Archives for August 16, 2005

Team Health Files Form S-1 With SEC

In the "?Is this good news?", department: Team Health Files Form S-1 With SEC.

KNOXVILLE, Tenn., Aug. 16 /PRNewswire/ — Team Health, Inc. announced today that it has filed a registration statement with the Securities and Exchange Commission relating to the proposed Initial Public Offering ("IPO") of its common stock.

The shares in the IPO are being offered by Team Health and certain selling stockholders. Team Health, Inc. intends to apply to have its shares listed on the New York Stock Exchange under the ticker symbol "THH." The IPO is expected to take place later this year.

Lehman Brothers and Merrill Lynch & Co. as joint book-running managers and JPMorgan are acting as representatives of the underwriters in the IPO.

The offering will be made only by means of a prospectus.

About Team Health Founded in 1979, Team Health is headquartered in Knoxville, Tennessee. Team Health is affiliated with over 7,000 healthcare professionals who provide staffing and administrative services in the areas of emergency medicine, radiology, anesthesia, hospitalist, pediatrics and other healthcare services to over 470 hospital clients and their affiliated clinics and surgical centers in 44 states. For more information about Team Health, visit

Full disclosure: I interviewed with a Team Health regional affiliate several years, right out of residency, and as they stiffed me with the travel expenses they promised to reimburse, I’ve never held them in high regard.

That’s neither here nor there, and TH is a company whose officers are probably going to get rich while the docs who, you know, actually provide the professional services won’t get the Big Payday.  My ignorance about stock, etc, is legendary, so if there’s a big upside for the working doc, I’d love to hear it.

Many Discharged Patients Do Not Know Diagnoses, Medications, Side Effects

From the Mayo Clinic: Many Discharged Patients Do Not Know Diagnoses, Medications, Side Effects.

The authors report that 72 percent of the patients were not able to list the names of all of their medications, however, more could state the purpose of their medications. And about 58 percent of the patients were unable to recount their diagnosis or diagnoses.

"All methods that enhance the patient’s understanding of his or her discharge treatment plan focus on one central aspect — proper communication," says Dr. Friedman. "Although not all patients are noncompliant because of poor communication, this is probably the leading cause of noncompliance."

Dr. Friedman notes that communication involves many aspects, including language (speaking to the patient in terms the patient understands), practicality (giving the patient a regimen that can be followed without much disruption to daily life) and time (spending reasonable time counseling the patient and ensuring that the patient actually comprehends the instructions).

"Without willingness of the health care team to devote time to communication, the careful and effective treatment that was delivered in the hospital may not continue after discharge because of patient noncompliance," says Dr. Friedman.

I have no doubt this is a universal problem.  Patients recently discharged from my hospital who return frequently have their copy of their handwritten discharge instructions.  They are variably legible, don’t have a diagnosis written anywhere un them, frequently use the medical abbreviations for medicines (T.I.D., etc), and the patients don’t remember even who their doctor is.  There is certainly room for improvement.

The authors go on to recommend some ideas they hope would help, but I doubt the practicality of many of them.

MedBlogs Grand Rounds 1:47

It’s that time: Circadiana.

Of all the carnivals out there, Grand Rounds tends to have some of the most creative hosts (to be fair, Skeptic’s Circle and The Tar Heel Tavern had some very creative hosts, too) and I have done some creative thematic carnivals in the past, but for today I decided to "play it safe" and just present a simple introduction to medical bloggers and their best recent posts, organized by Rooms – the places where stuff is happening. So, let’s do it!