Cardiologists weigh in on the benefits, frustrations of EHRs | Team cuts CHD patient radiation exposure by 61% | Healthgrades' rankings website allows searches by experience
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October 22, 2014
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Cardiologists weigh in on the benefits, frustrations of EHRs
The mandated transition to EHRs is getting mixed reviews from cardiologists, who say they appreciate quick access to reports and images but are frustrated by the systems' limitations. Duke University's Dr. James Tcheng said EHRs have little ability to manage and capitalize on the abundance of data available for cardiology care. Time spent on electronic records also is a concern, said Dr. J. Jeffrey Marshall: "Doctors are now doing what in the past was completed by clerks or medical assistants." (10/20)
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Team cuts CHD patient radiation exposure by 61%
Patients with congenital heart disease who underwent catheterization at the Mayo Clinic were exposed to 61% less cumulative radiation under a new approach developed by the clinic's cardiologists. The team established a radiation safety board as part of a series of practice changes and instituted technical protocols such as changing default fluoroscopy settings. The findings were published in Catheterization and Cardiovascular Interventions. (10/20)
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Other News
Medical Focus
Semi-annual physician visits help with blood pressure control, data show
Researchers analyzed data from 37,000 adults and found that patients who visited their physician twice a year were 3.2 times more likely to keep their blood pressure under control than those who saw their physician once a year or less. The study was published in the journal Circulation. HealthDay News (10/20)
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Many patients pick up a pack of cigarettes at same time as meds
Smoking cigarettes can raise stroke and heart attack risks in women who take oral contraceptives and raise blood pressure and exacerbate lung conditions in other patients, but many people still pick up a pack of cigarettes when they go to a pharmacy to fill prescriptions, a study published in JAMA Internal Medicine found. HealthDay News (10/20)
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Regulatory & Policy
No change in spending on CV procedures, imaging under ACO pilot
Incentives offered as part of a pilot accountable care organization did not reduce spending on discretionary coronary or carotid procedures and imaging, according to a study published in Circulation. The authors speculate that accountable care has been optimized with primary care as the focus, and models must be tailored to specialty care if they are to deliver on the promise of reduced spending and quality improvements in such settings. (10/21)
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Provider call to address EHR flexibility rule
The CMS is planning a provider call to discuss the 2014 Certified EHR Technology Flexibility Rule and how providers can use it to satisfy 2014 meaningful use requirements. The call is scheduled for 2 p.m. Oct. 30. (10/21)
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