New Jersey Interactive “Transparency” Map
NJ Spotlight, a website that highlights “news issues and insight for New Jersey” recently created an interactive map of New Jersey doctors who received transfers of value from industry in 2015. The map, which can be found here, allows interested readers to see payments by zip code and details on those doctors who received the most money on the map, in addition to individual payments to doctors by searching the databases that are arranged by last names.
According to the United States Centers for Medicare and Medicaid Services (CMS), New Jersey doctors and hospitals received nearly $59 million last year from drug compan...
Source: Policy and Medicine - August 18, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Just-in-Time Healthcare Information
By HANS DUVEFELT, MD
One of the things that can cause physician burnout is the arcane way information flows in medical offices. In essence, due to EMRs we are the recipients of increasing amounts of unfiltered data without context.
Pre-EMR, team members sorted incoming data, which allowed us to deal with it more efficiently. We would have piles of things that needed a signature just as a formality, other piles for normal reports, smaller piles for abnormal reports, or whatever system worked best for us and our practices.
Because EMRs were created by people who never imagined that doctors themselves knew anything about how ...
Source: The Health Care Blog - June 26, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Medicare Access and Chip Reauthorization Act (MACRA) Proposed Rule, MIPS, APM’s and Advanced Care Information
Discussion
Welcome news is the elimination of the all or nothing criteria of the meaningful use program. The exclusion of most ACO's under Medicare shared shavings is probably the most controversial part of the proposed rule as health systems have invested millions in the current Medicare shared savings program. That CMS is estimating that 87% of solo practitioners will be paying a penalty will also not be well received. Under MIPS CMS is estimating that non MD providers with the exception of nurse practitioners and physician assistants fare the worst including Chiropractors, Podiatrists and Dentists. Overall the propose...
Source: Policy and Medicine - April 28, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
CMS Update Call on Open Payments
Recently, the Centers for Medicare & Medicaid Services (CMS) held a National Provider Call on Open Payments: Program Overview and Prepare to Review Reported Data. Robin Usi and Erin Skinner took turns educating participants how to identify the parts of the review, dispute, and correction process and how to take appropriate actions in the Open Payments system.
What is Reported?
As a reminder, any direct or indirect payments, or other transfers of value, that are made to covered recipients (i.e., physicians, teaching hospitals, physician owners, investors). Certain ownership or investment interests that are held by p...
Source: Policy and Medicine - April 19, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Super Docs 2.0
Guest post by Tane Eunson – A student of the game (6th year M.B.B.S.)
As the plane descended over the Southern Alps and through the Canterbury Plains, making it’s way east to the Pacific Ocean like the Waimakariri, I couldn’t help but feel excited to be returning home. Home being the shaky isles of New Zealand and my six-week medical elective being in the particularly shaky city of Christchurch.
The Waimakariri River, Canterbury, NZ. December 10th, 2015
Although Perth has been my new home since 2007, I spent the four years prior to that gaining my undergraduate degree in Christchurch; four years which I look back...
Source: Life in the Fast Lane - April 15, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Sports Medicine crusaders Dr Deb Robinson elective rugby Tane Eunson Waimakariri Waimumu Wiremu Source Type: blogs
Hitting the Slopes
A man hobbled into the emergency department complaining of continued ankle pain and increased swelling after falling from a ladder the day before. Ankle images were ordered. The mortis, syndesmosis, and malleoli appeared normal, but the massive medial soft tissue motivated a continued search. Was there something wrong with the lateral talus?The subsequent CT scan delineated a comminuted fracture of the talar lateral process extending to the subtalar joint — a snowboarder's fracture.Fractures of the lateral process of the talus are relatively uncommon, frequently missed, and can end up with long-term disability. It has be...
Source: Lions and Tigers and Bears - April 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Ultrasound: Foreign Body Removal
Part 2 in a SeriesAre you ready for summer? That means more bare feet, flip-flops, and the potential for foreign bodies of the foot and toe. We will continue to highlight tools and tricks to help you master soft tissue foreign body removal in the emergency department. A refresher on the basics of ultrasound is available in our blog post from last month: http://emn.online/1UGtduz.Foreign bodies of the toe or foot are common presentations in emergency departments, and one way to determine the size and shape of retained superficial foreign bodies is to use ultrasound and the linear probe. This simple technique may hel...
Source: The Procedural Pause - April 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Health Affairs Web First: Wide Differences In Rural Health Information Technology Adoption
This study, part of the journal’s DataWatch series, will also appear in the February issue of Health Affairs. (Source: Health Affairs Blog)
Source: Health Affairs Blog - January 20, 2016 Category: Health Management Authors: Lucy Larner Tags: Elsewhere@ Health Affairs Health IT EHRs electronic health records rural health Web First Source Type: blogs
Should Fluoro be Your New Go-To?
Part Three in a Three-Part Series
This is the third and final part of our series on foreign bodies and fluoroscopy. Click here for part one and here for part two.
This month, we walk you through a step-by-step guide with bonus video footage to aid in your technique. This progressive procedure is absolutely significant to your practice, and we hope you all get a chance to try it.
The Approach
n Identification of foreign body on plain film or ultrasound
n Saphenous or posterior tibial nerve block
n Enlargement of the wound or entrance site using incision...
Source: The Procedural Pause - January 4, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
" Pimping " : Not About Sex-- About Medical Education "
The objective of pimping is to teach, motivate, and involve the learner in clinical rounds while maintaining a dominant hierarchy and cultivating humility by ridding the learner of egotism. " < /b > < /i > < /span > < /span > < br / > < span style= " line-height: 15.3333px; " > < span style= " font-family: & quot;georgia & quot; , & quot;times new roman & quot; , serif; " > < i > < b style= " background-color: #f3f3f3; " > < br / > < /b > < /i > < /span > < /span > < /div > < div class= " " style= " background-color: white; " > < span style= " color: windowtext; " > < span style= " font-family: & quot;georgia & quot; , & ...
Source: Bioethics Discussion Blog - December 14, 2015 Category: Medical Ethics Source Type: blogs
November blogs digest: Cas9, Angelina Jolie, diabetes, and more
Extending the study of evidence-based medicine
Evidence-based medicine (EBM) is an approach to medical practice intended to enhance decision making, recognizing that only the strongest study types can yield strong recommendations. Many people owe their lives to evidence-based medicine, benefitting from trials and observational studies that have informed early diagnosis and effective treatments. But the indisputable successes are no cause for complacency, and Trish Greenhalgh, Professor of Primary Care Health Sciences at University of Oxford, explained more.
Cas9: one protein to rule them all
We hail CRISPR/Cas as the most ...
Source: BioMed Central Blog - December 1, 2015 Category: Journals (General) Authors: Sophie Marchant Tags: Biology Health Medicine blogs digest genomics Source Type: blogs
Should Fluoro Be Your Go-to?
Part One in a Three-Part Series
How many times have you wasted at least 30 minutes (if not more) digging around in a patient’s foot to remove a sewing needle or piece of metal or glass? Or maybe the question is, how many of you have immediately referred the patient to podiatry because foreign body removal isn’t an ED procedure?
Foreign body removal may not be emergent, but it can be urgent. Items left in the skin can cause complications and should be removed whenever possible to decrease risk of infection or other future issues.
Foreign body of the left foot in a 56-year-old woman.
The ED is the right plac...
Source: The Procedural Pause - November 2, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
