Medical Procedures include a mental health wellness survey, red flag potential?

P89DCSS said:

... Am I paranoid or careful?

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IMO, properly careful.

If the nurse's job is made more difficult because I refuse to answer the intrusive and/or none-of-anyone-else's-business questions then that is the fault of someone other than me. Suggest that s/he take that issue up with whoever is the source of those questions.

what is a small health care fund, an investment fund in healthcare companies?

Double Naught Spy said:

Being asked about being suicidal or wanting to hurt yourself or others is relative to certain medications that they may provide to you during or after a given procedure. Some tend to enhance said feelings and hence would be dangerous to give you or give to you without appropriate monitoring.

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This.

kidneyboy said:

All surveys at hospital and health care facilities are related to Medicare reimbursement for that particular facility

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Well, that's a significant driver but the corporate Risk Management practice also commonly drives bedside protocols (surveys, standardized courses of action, etc.) to reduce the likelihood of litigation.

roval said:

what is a small health care fund, an investment fund in healthcare companies?

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Back in the good old days, the early 90s to the mid 2000s, some companies and some local unions still managed their own health funds. Generally labelled as self funded health plans. These needed careful management. The fund I was involved with covered about 1500 active members and 800 or 900 retirees and early retirees. The 2010 affordable care act essentially put an end to self funded plans and shoved everything into what is now the few remaining large health insurance companies.

kidneyboy said:

Back in the good old days, the early 90s to the mid 2000s, some companies and some local unions still managed their own health funds. Generally labelled as self funded health plans. These needed careful management. The fund I was involved with covered about 1500 active members and 800 or 900 retirees and early retirees. The 2010 affordable care act essentially put an end to self funded plans and shoved everything into what is now the few remaining large health insurance companies.

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that's cool so you set up contracts with health care providers and hospitals for your members insurance.

roval said:

that's cool so you set up contracts with health care providers and hospitals for your members insurance.

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Basically. We also monitored hospital billing practices and helped members navigate the maze you entered when actually using healthcare at that time.

I wouldn't answer them either. Those questions don't sound like they have anything to do with the reason you were there nor do they sound like they would help the hospital take better care of you.

It's none of their business and any decision they make based off a brief survey is going to be lacking perspective and thus likely flawed anyway.

regarding reimbursement, hospitals get reimbursed for your hospitalization depending on your main diagnosis. (diagnosis related group/drg). the hospital gets paid the same more or less if you stay 2 days vs 5 days whatever the DRG would pay. a Case Mixed Index severity/CMI adds a multiplier to that DRG. i.e how sick was that person that came in with appendicitis. a healthy person with appendicitis has a low CMI compared to an appendicitis with comorbitiies such as diabetes, coronary disease, kidney disease etc...

hospitals or health provider groups may get "bonuses" from medicare or other health care plans if they are ticking off boxes related to good care let us say 90% ( making this number up) of applicable patients. i.e mammograms for breast cancer screening, colon cancer screening, getting glucose levels less than a certain level for diabetics, mental health screening, addressing advance directives , discussing goals of care etc...

going back to OPs concerns regarding the mental health screening. it is SCREENING. not diagnostic. it isn't being done due to red flag laws. it is for getting mental health patients the help they need if they had come in for something else. getting an important clinical order set into an electronic health record i.e a sepsis treatment pathway, pneumonia pathway or even amending an existing one is not a minor thing. much less putting in something to help with red flag laws across different EHRs and outmoded paper records for the government to monitor.

it is hard enough to go get pertinent records a provider needs if it's from a different electronic health or worse paper health record. HIPAA will also protect your records.

a screening question is not going to be pulled up. diagnoses yes( even if erroneous) but not necessarily every part of your record.

answer in the negative if truly without ideas of self harm. if you do have some then do you want somebody interfering with your suicide plans or do you want to seek help? if you are there for something else nobody will look into it further unless the screen points them in the right direction. or you can refuse to answer it but sometimes that may cause more discussion.

Health care providers have been asking these questions for a long time. Remember Docs vs Glocks??

They all want to get into your mental health be if for guns or committing suicide. You are not obligated to answer,
I am nice if a a Nurse asks but if a Dr asks, I ask him how much money does he make!

I went through a cardiac rehab program after have a heart attack. Good grief! the questions they want you to answer. I only replied to those that pertained to my physical health, The rest is not heir business. Lets just do the physical exercise stuff!

Florida

https://health.wusf.usf.edu/health-...3/docs-vs-glocks-battle-ends-in-doctors-favor

Every year in the DoD you have to answer a questionnaire that covers everything from your physical health, to emotional health, to what you eat. A few years back it also included a question, "Do you have guns at home". That created and uproar and that particular question went away.

