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Thursday, October 11th, 2018 04:19 pm (UTC)
Charts / etc - on our end of it all, I place most of the blame on insurance companies and the way that medical billing and payment works. For all the talk about "shifting to a focus on quality" or "value rather than volume" the heaviest emphasis is on getting as many patients in & out as possible and documenting just enough to qualify for billing (which is vastly different from functional documentation that allows for an understanding of the patient's conditions and care). Somehow the calls/emails/etc just got shoehorned on top of that, but because it's not billable, there is the minimum amount of dedicated time allowed to deal with it. *grr argh*.

And yiii, the midlife unraveling sounds really tough. I'm curious, and also happy to be a sounding board if that's a useful thing. I'm not quite at unraveling, but definitely at "well I made this huge professional redirect and now I need to figure out how to make it sustainable".

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