Best Practices

MIPS Performance Categories, Part 1: QUALITY Print E-mail
Written by HealthFusion   
Tuesday, 02 August 2016 00:00

As we mentioned in our recent MACRA related blog posts, the new Merit-based Incentive Payment Program (MIPS) will streamline the current patchwork of reporting programs into four performance categories (all under MIPS): Quality, Advancing Care Information, Clinical Practice Improvement Activities and Cost. Each of the categories

We're going to take a deep dive into all four of the performance categories, one-by-one. Each of the four categories carry a percentage of the overall MIPS composite performance score (CPS) - and these weighted scores vary per category. We'll begin our deep dive with the MIPS Quality Performance category, since it carries the most weight within the total MIPS CPS.

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Last Updated on Saturday, 13 August 2016 12:56
Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? Print E-mail
Written by FHI's Week in Review   
Monday, 01 August 2016 00:00

In the Lancetpublished online 7-27-16, authors Prof Ulf Ekelund, PhD, Jostein Steene-Johannessen, PhD, Prof Wendy J Brown, PhD, Morten Wang Fagerland, PhD, Prof Neville Owen, PhD, Kenneth E Powell, MD, Prof Adrian Bauman, PhD and Prof I-Min Lee employ a harmonized meta-analysis of data from more than 1 million men and women to determine if physical activity attenuates or even eliminates the detrimental effects of prolonged sitting.

Read more in the current issue of Week in Review>>

Last Updated on Tuesday, 02 August 2016 17:20
Studies Reveal Potential Pitfalls for Surgeons, Surgical Practices, ASCs and Hospitals Print E-mail
Written by Jeffrey Herschler   
Tuesday, 26 July 2016 17:14

Surgical specialty can mean the difference 

between life and death

In a study, published late last month in The BMJ and entitled Surgeon specialization and operative mortality in United States: retrospective analysis, researchers attempt to measure the association between a surgeon's degree of specialization in a specific procedure and patient mortality. The authors concluded, "For several common procedures, surgeon specialization was an important predictor of operative mortality independent of volume in that specific procedure. When selecting a surgeon, patients, referring physicians, and administrators assigning operative workload may want to consider a surgeon's procedure specific volume as well as the degree to which a surgeon specializes in that procedure".

Surgeons reluctant to discuss 
adverse events with patients

In a study, published 7.20.16 in JAMA Surgery and entitled Surgeons' Disclosures of Clinical Adverse Events, researchers attempt to quantitatively assess surgeons' reports of disclosure of adverse events and aspects of their experiences with the disclosure process. The authors concluded, "Surgeons who reported they were less likely to discuss preventability of the adverse event, or who reported difficult communication experiences, were more negatively affected by disclosure than others. Quality improvement efforts focused on recognizing the association between disclosure and surgeons' well-being may help sustain open disclosure policies."

Last Updated on Friday, 19 August 2016 16:45
How cannabis is helping one company research treatment of CTE Print E-mail
Written by Ben Baskin |   
Tuesday, 19 July 2016 18:52

Imagine that it's the year 2025. In locker rooms across the NFL, as ankles are taped and braces strapped on, trainers hand out  gel capsules for players to ingest minutes before they take the field. The capsules are scientifically designed to protect against the deleterious effect of concussive blows to the head and traumatic brain injury-and, as a result, they have helped to sustain the viability of the sport of football. Oh, and yeah, they are derived from marijuana.
That's the bet those at Kannalife Sciences are making about our future reality.

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Elder Care: Is Florida Ready? Print E-mail
Written by Tara Pihn   
Wednesday, 06 July 2016 10:47

According to the latest census data, compared with other states, Florida had the greatest share of the population that was 65 and older in 2010 (17.3%) while West Virginia is not far behind at 16.0 percent. Over 20 million people live in Florida while just fewer than 2 million live in West Virginia. This translates to over 3.5 million elderly in Florida and about 295,000 in West Virginia.

A recent NPR article lists 36 geriatricians in West Virginia. Florida's DOH website lists over 1000 active medical doctors and osteopaths with a specialty in geriatrics. There are also over 1,000 ARNPs with specialization in Gerentology or Gerentology-Acute Care.

Florida's ratio of geriatricians to the elderly is superior to West Virginia's situation. That said, it is clear that family doctors, primary care physicians, cardiologists and other specialists will have to pick up the slack.

Last Updated on Saturday, 23 July 2016 14:07
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