Struggles of the week

My mom and I had a conversation the other day about not complaining. When she was a manager, she had a clay “bank” on her desk. When someone came in, she said to have at least 2 solutions to any problem to put in the jar. If they had no solutions, they were just complaining, and hence wasting their time. I so agree, but sometimes it’s hard to come up with a solution when you are inexperienced or are dealing with human nature. Now, I am not one to whine, so instead of elaborating on several challenges I had this week, I will list them out.

  1. Many actions have not been interpreted as intended. My intent in saying or doing certain things was nothing like certain higher-ups interpreted. Incidences: at least 3 THAT I KNOW OF. Lessons learned: Go to upper admin. for ANYthing before acting. At least get the okay to do as you need. Also, know your audience. If you don’t have a way of doing that, have a trusted friend that does.
  2. I don’t know enough about MTM, reimbursement, current business models both nationally and locally, nor where I fit into all of this craziness we call healthcare. I am not getting the teaching or direction I need, so my learning curve is HUGE. Solution 1: I tried asking for help close by, but I haven’t received much feedback. Solution 2: I reached out to local MTM specialists, who immediately responded. I am looking forward to working with them to shorten my learning curve so that I may be more effective in my practice.
  3. I am taking a longer than usual vacation, and we have many patients that need CMR’s (complete medication reviews). Problems= distance (no face-to-face) and huge minutes on my phone, costing me money I don’t have. Solution 1: Make as many calls to patients on weekends, when minutes are free. Have their case already worked up so I can have a phone CMR if they don’t want to make an appt. in January. Solution 2: Use Skype at the office, which my co-resident would help set up on her computer. This leads to a whole other issue…
  4. Is Skype okay to use for a CMR as far as HIPAA is concerned? I don’t see how it would be a problem, but until I have read it in the law, I am hesitant to try it. I truly feel it could be a great way to utilize a free service to increase access to patient care.
  5. I seem to attract rain. I went to Anaheim, and it rained. When I returned, we had a tropical storm on Maui. The day before I flew in to Albuquerque, New Mexico, it was 65. The night I arrived, it rained and then snowed about 3 inches. It is now white, wet, and a whole 50 degrees cooler than I am used to. Solution: always be prepared for wet weather.

I would appreciate constructive feedback from anyone who: 1) has had the same problem, and FOUND A SOLUTION; 2) has a proposed SOLUTION; 3) has general constructiv feedback