The Exchange

Commentary and Observations from
the Medical Front Lines

Health Policy and Trends

<a href='/the-exchange/updated-beers-criteria-for-potentially-inappropriate-medication-use-in-older-adults'>Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults</a>

Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

The American Geriatrics Society 2019 Updated Beers Criteria—updated from 2015—are designed to reduce older adults' drug-related problems including, but not limited to, exposure to potentially inappropriate medications, drug-disease interactions, and medications that warrant extra caution in the older adult population. Older adults experience the highest prevalence of adverse drug events and many of these events are avoidable. more >

Found in: Health Policy and Trends, Preventive Medicine

<a href='/the-exchange/team-based-care-latest-data-on-family-physician-pa-and-np-practices'>Team-Based Care: Latest Data on Family Physician, PA, and NP Practices</a>

Team-Based Care: Latest Data on Family Physician, PA, and NP Practices

A recent study published in Family Medicine demonstrates the positive impact on practice capacity and scope of practice of family physicians when more >

<a href='/the-exchange/preceptors-and-tax-credits-interprofessional-policy-change'>Preceptors and Tax Credits—Interprofessional Policy Change</a>

Preceptors and Tax Credits—Interprofessional Policy Change

This blog is information only and not to be construed for legal tax advice—you must consult your tax professional regarding personal tax advice. If more >

<a href='/the-exchange/how-do-drug-pricing-systems-work-if-there-is-more-competition-shouldn-t-the-list-price-go-down-'>How Do Drug Pricing Systems Work? If There Is More Competition, Shouldn’t the List Price Go Down?</a>

How Do Drug Pricing Systems Work? If There Is More Competition, Shouldn’t the List Price Go Down?

Have you ever noticed how much more expensive drug prices become every year? I think we have all noticed this increase, so this week I decided to look in to more >

<a href='/the-exchange/choose-wisely-as-to-when-you-schedule-your-medical-care'>Choose Wisely As To When You Schedule Your Medical Care</a>

Choose Wisely As To When You Schedule Your Medical Care

Most of us tend to need a pick-me-up—perhaps a cup of coffee—around mid- to late-afternoon. But a new study published by JAMA on May 10, 2019 in more >

<a href='/the-exchange/consider-deprescribing-in-our-older-adults'>Consider Deprescribing in Our Older Adults</a>

Consider Deprescribing in Our Older Adults

We all have patients in our practices who are older and on numerous medications. They are stabilizing their problems but are faced with the reality of nearing more >

<a href='/the-exchange/advanced-practice-providers-and-liability-risk'>Advanced Practice Providers and Liability Risk</a>

Advanced Practice Providers and Liability Risk

It is a misconception that advanced practice providers can’t get sued because any errors are a physician’s responsibility. PAs and NPs can and do make more >

<a href='/the-exchange/national-stop-the-bleed-month'>National Stop the Bleed Month</a>

National Stop the Bleed Month

Did you know that May 2019 is the first ever National Stop the Bleed Month? Also, May 23 is the second annual Stop the Bleed® Day. So what is “stop the more >

<a href='/the-exchange/hypertension-in-the-pediatric-population'>Hypertension in the Pediatric Population</a>

Hypertension in the Pediatric Population

The prevalence of systemic hypertension (HTN) in the pediatric population is now commonly observed to be increasing, especially in view of the growing more >

<a href='/the-exchange/using-policy-to-impact-hpv-vaccine-rates'>Using Policy to Impact HPV Vaccine Rates</a>

Using Policy to Impact HPV Vaccine Rates

For more than 10 years we have had a safe and effective vaccine that can prevent several types of cancer. I understand the reluctance to accept a vaccine when more >

<a href='/the-exchange/universal-influenza-vaccine-begins-phase-i-clinical-trials'>Universal Influenza Vaccine Begins Phase I Clinical Trials </a>

Universal Influenza Vaccine Begins Phase I Clinical Trials

The National Institutes of Health have begun the first clinical trial of an innovative universal influenza vaccine candidate. A Phase I trial will examine the more >

<a href='/the-exchange/patient-autonomy-keeping-our-patients-self-determination-preserved'>Patient Autonomy: Keeping Our Patients’ Self-Determination Preserved</a>

Patient Autonomy: Keeping Our Patients’ Self-Determination Preserved

If you’ve practiced in medicine for at least 20 years, you may remember the case of Terri Schiavo, a woman in her 20s who was in a coma for more than a more >

<a href='/the-exchange/states-involvement-with-medicaid-expansion'>States' Involvement With Medicaid Expansion</a>

States' Involvement With Medicaid Expansion

For a little over 50 years, Medicaid has provided health care as a stop gap to millions of people. With the passage of the Affordable Care Act (ACA), few more >

<a href='/the-exchange/here-we-go-again-measles-in-seattle-this-time'>Here We Go Again: Measles in Seattle This Time</a>

Here We Go Again: Measles in Seattle This Time

As of January 31, 2019, there were 42 confirmed cases of measles in the Pacific Northwest. This includes 41 cases in Clark County, the epicenter for the more >

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