Group analyzes MIPS performance of ACOs | CMS unveils 2018 star ratings for MA, Part D plans | Communication technique improves patient satisfaction scores
October 17, 2017
CV Quality SmartBrief
Transforming Health Care from the Inside Out
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Group analyzes MIPS performance of ACOs
All of the more than 400 accountable care organizations in Track 1 are likely to get high performance scores in the Merit Based Incentive Payment's Quality Payment Program, according to an analysis by the National Association of ACOs. Findings also showed that most MIPS payment adjustments may range from 0.4% to 2.6% of the Part B expenditures of qualified providers.
Healthcare Informatics online (10/12) 
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CMS unveils 2018 star ratings for MA, Part D plans
The CMS announced that 44% of Medicare Advantage plans that include prescription drug coverage received at least a four-star rating for 2018, more than half of Part D plans received four or more stars, and average premiums for Part D and MA plans are down. Nearly three-quarters of enrollees in Medicare Advantage plans with prescription drug coverage will be covered by plans with at least a four-star rating, as will 47% of Part D enrollees.
Modern Healthcare (tiered subscription model) (10/11),  Healthcare Finance News (10/11),  Healthcare Finance News (10/11) 
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Communication technique improves patient satisfaction scores
A study in the journal Family Medicine found the psychosocial BATHE intervention, which stands for background, affect, trouble, handling and empathy, increases hospital inpatient satisfaction scores. The technique lets patients share psychological or life problems with clinicians, and data showed patients who participated gave their physicians an average score of 4.77, compared with a 4.0 score given by patients receiving standard care.
HealthLeaders Media (10/16) 
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Make your diagnosis
Approximately 52% of physicians diagnosed this image incorrectly.
Practice & Hospital Management
Free tool helps physicians improve their diagnostic skills
The Society to Improve Diagnosis in Medicine released its Assessment of Reasoning Tool, a free resource to help physicians improve diagnostic and clinical reasoning skills. The tool is available on the society's website and comes with five short videos that focus on issues such as understanding the diagnostic process, factors contributing to diagnostic errors and working with patients and families in the decision-making process.
Medscape (free registration) (10/13) 
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Survey gauges physician satisfaction with income level
A Medscape survey of more than 1,150 physicians in 25 specialties found 48% of primary care physicians were somewhat or very satisfied with their practice income, compared with 55% of doctors in other specialties. Overall, physicians said their reputation for providing quality care and referrals from family and friends were the top reasons new patients sought care from them.
Medscape (free registration) (10/11) 
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E-Health Watch
EHR-related malpractice suits rise, study finds
Malpractice suits related to EHR use rose from two in 2007 to 2010 to 161 in 2011 to December 2016, according to a study released by The Doctors Company. Researchers found that there were more EHR-related malpractice claim events in patient rooms than in hospital clinics/doctors' offices, emergency rooms, ambulatory/day/surgery centers, or labor and delivery rooms, as well as an 8% increase in system factors and a 6% decrease in user factors that contributed to these claims.
HIT Consultant (10/17) 
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CDC funds telehealth program at Fla. hospital
The CDC is providing $2.2 million to UF Health Jacksonville to set up a telemedicine program for patients with HIV in Jacksonville, Fla. The grant, which will extend over three years, is said to be the first such funding for telehealth in an urban setting.
mHealth Intelligence (10/13) 
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Other News Highlights
JACC Audio Summaries Surpass 4 Million Downloads
Discover what thousands of your colleagues already have — listen to JACC editor-in-chief audio summaries today! Recorded for busy clinicians, highlights and key findings from each issue of JACC and JACC: Clinical Electrophysiology are available on iTunes, Player FM and the JACC. Learn More.
Spotlight on Innovation
Apps are the future of DNA sequencing, experts predict
Trends in genetic sequencing will be driven not by innovative technology but by innovative applications, write three experts in the field of genetics and genomics. A lack of analysis and interpretation tools impedes the progress of genomics, but "just as new informatics approaches and massive data sets have dramatically improved language translation and image recognition, we predict that massive DNA-sequence data sets coupled with phenotypic information will enable researchers to deduce the biological functions encoded within genome sequences," they write.
Nature (free content) (10/11) 
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Costs & Reimbursement
Senators continue talks on ACA fixes amid market turmoil
Sens. Lamar Alexander, R-Tenn., and Patty Murray, D-Wash., are said to be putting the finishing touches on legislation to overhaul -- but not repeal -- the Affordable Care Act, while Sen. Ron Johnson, R-Wis., also intends to introduce a bill to change the ACA. President Donald Trump issued an executive order last week halting federal cost-sharing reduction payments to insurers, creating further unrest in the individual plan market.
The Wall Street Journal (tiered subscription model) (10/15) 
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ACC News
ACC Launches Twitter Journal Club
Join ACC Board of Trustee member Dipti Itchhaporia, MD, FACC, for the College's debut ACC Journal Club on Twitter! Itchhaporia will be joined by ACC Past-President Kim Allan Williams, MD, MACC, and John Ryan, MD, FACC, on Oct. 25 from 8 - 9 p.m. ET, for a discussion of the PURE study presented at ESC Congress 2017. The PURE study found higher consumption of fruits, vegetables and legumes was associated with a lower risk of non-cardiovascular and total mortality. Join the conversation by following @ditchhaporia, @cardio10s and @JJRyanMD on Twitter. Use #ACCJournalClub to send in your questions.
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ACC.18 Early Bird Registration Closes This Week
ACC's 67th Annual Scientific Session & Expo (ACC.18) will take place March 10 - March 12, 2018. Join the world's leading cardiovascular professionals in Orlando, FL, for three full days of innovative education, ground-breaking science and interactive debates and discussion. Early bird discounts end this Thursday, Oct. 18. Save money and get the best selection of available hotels by registering today!
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The test of a vocation is the love of the drudgery it involves.
Logan Pearsall Smith,
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This news roundup is provided as a timely update to ACC members and partners interested in quality health care topics in the news media. Links to articles are provided for the convenience of the health care professionals who may find them of use in discussions with patients or colleagues. Opinions expressed in ACC Quality First SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American College of Cardiology. On occasion, media articles may include or imply incorrect information about the ACC and its policies, positions, or relationships. For clarification on ACC positions and policies, we refer you to
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