A Modern Country Doc–alphabet soup

Inside the Mind of –Tom Bibey

COLA, CLIA,OSHA, HIPAA, EMTALA. I’ve heard the powers that be are going to start up the NBEMAA (National Bureau for the Elimination of Medical Abbreviations Agency) to question everyone’s integrity for use of nongovernment approved abbreviations. Now if they do, I guess I’m gonna call it a day. The hypocrisy would just be too much.

 (Excerpted and used with the permission of the author, published in The Country Doctor Revisited, KSU, 2010)

 Modern medicine is an alphabet soup of acronyms. It can be quite overwhelming to the student. With the turn of the 21st century we’ve added EMR or EHR –electronic health or medical records, HCH or MH—health care home or medical home, but MH can also mean mental health. You may encounter NCQA and JCAHO, both efforts to improve and monitor the quality of care in the US. The ACA, Affordable Care Act, which some folks call Obama care, the national health reform passed during President Obama’s first term and now under attack, also brought us ACOs—accountable care organizations, which are supposed to be different from the HMOs-health management organizations of the 1970s and 1980s. I know that was a run on sentence, but one acronym seems to give birth to others. You can probably add some others to this list. The bottom line is that medical care in the US is complex. All the efforts try to guarantee quality, affordable health care for the patient, but often seem like barriers between the doctor-patient relationship.

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