The ePACT2 training team on tour
The training team at NHS Business Services Authority is publishing a blog about the ePACT2 business intelligence application, which allows primary care organisations (PCOs) to view, analyse and present prescribing data. (Source: NHS Networks)
Source: NHS Networks - November 6, 2018 Category: UK Health Source Type: news

An insider's guide to procurement for primary care providers
Understanding procurement and how to prepare a bid are critical to the future of primary care providers. Changes in recent years have made them more important than ever. More and more services are subject to a procurement process, rather than being simply directly awarded by commissioners. These include many of the “enhanced” services that GP practices could once expect to win almost by default. (Source: NHS Networks)
Source: NHS Networks - November 6, 2018 Category: UK Health Source Type: news

My vision for prevention
Secretary of State for Health and Social Care, Matt Hancock, writes on making prevention a priority Related items fromOnMedica ‘Prevention better than cure’ vision to add five healthy years to lifespan by 2035 Unhealthiest cities are damaging public health Extra annual £3.2bn needed to reverse impact of cuts to public health grant Prioritise and fund prevention to save lives and NHS, warn doctors Urging GPs towards prevention and self-care (Source: OnMedica Views)
Source: OnMedica Views - November 6, 2018 Category: Primary Care Source Type: news

Doctor group set to open $3.5M building
Premier Physician Network, which is affiliated with the Atrium Medical Center in Middletown, plans to open a $3.5 million medical office building in Butler County ’s Liberty Township on Nov. 8. The 13,000- square-foot building at 6615 Cincinnati-Dayton Road will eventually be staffed by 12 employees, and nine of those jobs will be new. The medical office building will have space for four primary care providers and offer specialty services, possibly in or thopedics, cardiology, endocrinology, rheumatology… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 5, 2018 Category: Biotechnology Authors: Barrett J. Brunsman Source Type: news

Doctor group set to open $3.5M building
Premier Physician Network, which is affiliated with the Atrium Medical Center in Middletown, plans to open a $3.5 million medical office building in Butler County ’s Liberty Township on Nov. 8. The 13,000- square-foot building at 6615 Cincinnati-Dayton Road will eventually be staffed by 12 employees, and nine of those jobs will be new. The medical office building will have space for four primary care providers and offer specialty services, possibly in or thopedics, cardiology, endocrinology, rheumatology… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - November 5, 2018 Category: Health Management Authors: Barrett J. Brunsman Source Type: news

EHR Medication Lists Inaccurate, Incomplete, Blood Tests Show EHR Medication Lists Inaccurate, Incomplete, Blood Tests Show
Blood samples from patients showed that more than half were taking medications not listed in their EHR. Also, patients adherent to one medication were more often adherent to multiple drugs.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 5, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

End of 2018 MIPS Program Performance Year Looms
Physicians must have an Enterprise Identity Data Management account user ID and password to submit 2018 Merit-based Incentive Payment System performance data to CMS. (Source: AAFP News)
Source: AAFP News - November 5, 2018 Category: Primary Care Source Type: news

E/M Guidelines: Right Road, Wrong Direction
(MedPage Today) -- CMS should focus its visit codes on the most complicated patients (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 5, 2018 Category: Primary Care Source Type: news

Review: Low-Sodium Diet for HF on Shaky Ground
(MedPage Today) -- Time to'retreat from an unbridled and potentially harmful insistence'on restriction (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 5, 2018 Category: Primary Care Source Type: news

First 24-hour primary and urgent care facility coming to St. Louis
Beginning this week, Downtown Urgent Care will be the first urgent and primary care facility to be open 24/7 in the St. Louis region. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 5, 2018 Category: American Health Authors: Brian Robbins Source Type: news

Leading From Within the Health Care System
Ajoy Kumar, M.D., realized as an intern just how broken our health care system is. He's been working to change that ever since. (Source: AAFP News)
Source: AAFP News - November 5, 2018 Category: Primary Care Source Type: news

Blog: A great opportunity to thank our whole incredible NHS team
This week is UNISON’s One Team week where we celebrate the whole team of staff who make the NHS work. NHS support staff make a vital contribution to the NHS every minute of every day, but often their work goes unnoticed. Most of the public don’t see the staff who work behind the scenes, whose vital work keeps the NHS running and who make sure patients and their families get the best treatment possible – so too often their vital roles are ignored. UNISON is proud to represent NHS support staff who make such a valuable contribution. They cook for patients, transport them around hospitals, maintain vital eq...
Source: UNISON meat hygiene - November 5, 2018 Category: Food Science Authors: Dave Prentis Tags: General secretary's blog News one team Source Type: news

