Studies: Schedule restrictions did not boost outcomes | Physicians still benefit from fee-for-service structure, study says | Infographic informs public about medical imaging exams
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December 10, 2014
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Studies: Schedule restrictions did not boost outcomes
Restrictions placed on intern and resident work schedules did not improve patient mortality, rates of readmission or inpatient safety among Medicare beneficiaries, according to one study. Another report showed no changes in mortality or illness among surgery patients. Past ASNC President Dr. James Arrighi, who co-wrote an accompanying editorial in the Journal of the American Medical Association, said it's important to isolate the predictors of quality so they can be properly addressed. "You have to address multiple variables, and work hours is only one," he said. HealthDay News (12/9)
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Physicians still benefit from fee-for-service structure, study says
Physicians earn more from prescribing multiple procedures per patient than from seeing a larger volume of patients, according to a study from the University of California, Los Angeles. Researchers said despite reimbursement model changes, physicians still benefit from a fee-for-service structure and it is likely a substantial number of additional services for patients are not linked to better outcomes. U.S. News & World Report (12/8)
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Other News
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.

Medical Focus
Near-infrared spectroscopy may prove useful for ID of MACCE risk
Near-infrared spectroscopy holds promise for flagging coronary artery disease risk, according to a 203-patient study the authors say lays the groundwork for more comprehensive analysis. The approach was used to measure lipid core burden index values, which when elevated were associated with major adverse cardiac or cerebrovascular adverse events at one year. (12/8)
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Physicians increasingly prescribe workouts
Physicians are writing prescriptions for exercise along with medications, counseling patients on how much physical activity is needed and sometimes making referrals to a fitness trainer. The Exercise is Medicine program through the American College of Sports Medicine trains physicians to counsel patients, and the college also credentials exercise professionals so physicians can refer patients to qualified trainers. The Wall Street Journal (tiered subscription model) (12/8)
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Want big bucks for your company?
You want to sell your business, and you want to ensure that you get the best possible price. By taking 7 simple steps, you can dramatically improve your chances of attracting buyers and getting big bucks for your business. Read the article and learn the 7 steps.

Regulatory & Policy
HHS recognizes efforts to improve care with $36M in funding
More than $36 million has been awarded by HHS to over 1,000 health care centers in the U.S. The funding, which recognizes efforts to advance patient care, including use of EHRs, will be used to finance further infrastructure, systems and overall patient care improvement. The Hill (12/9)
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ACOs seek additional changes to MSSP rules
The CMS proposed relaxing some criteria for participation in the Medicare Shared Savings Program, but some accountable care organizations would like to see more concessions. The CMS proposed delaying until 2018 rules that establish penalties for missed savings goals and proposed reducing the sharing rate for achieved savings from 50% to 40%. ACOs are requesting a longer delay in the downside risk rules to optimize their programs and no cut in the sharing rate. MedPage Today (free registration) (12/8)
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