Radiologists have an opportunity to help fill in gaps in knowledge about radiation exposure found among emergency care providers, according to a study in the Journal of the American College of Radiology. The Emory University survey found that many ED physicians, residents, nurse practitioners and physician assistants did not understand which imaging modalities use ionizing versus non-ionizing radiation and many were not comfortable discussing certain modalities' risks with patients.
Infants born to mothers with chronic diseases such as anemia, epilepsy, high blood pressure and type 1 diabetes were slightly more likely to develop mild congenital heart problems, compared with those born to mothers without such conditions, according to a Taiwanese study in the Canadian Medical Association Journal. The findings, based on data involving millions of births in Taiwan, also showed pregnant women who had been born with heart defects or who developed type 2 diabetes had a higher risk of having babies born with severe heart disease.
As many babies with Zika-related microcephaly in Brazil approach the age of 1, they have developed epileptic seizures, swallowing difficulties, and vision and hearing problems, and some infants whose heads were normal at birth stopped growing proportionally months later. Brazil's Health Ministry said that cases of microcephaly and other brain malformations totaled 2,001 during the last year, 343 of which are confirmed to be Zika-related.
Clarius Mobile Health has developed a portable ultrasound device that allows for real-time imaging using a wireless scanner that communicates with a mobile app. The device, which is under FDA review, is designed for emergency care use and available in two formats, one for imaging of the heart, lungs and abdomen and one for targeted injections and nerve blocks.
A research letter published in JAMA Internal Medicine found that doctors asked to give the most likely diagnosis and two alternative diagnoses made an accurate diagnosis 72.1% of the time, compared with 34% for a symptom-checker app. When all three possible diagnoses were evaluated, the doctors included the correct answer 84.3% of the time, compared with 51.2% for the symptom-checker platform.
Radiologists are independently licensed doctors who complete medical school and internships just as other doctors do, writes a radiologist in response to comments that radiologists are not real doctors. Radiologists also complete subspecialty training and must be knowledgeable about diseases and anatomy because they consult with physicians in all specialties, the author writes.
Thirty-one percent of 392 Medicare accountable care organizations received bonuses last year, but most improved performance on quality metrics, such as lowering hospital admissions and improving management of hypertension and diabetes. Health care providers transitioning from a fee-for-service model must change how they think about care and engage patients, says Patrick Falvey, chief transformation officer at Aurora Health Care, a Milwaukee-area ACO that did receive a bonus.
A Morning Consult poll found that many Americans aren't happy with recent changes in health care. Nearly one-quarter of respondents report losing their physician because of network changes, 55% say their health coverage costs more, 30% report worse health coverage and some say they avoid seeking emergency care because they're not sure their insurance will pay for it.
Republican lawmakers in the GOP Doctors Caucus are asking the CMS to change the proposed rule to implement the Medicare Access and CHIP Reauthorization Act, saying it is overly complex and burdensome. The group's letter to the agency focused on MACRA's Merit-Based Incentive Payment System, saying burdensome requirements would add to the continued consolidation of small practices.
If your current three-year CME period ends Dec. 31, 2016, make sure to meet your CME requirement by Dec. 31, 2016. Sonographers, log on to ARDMS.org/MYARDMS to view your current three-year CME period and securely upload your CMEs to the ARDMS CME Bank. Physicians, log on to APCA.org/MYAPCA to monitor your CMEs and upload to the APCA CME Bank.
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