ACC guidance covers bleeding in patients on oral anticoagulants | CMS compare websites get new quality measures | OIG approves medication management pilot project
December 14, 2017
CV Quality SmartBrief
Transforming Health Care from the Inside Out
First Focus
ACC guidance covers bleeding in patients on oral anticoagulants
The American College of Cardiology published an expert consensus document on managing bleeding in patients taking oral anticoagulants in its Journal of the American College of Cardiology, adding to its recent consensus report on managing anticoagulation in patients with nonvalvular atrial fibrillation. Writing committee chairman Dr. Gordon Tomaselli said the pathway provides a "conceptual framework to support clinician decision-making" for patients with bleeding complications who are taking oral anticoagulant therapy.
Medscape (free registration) (12/13) 
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CMS compare websites get new quality measures
The CMS this week added quality measures related to the influenza vaccine, methicillin-resistant Staphylococcus aureus bacteremia, and Clostridium difficile infection to its compare websites for inpatient rehabilitation facilities and long-term hospital stays. The influenza measures include the percentage of patients and health care personnel who get vaccinated.
Healthcare Finance News (12/12) 
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OIG approves medication management pilot project
The HHS Office of Inspector General approved a drug company's pilot program to give a private Medicare Advantage plan real-time access to a hospital's electronic discharge records so that plan pharmacists can use the information in patient medication management to improve transitions of care and reduce readmissions. The program participants were not identified but a vendor would provide a technology interface to allow access to the data.
Healthcare Finance News (12/12) 
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Practice & Hospital Management
Embedding pharmacists in medical homes beneficial
A study in the Journal of International Medical Research found that integration of a clinical pharmacist into primary care medical home practices increased the likelihood of improved and faster management of diseases, increased ambulatory encounters, and lowered drug costs. Pharmacists in the Collaborative Pharmacist Support Services program of Salt Lake City's Intermountain Healthcare worked in clinics to adjust medications, monitor safety and choose generics when appropriate.
Drug Topics (12/8) 
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Video game helps emergency physicians improve triage decisions
A video game called "Night Shift" increased emergency department physicians' ability to appropriately assess trauma patients, compared with ED physicians who were provided educational materials, researchers reported in The BMJ. The game design focused on the part of the brain linked to using pattern recognition and past experience to subconsciously make quick decisions.
HealthDay News (12/13) 
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E-Health Watch
Poll finds 83% of physicians have been affected by cyberattack
The American Medical Association and Accenture surveyed about 1,300 US physicians and found that 83% reported experiencing a cybersecurity attack, with phishing and computer viruses cited as the most common causes of cyberattacks. Just over half of respondents said they were very or extremely concerned about their organizations being affected by cyberattacks in the future, and about three-quarters said clinical practice interruption and security of patient records were their top concerns.
Health IT Security (12/12) 
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KLAS releases list of best practices for EHR optimization
Health care providers seeking EHR optimization in their organizations should conduct initial and ongoing EHR training classes for newly hired physicians and staff, according to a KLAS best-practices list. Researchers found that personalization settings that allow quick data retrieval and chart reviews help improve clinician satisfaction, and a culture of user empowerment and IT service is typically found in successful organizations.
EHR Intelligence (12/11) 
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Other News Highlights
Spotlight on Innovation
Code-a-Thon addresses opioid crisis
Code-a-Thon addresses opioid crisis
(AFP/Getty Images)
HHS held a two-day Code-a-Thon to focus on using data and technology to help address the opioid crisis. One of the winning teams came up with a way to track overdoses in a community in real time so first responders and authorities know where to send resources.
Healthcare Informatics online (12/8) 
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Costs & Reimbursement
House GOP unveils bills to delay health insurance tax, other ACA taxes
House Republicans introduced a set of bills that would postpone the Affordable Care Act's tax on health insurance for two years, the medical device tax for five years and a tax on high-cost plans for one year, and these bills could be merged with spending legislation expected to be approved by Dec. 22. The tax on health insurance, which is scheduled to take effect on Jan. 1, would be postponed next year for payers offering plans with premium rebates, while the delay for all other plans would begin in 2019.
Reuters (12/12),  The Hill (12/12),  Modern Healthcare (tiered subscription model) (12/12) 
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Spotlight on JACC Journals
ACC News
Latest Issue of Cardiology: Interventions Looks at Transcatheter Mitral Valve Therapies; Chronic Total Occlusion; and More
The cover story in the latest issue of Cardiology: Interventions looks at the next frontier of transcatheter mitral valve therapies. The feature story provides some new insights and data on chronic total occlusion and the FIT perspective by Hector Tamez, MD, MPH, reviews the emerging opportunities with a CHIP/CTO fellowship. Don't miss the perspectives on the ORBITA study from Editor-in-Chief Peter C. Block, MD, FACC, and Kreton Mavromatis MD, FACC. In the Heart of Health Policy, read about CMS cancelling the EPM and Cardiac Rehab Incentive Payment Models; final Medicare Physician Fee Schedule and HOPPS; and the mixed reviews of the 2018 QPP rule. Also, in Quality Improvement for Institutions, read about ACC's Accreditation Services' 20th Annual Congress; the STEMI ACCELERATOR-2 trial and the impact of an intensive regional approach improves STEMI care; and a new risk-standardization model from ACC's IMPACT Registry for adverse outcomes following congenital cardiac catheterization. Get the full issue at
Engage With Guidelines Using ACC's Guidelines Clinical App
The ACC's Guideline Clinical App provides streamlined access to more than 20 clinical guidelines, including the new ACC/AHA 2017 High Blood Pressure Guideline. The app features key-point summaries, point-of-care guideline tools (i.e. risk scores and calculators), customization features, and much more. Learn more and download. Among the tools: a new "High Blood Pressure Guidelines Made Simple" resource.
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Peace is not unity in similarity but unity in diversity, in the comparison and conciliation of differences.
Mikhail Gorbachev,
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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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