersonalization (indifference toward or detachment from work), and a decreased sense of personal achievement. Physicians are especially prone to burnout with almost half of physicians reporting at least one symptom of burnout.

Causes and Effects of Burnout
Physician burnout not only negatively affects physicians and their families, but it also puts patients at risk. Evidence suggests that physician burnout worsens the quality of patient care, increases the risk of medical errors, and decreases patient satisfaction.

Excessive workload, high patient volumes, administrative and regulatory burdens, increased documentation requirements, limited control over work schedules, and lack of support and autonomy from their organizations have been shown to increase physician stress levels and lead to a lack of work-life balance, emotional exhaustion, and poor relationships with colleagues and patients. This all creates burnout.

Steps You Can Take to Prevent Burnout
Here are some steps you can take at your practice to help reduce stress and prevent burnout:

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De-Escalation in Healthcare: Preventing Workplace Violence and Mitigating Risk

May 12, 2025 1:28:06 PM / by PICA Risk Management Specialist posted in Risk Management

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Workplace violence in healthcare settings is on the rise, putting providers at risk physically, emotionally, and legally. According to the Occupational Safety and Health Administration (OSHA), healthcare workers are five times more likely to experience workplace violence than workers in other industries. For podiatric medical physicians, this presents not only a safety concern, but a risk management priority. Implementing strong de-escalation techniques can protect staff, improve patient care, and reduce liability.

The Growing Threat of Workplace Violence in Healthcare
Healthcare environments are particularly vulnerable to aggression and violence. Contributing factors may include:

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Wound Care – Protect Yourself and Your Patients

Apr 11, 2025 1:11:25 PM / by PICA Risk Management Specialist posted in Risk Management

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It is not uncommon for lawsuits to arise from wound care treatment. You can provide care to the best of your ability, and sometimes poor outcomes still happen. A poor outcome does not necessarily mean medical negligence; however, when a poor outcome happens, patients can perceive that the standard of care was not provided, become unhappy, and file a lawsuit. Common allegations include delay in diagnosis, failure to properly treat, failure to timely refer, and failure to obtain informed consent. Therefore, it is of utmost importance to take measures to protect yourself and your patients during the wound care process.

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