I exercise 5 times a week, eat 5 servings of vegetables a day, sleep 8 hours a day and never feel "blue" 30 out of 30 days

I recently had one of those at home diagnostics that I had to collect a sample and send in. It came with a mental health survey they wanted me to fill out. I tossed it in the recycle bin.

I used to belong to same shooting club as my doc LOL

Being Ex Army my own self , I'll Not advise anyone what they should or shouldn't say but to cover YOUR 6 change the subject or minimize it deflect it and any references to firearms PERIOD !. YOU will be doing YOU and Your family a HUGE favor !.

I get those questions about mental health/depression/etc. I usually laugh it off and ask if anybody ever tells the truth anyway. I get the usual explanation: "it's an opportunity to learn about helpful resources, where to go, etc."
Got it. I was once asked if I wear my seatbelt in the car (!). Clearly some government mandated or requested survey for statistical purposes. My answer was a very pleasant "how does a seat belt improve my high blood pressure or diabetes treatment?" Same blahda blahda type response.

-jb, but the sheeple just blythely continue to give up everything

BushMaster-15 said:

Being Ex Army my own self , I'll Not advise anyone what they should or shouldn't say but to cover YOUR 6 change the subject or minimize it deflect it and any references to firearms PERIOD !. YOU will be doing YOU and Your family a HUGE favor !.

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Like
Like
Like.
Nobobodys
business.

Period.

When the doctor asked if I kept a gun at home I said, at home, and on my person. She just kept right on talking. She’s down to earth kinda doc. A normal kinda person, not a dr kinda person. That’s why I stick with her.

12Bravo20 said:

Sounds like how the VA doctor I was seeing for pain management sounded when I told him one way I deal with pain is to go to the shooting range. Oh man you should have seen the looks on his face until I explained how precision rifle shooting actually helps me deal with constant pain. I went into every aspect of shooting starting with safety first. Once I explained breathing techniques and math required for precision shooting, he then fully understood.

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I retired in 2010, which was a "bad time" for dealing with the VA and lots of other things within the DOD. Once (soon after retirement) a provider from the VA asked me if I had firearms in my house (while looking at my record, at a facility that was in the shadow of Ft Bragg) and I said no. The provider acted surprised at this response and would not leave it alone. I then told that provider that not only did the military ruin any chance of me being interested in firearms in the future, I also lost any desire to SCUBA dive, sky dive, run for exercise, or go camping ever again too.

P89DCSS said:

I just underwent a medical procedure with hospitalization. Almost every day I was asked if I was at risk or wanted to die. Several times I was given a paper survey with all sort of intrusive mental health questions. I declined to answer any surveys and replied to the question about wanting die with, "if I wanted to die I wouldn't be undergoing this procedure."

When I declined to answer the surveys the nurse would say it's OK not to answer but it would make her job easier if I did. I figure answering those surveys could subject me to red flag laws. And I figure there's pressure on the nurses to get patients to fill those surveys out.

Am I paranoid or careful?

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It has to start somewhere
These nut bag shooters need to be identified somehow as early as possible
I’m glad to see it. It will weed out morons if done correctly, and make things better for the rest of us

LOL.....just tell em ya sold em all.to.pay for transgender surgery

Jamie B said:

It has to start somewhere
These nut bag shooters need to be identified somehow as early as possible
I’m glad to see it. It will weed out morons if done correctly, and make things better for the rest of us

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Most have been on the radar. And or under psychiatric care.

The parents, school admin, shrinks, law enforcement......everybody fails so we need another law.

Yeah right.

Hookeye said:

Most have been on the radar. And or under psychiatric care.

The parents, school admin, shrinks, law enforcement......everybody fails so we need another law.

Yeah right.

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Benign neglect solves nothing
Neither does complacency
That’s why we are where we are now

No, we are where we are because of other (social) issues, not because we dont have enough laws.

Hookeye said:

No, we are where we are because of other (social) issues, not because we dont have enough laws.

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Well said. The list of social problems is long and we can’t even start naming them here.


I lost faith in our medical system way before the plandemic scam was implemented. I now trust the medical system as a whole the same way I trust a trailer park drug dealer. The medical system already has all my info from previous procedures but I’ll live with fairly high levels of pain before I contribute my info or money to that system again.

Hookeye said:

Most have been on the radar. And or under psychiatric care.

The parents, school admin, shrinks, law enforcement......everybody fails so we need another law.

Yeah right.

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This^^^ it's nobody's business what I do or do not have.

More people than not slip through the cracks (it's kinda easy to lie on those questionaires) by anyone in authority to do anything about it anyway so why should I put myself and my personal information out there.

The vast majority of "mass shooters" were already on the radar but we're never handled prior to their crimes.

Sacrifice my freedom for a psychopath to just be ignored? No thanks.

Digging into our personal info is just a data mining scam that will inevitably be used against us at some point.