Quality reporting requirements under the Medicare Access and Chip Reauthorization Act's Merit Based Incentive Program may be too burdensome to be of value, according to the Medicare Payment Advisory Commission's technical staff, who asked MedPAC experts whether and how to adjust the program. Suggestions included reducing or eliminating clinician reporting and eliminating the "exceptional performance" fund.
A collaborative relationship between regulators and health care providers has boosted patient-centered care, mitigated regulatory burdens and advanced movement toward accountable care, write acting CMS Administrator Andy Slavitt and American Medical Association CEO James Madara.
Data show 18 states require physicians who prescribe controlled substances such as opioids to check databases to ensure patients are not doctor-shopping and 13 states have more limited mandates, creating an inconsistent system of varied or no requirements. Massachusetts primary care physician Daniel Alford said he rarely finds a patient who is doctor-shopping for medications, and questions whether checking the database is a good use of his time.
A study in The Joint Commission Journal on Quality and Patient Safety showed the number of patients' discharge charts that included vital information for patients discharged while on warfarin increased from 42% to 78% after implementing an EHR discharge summary that communicates warfarin treatment management information to clinicians and patients. Sixty-one percent of physicians and pharmacists surveyed reported the warfarin order was accessible and user friendly, said Dr. Margaret Day, medical director at the University of Missouri Health Care's Family Medicine-Keene Clinic.
The risk of financial penalties for high readmission rates has prompted hospitals to create support centers for family caregivers so patients have a successful transition to home, said Jill Gottlieb of Northern Westchester Hospital. Susan Reinhard, director of AARP, said family caregivers can spend many hours at the hospital but may not get attention from staff.
A total of 450 health care data breaches in 47 states were reported in 2016, according to Protenus Breach Barometer's summary of information from DataBreaches.net. The incidents compromised 27,314,647 patients' records, and 43% of the breaches were attributed to insiders, followed by hacking and ransomware.
A two-year agreement between the FDA and IBM Watson Health will use blockchain technology to exchange health information from the internet of things, mobile devices and wearables, and data from EMRs, genomics and clinical trials, with an initial focus on data related to oncology. The partnership will also explore new methods to use large volumes of data in the health care and biomedical industries.
Both Democrat and Republican lawmakers say that protecting coverage for people with costly, pre-existing conditions is important, and Obama administration estimates indicate this population could include as many as 133 million non-elderly Americans. That figure raises concerns about how to help pay for the cost of their care as Congress looks at unraveling the Affordable Care Act, and experts say any replacement plan will need to address the issue.
Researchers examined 506 pediatric- and adult-focused clinicians in single median price, paired internal/external median price and no price display groups and found that the rate of order placements or designation for internal completion were similar across all groups of pediatric-focused clinicians. However, the findings in Pediatrics showed significantly higher order rates among adult-oriented clinicians caring for youths in the single price and paired price groups, compared with the control group.
The ACC recently launched the DAPT Risk Calculator App to provide decision support for clinicians evaluating the risks and benefits of continuing dual antiplatelet therapy. The app provides a DAPT Risk Score as a numerical value between -2 and +9, where higher DAPT scores suggest that the benefit/risk ratio with prolonged DAPT may be favorable. The app also calculates the percentage of risk for myocardial infarction, stent thrombosis, major adverse cardiovascular and cerebrovascular events, and bleeding. Download the app today. Find out more about ACC's clinical apps at ACC.org/Apps.
The ACC has named David J. Moliterno, MD, FACC, as the new editor-in-chief of JACC: Cardiovascular Interventions. Moliterno replaces Spencer B. King III, MD, MACC, who has served as editor-in-chief since the journal's launch in 2008. JACC: Cardiovascular Interventions covers the entire field of interventional cardiovascular medicine and is ranked among the top ten cardiovascular journals for its scientific impact. The first issue under Moliterno's editorship will publish in July 2017. Additionally, the ACC has named Y.S. Chandrashekhar, MD, DM, FACC, as the new editor-in-chief of JACC: Cardiovascular Imaging. He replaces Jagat Narula, MD, PhD, MACC, who has served as editor-in-chief since the journal first launched in 2008. JACC: Cardiovascular Imaging publishes research articles on current and future clinical applications of noninvasive and invasive imaging techniques and is ranked among the top ten cardiovascular journals for its scientific impact. It is also rated as the best imaging journal across all radiology and specialty journals. Chandrashekhar's term will begin with the July 2017 print issue of JACC: Cardiovascular Imaging. Read more on ACC.org.
The history of progress is written in the blood of men and women who have dared to espouse an unpopular cause, as, for instance, the black man's right to his body, or woman's right to her soul.
Emma Goldman, activist and writer
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