AAFP's Wergin tells lawmakers EHRs can be burdensome, expensive | Study warns antipsychotics are dangerous for patients with dementia | American Family Physician highlights a Choosing Wisely recommendation regarding antipsychotic use and dementia.

March 20, 2015
Family Medicine SmartBrief

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AAFP's Wergin tells lawmakers EHRs can be burdensome, expensive
Family physicians see the potential of electronic health records to improve patient care, but implementation can be expensive and burdensome, AAFP President Robert Wergin, M.D., told the Senate Committee on Health, Education, Labor and Pensions. Committee Chairman Sen. Lamar Alexander, R-Tenn., said that although EHRs were aimed at improving care and coordination and reducing costs, "evidence suggests these goals haven't been reached." AAFP News (3/19)
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Making the Most of Meaningful Use: Why Choosing the Right EHR Matters
Healthcare professionals understand how EHRs can increase patient engagement and the quality of care. What's not clear is how to choose the right EHR vendor or how to transition to a new EHR smoothly and within government guidelines. This guide provides an overview of Meaningful Use, highlights the requirements for 2015, and provides tips for selecting the right EHR to avoid penalties and position your practice for continued success in the future. Read now.

Clinical News
Study warns antipsychotics are dangerous for patients with dementia
Researchers found that antipsychotic drugs may raise the risk of premature death among patients with dementia more than previously thought, and risk is correlated with dose among newer antidepressants. The study was reported in JAMA Psychiatry. "The harms associated with using these drugs in dementia patients are clear. ... These results should raise the threshold for prescribing further," study author Donovan Maust said. HealthDay News (3/18)
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Cardiovascular risk among older men increases with diabetes duration, study finds
Mortality from myocardial infarction rose among older men who had diabetes for up to 25 years, while risk of death from stroke increased as duration of diabetes grew, Australian researchers found. The findings appear in The Journal of Clinical Endocrinology & Metabolism. Healio (free registration)/Endocrine Today (3/19)
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Weight gain after gestational diabetes may predict future type 2 diabetes risk
Obese women who gained more than 11 pounds after having gestational diabetes were 43 times more likely to develop type 2 diabetes later in life than those who were not obese and had less weight gain after gestational diabetes, according to a study in the journal Diabetologia. For each point increase in BMI after developing gestational diabetes, the likelihood of type 2 diabetes rose by 16%. DailyRx.com (3/20)
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CDC: Gains in fight against tuberculosis are coming more slowly
Tuberculosis incidence in the U.S. was a little over 9,400 cases in 2014, an estimated three cases per 100,000 people, according to the CDC's Morbidity and Mortality Weekly Report. The numbers show a nearly 2% decrease compared with the rate of tuberculosis in 2013, the lowest recorded decrease in over 10 years. CDC researchers recommend improving awareness, especially among high-risk groups, and boosting the testing and treatment of the disease to prevent the rate of decline from further slowing. HealthDay News (3/19)
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5 tips for managing negative online comments
The Internet gives your customers a voice online, but what can you do when that voice is yelling negative comments? With 5 tips, you can learn how to positively respond and help direct the conversation. Read the article and learn the 5 ways to respond positively.

Practice ManagementAdvertisement
NCQA seeks physician input on improving PCMH recognition program
The National Committee for Quality Assurance is asking for physician input as it redesigns its patient-centered medical home recognition program. The AAFP has been working with the NCQA to make the recognition process more meaningful to family physicians. AAFP News (3/19)
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CMS outlines how physicians can report on quality measures just once
The CMS has outlined how physicians can report quality measures to meet requirements for the physician quality reporting system, the EHR meaningful use program and the value-based modifier program. To do so, however, physicians or practices will have to use a qualified registry, a certified EHR or a special online interface. Medscape (free registration) (3/19)
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How to Achieve IT Agility: A Survival Guide for IT Decision Makers
When business teams add new apps and services to already-strained networks, IT departments are accountable for making everything work. Is your team ready for this challenge? Read this eGuide to learn how IT teams are automating their networks, why they're utilizing Ethernet fabrics and SDN, and what success looks like as they regain network control and business relevance.

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Health Policy & Legislation
Bipartisan legislation seeks to repeal SGR formula
Leaders of Congress on Thursday presented a bipartisan plan that permanently repeals the sustainable growth rate formula, and introduced bills in the House and Senate that would provide a 0.5% payment update every year for five years. The cost of the bill is pegged at about $200 billion, with about one-third offset by other reductions in spending. CNN (3/19), Modern Healthcare (tiered subscription model) (3/19)
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Professional Issues & Trends
Funding problem causes cutbacks at community-based residency program
Funding shortages mean the Erie Family Health Center in Chicago can only afford to have six medical residents instead of its usual eight, which will result in 3,600 fewer patient visits during the training period. The health center is part of a community-based residency program that could lose funding without congressional action. Erie's family medicine residency program director Dr. Deborah Edberg calls the dwindling financial support an "extremely dire" situation. Chicago Tribune (tiered subscription model) (3/20)
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Inside the AAFP
Family Medicine Congressional Conference | Stand up for family medicine
Share your personal experiences to help advance family medicine at the Family Medicine Congressional Conference (FMCC), May 12-13 in Washington, D.C. Learn to tell your story to members of Congress to help make a positive difference. Better understand the issues that affect family medicine at the federal level, learn about current priorities, and get practical, hands-on experience with the legislative process -- all in two days. Explore the issues and then confidently address Congress with fellow family physicians on payment reform, the family physician workforce and other topics. Unite your voice with those of your colleagues at FMCC to help advance the specialty. Register for FMCC today.
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AAFP CareerLink - Connecting Family Physicians and Employers
Observation Medicine Position
Family Medicine on the Scenic Western Slope of Colorado
Assistant Professor
Onsite Physician for Dow Chemical Company
QUADMED - Lake Jackson, Texas
Family Medicine Physician
COMMUNITYCARE - Austin Travis County, Texas
BC/BE Family Medicine physicians
Georgia Regents University and University of Georgia Medical Partnership Campus Dean
EXPERTGYN - New york, New York
Physician & Surgeon
Family Medicine
350,000, 4 day week, Minimal Call
JACKSON & COKER - Nebraska
Outpatient Family Medicine Employment Opportunity - McAllen, Texas
HCA - McAllen, Texas
Family Medicine Physician needed for an Academic Opportunity
HCA - Gainesville, Florida
Ever tried. Ever failed. No matter. Try again. Fail again. Fail better."
-- Samuel Beckett,
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About AAFP
This news roundup is provided as a timely update to AAFP members and other health care professionals about family medicine topics in the news media. Links to articles are provided for the convenience of family physicians who may find them of use in discussions with patients or colleagues. Opinions expressed in Family Medicine SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American Academy of Family Physicians. On occasion, media articles may include or imply incorrect information about the AAFP and its policies, positions or relationships. For clarification on AAFP positions and policies, we refer you to http://aafp.org.
External Resources are not a part of the AAFP website. AAFP is not responsible for the content of sites that are external to the AAFP. Linking to a website does not constitute an endorsement by AAFP of the sponsors of the site or the information presented on the site.
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