“Invisible” Hand? Or “Absent” Hand?

June 11, 2018 by C. Scott McMillin

In their eagerness to reduce the size of government, states  have stripped away staff who would otherwise make onsite visits to ensure compliance.

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Compliance via Incentives

June 15, 2017 by C. Scott McMillin

An important step that programs often skip: the collection of baseline data. Improvements are often incremental, and if you don’t know exactly where you started, it’s easy to miss them.

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Compliance via Fellowship

June 8, 2017 by C. Scott McMillin

In his review of long-term outcome studies involving both alcohol and heroin users, Vaillant noted the inspirational aspects of such participation.

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Compliance via Coercion

May 25, 2017 by C. Scott McMillin

“You don’t see much motivation or insight. But I guess that’s why they have to be compelled in the first place, right?”

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Drug Testing

October 27, 2016 by C. Scott McMillin

If you’re not careful, the whole thing turns into an endless game of cat-and-mouse, that leads nowhere.

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Hackmail! Protect Your Patient Data

April 18, 2016 by C. Scott McMillin

Once in the system, a hacker can easily move from one area to another– accessing PHI on many other patients.

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Practice versus Knowledge

August 31, 2015 by C. Scott McMillin

Most people in stable recovery got there the hard way, through major alterations in the way they live.

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Ten Steps to a Strategic Plan

December 22, 2014 by C. Scott McMillin

“I don’t know why we bother. Hardly any of the stuff we predict ever comes to pass.”

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The Compliance Problem

March 24, 2014 by C. Scott McMillin

It presupposes a patient who agrees with the recommendations, which, particularly with addictions, may not be the case.

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Surviving Program Surveys

May 6, 2013 by C. Scott McMillin

The most common error is to assume your program is running pretty well and will therefore get a good result on the survey.

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