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What doctors should ask insurers before joining ACOs or medical homes
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Before doctors commit to commercial insurers asking them to join an accountable care organization or patient-centered medical home program, they need answers to some key questions. These can be summed up by one consultant: "What's in it for my patients, and what's in it for me?" More

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Get nurses on board for successful EHR adoption
Becker's ASC Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Nurses and physician assistants are an integral part of a successful electronic health record implementation, according to EHR Intelligence. A 2008 EHR adoption survey found practices had an 83 percent higher success rate when a nurse was assigned to enter the history of present illness and review of systems data for a patient into the EHR. More

Readmission reduction: Nurses now taking more time with discharge conversations
MedCity News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Increased attention to discharge planning (also called discharge education) has become the norm in hospitals. Beginning in October, Medicare began tracking hospital readmission rates for Medicare patients with certain conditions (heart attack, heart failure and pneumonia) and will be penalizing hospitals that readmit more patients than expected within 30 days of discharge. The change is part of a broad push under President Barack Obama's Affordable Care Act to improve quality of care while saving taxpayers money. More

Real patient experience doesn't show up in HCAHPS scores
HealthLeaders Media    Share    Share on FacebookTwitterShare on LinkedinE-mail article
No matter how long you study your Hospital Consumer Assessment of Healthcare Providers and Systems scores, you don't really know what it's like to be a patient in your hospital until you are one. More

More doctors use EHRs, but information still not shared
MedPage Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The number of U.S. primary care physicians using electronic medical records increased by 50 percent in the last three years, but most doctors still do not receive timely information from specialists or hospitals, an international survey found. Roughly 69 percent of U.S. primary care doctors reported using EHRs in 2012 compared with 46 percent in 2009, the survey found. More

Physicians are building their own ACOs
Hospitals & Health Networks    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Not long ago, the conventional wisdom was that hospitals would lead most accountable care organizations, because they were better organized and had deeper pockets than physician organizations do. While hospitals do dominate many ACOs, physician-led ACOs are growing more quickly than expected. More

Hospital CFOs contemplate 'play or pay' with readmission rates
Hospital Impact    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Hospital executives know the Centers for Medicare & Medicaid Services is targeting readmission rates to reduce costs. The subject of readmission rates is definitely a hot topic and has led to some interesting approaches from CFOs as they calculate the impact of potential penalties on their organizations. More

Cases highlight tension between records requests and privacy protections
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
When physicians receive a legal request to turn over medical records, they should think twice about fulfilling it, attorneys and other experts say. Under the Health Insurance Portability and Accountability Act, covered entities may use or disclose only the minimum amount of protected information necessary to accomplish the purpose of that use or disclosure — except for purposes of medical treatment and a few other exceptions. The effect of this language is that any other disclosure could violate HIPAA, legal experts said. More

Electronic medical records allowing increased billing, abuses
Heartlander Magazine    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Obama administration maintains that pushing hospitals and physicians to adopt electronic medical records will improve efficiency, increase patient safety and reduce healthcare costs. But as more providers transition to EMRs, there has been an unexpected consequence: Billions of dollars in higher costs for Medicare, private insurers and patients. EMRs may ultimately make health care provision easier, but they also makes the process simpler for hospitals and physicians to bill more for their services, regardless of whether they provide additional care. More

Accountable-care organizations on the horizon for hospitalists
The Hospitalist    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Every HM group should look into transitioning from a fee-for-service model to an accountable-care organization, a leading hospitalist told conference attendees recently at the Third National Accountable Care Organization Congress. "You need to be tackling it now, but that doesn't mean you need to be aggressively doing it now," Edward Murphy, MD, chairman of Sound Physicians, told eWire days before he spoke at the ACO Congress on Oct. 31 in Los Angeles. "By tackling it, you need to be doing a hard-nosed assessment of what's best for your group and your patients." More


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Colby Horton, Vice President of Publishing, 469.420.2601
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