Posts by Jack Percelay

Hazing Rituals for New Hospitalists

Jack Percelay writes... September, kids are off to school, football resumes, and new grads start hospitalist careers.   Part of the orientation we provide new hires should be anticipation and emotional preparation for any hazing rituals they might face from patients, hospitalist and other physician colleagues, and, perhaps most challenging of all, nurses. (more…)

Fraudulent Billing by Hospitalists?

Jack Percelay writes... Recently I’ve heard some allegations about fraudulent billing by hospitalists.    I expect this allegation may well relate to inherent inadequacies in current CPT coding. As a pediatric hospitalist working in the PICU, I  am able  to use  daily global codes for patients less than 5 years of age, but such codes aren’t available outside these circumstances.  Maybe they should be…… (more…)

The Intrusion of Marketing Techniques into Healthcare

Jack Percelay writes... "I need to up my Press-Ganey Blog scores, so please, if there’s any reason you can’t rate me 5 out of 5 after reading this blog, please let me know before submitting your score so that I can make it right."  I don’t know about you, but I’m fed up with the intrusion of  marketing techniques into healthcare. Don’t get me wrong, I am a ferocious advocate of  patient and family-centered care and incorporating patient preferences into medical decision-making.  But all too often it seems to me that some marketing techniques are less about shared decision-making and more about “lies, damned lies, and statistics”,  “putting lipstick on a pig,” or a Goldman Sachs like inability to recognize one’s  professional and fiduciary responsibilities.  (Don’t get me going there.  That topic merits a stand alone column.) What stirred my dander is my 17 yo daughter’s (more…)

Is Your Holiday Obligation More Equal than Your Colleague’s?

Jack Percelay writes... Do you get paid holiday time off as a hospitalist? Or are you told that everyday you are not working is time off, just like the kids who ask, “If there’s a Mothers’ Day and a Fathers’ Day, why isn’t there a Children’s Day?” and are told,  “Everyday is Children’s Day.” As is true for most of my pediatric hospitalist colleagues, I am an employee of the hospital/Department of Pediatrics.  I am not an independent contractor, do not own my own group, nor am I employed by a larger Hospital Medicine company.  I love my work, work hard, and expect to work my fair share of nights and weekends.  I respect my general pediatrician colleagues, but prefer the inpatient setting to the outpatient setting.  (Guess I have too much ADD to treat it.)  I value their work, and value mine equally.   Their patient volume is higher with…