your life your health

 James  Holly, M.D.

Oct. 1, 2015, the entire healthcare industry is changing its coding to the “new” system, ICD-10, which is used to document diagnoses in medical records and is used for billing insurance companies such as Medicare and Medicaid for the services patients receive.

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All Southeast Texas Medical Associates physicians can now prescribe controlled substances electronically (ePCS). A smaller group of SETMA physicians has been experimenting with this function for the past six months and now all physicians are authorized to use it.

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Part of healthy living and certainly a significant part of longevity is found in the making of sound judgments and the right decisions. The problem with life-changing actions is that we often make decisions on the basis of inadequate information. In his book “The Fifth Discipline,” Dr.

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Recently, the Opinion page of the New York Times included a brief description of the problem facing primary care physicians who are confronted by a patient who wants a narcotic pain medication. When I started practicing medicine over 40 years ago, doctors ordered urine drug screens in order to discover patients who were taking street drugs such as marijuana, heroin, etc. Today, urine drug screens are being recommended and/or required to discover patients who are NOT taking their prescription pain medication and other drugs that have a high potential for abuse.

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In the past 17 years, this column has often addressed the importance of hope in the healthcare process. Without hope, personal healthcare improvement will not happen. Increasingly, in the context of a patient-centered medical home model of care, we have realized that while technology and science can treat diseases, neither can produce health.

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From May 1999 to May 2009, SETMA built tools and designed a model of care that laid the foundation of a patient-centered medical home. In June 2015, as SETMA adds the crown of Behavioral Health to our medical home model, we have met the standards of excellence of all organizations which recognize and/or accredit PC-MH.

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This spring and summer mark significant milestones for SETMA and for Carolyn Holly and myself. May 8, 2015, Carolyn and I celebrate the 50th anniversary of our graduation from college. Aug. 1, 2015, SETMA celebrates the 20th anniversary of its founding. And Aug. 7, 2015, my wife and I celebrate our 50th wedding anniversary.

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As our medical home grew, SETMA started a patient-centered council from which we could get feedback about how we can improve our services. As our idea of this project grew, we realized that more than “feedback” on what we had decided to do, we wanted our patients and community to give us guidance on what we should do and/or what they wanted us to do.

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In a September 2012 article titled, “Atypical Antipsychotic Use in Patients With Dementia: Managing Safety Concerns,” the American Journal of Psychiatry stated: “In the elderly population, the largest number of prescriptions for atypical antipsychotics is written for the neuropsychiatric symptoms (NPS) of dementia, e.g., delusions, depression, agitation which affect up to 97 percent of people with dementia.

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The team leaves for home March 25 after a very successful meeting. The team incl

An announcement of and introduction to the seventh Medical Home Summit was published in this column Jan. 22.

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