More Bad News About Dietary Supplements More Bad News About Dietary Supplements
More than three quarters of US adults take OTC dietary supplements. While most are harmless, others contain unapproved ingredients with a high potential for harm.Georgetown University Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 5, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Commentary Source Type: news

Health secretary reveals new commitment to illness prevention
Matt Hancock has promised a funding boost for community and primary care services, as part of a new national strategy on illness prevention. (Source: Nursing Times)
Source: Nursing Times - November 5, 2018 Category: Nursing Source Type: news

Should Physicians Approve Emotional-Support Animals for Air Travel? Should Physicians Approve Emotional-Support Animals for Air Travel?
Many airlines require notes from physicians to allow support animals to travel with their owners. But some doctors are a little skeptical about the need for such companions.Medscape Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 5, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Primary care funding boost key to prevention strategy, says Hancock
Primary and community care’s share of the NHS England budget will rise in the long-term plan, health and social care secretary Matt Hancock announced today. (Source: HSJ)
Source: HSJ - November 5, 2018 Category: UK Health Source Type: news

Online Program Helps Prevent Teen Depression
Although up to 20 percent of adolescents experience a depressive episode each year, the medical community has struggled to implement programs that effectively prevent depression. Researchers at the University of Illinois at Chicago have worked to fill this gap in pediatric primary care by conducting clinical trials to evaluate and compare interventions. (Source: eHealth News EU)
Source: eHealth News EU - November 5, 2018 Category: Information Technology Tags: Featured Research Research and Development Source Type: news

Predicting Unfavorable Course of Dizziness in Older Patients Predicting Unfavorable Course of Dizziness in Older Patients
A newly developed risk score may help physicians identify which patients are at high risk for an unfavorable course of dizziness.Annals of Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 5, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

What is the Dutch Protocol for Gender Dysphoria?
Discussion Terminology related to gender∂has changed over time and with newer more specific terminology developing more consensus. Also terminology used by patients to describe themselves or their situation may be different than below. “Gender – denotes the public (and usually legally recognized) lived role as boy or girl, man or woman. Biological factors combined with social and psychological factors contribute to gender development.” Gender is not dichotomous and other terms such as third gender, agender or gender queer reflect this. “Assigned gender – refers to a person’s initi...
Source: PediatricEducation.org - November 5, 2018 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Public want extra NHS cash to be spent on bringing down waiting times
Nearly three out of four poll respondents opted to cut waits for planned treatment Related items fromOnMedica One in five patients in Wales struggled to get GP appointment last year Patients face ‘postcode lottery’ for GP access, Royal College warns Government publishes vision for future of general practice Blurred lines (where Improving Access and Out of Hours meet) Public fear NHS will not be free in the future (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 5, 2018 Category: UK Health Source Type: news

Nurses: Know Your Legal Rights in the Workplace
(MedPage Today) -- 3 key areas: nurse-to-patient ratio, violence in the workplace, and scope of practice (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 4, 2018 Category: Primary Care Source Type: news

Scientists Launch Plan to Map Genes of All Complex Life on Earth Scientists Launch Plan to Map Genes of All Complex Life on Earth
Scientists launched a vast project on Thursday to map the genetic code of all 1.5 million known species of complex life on earth, aiming to complete the work within a decade.Reuters Health Information (Source: Medscape Pathology Headlines)
Source: Medscape Pathology Headlines - November 3, 2018 Category: Pathology Tags: Family Medicine/Primary Care News Source Type: news

Understanding Inflammation in Polymyalgia Rheumatica
(MedPage Today) -- Two new imaging studies reveal the anatomical focus of inflammation (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 3, 2018 Category: Primary Care Source Type: news

PrEP Your High-risk Patients to Help Protect Them From HIV
Jeffrey Kirchner, D.O., AAHIVS, outlines how family physicians can determine whether a patient could benefit from pre-exposure prophylaxis to prevent transmission of HIV. (Source: AAFP News)
Source: AAFP News - November 2, 2018 Category: Primary Care Source Type: news

Weekly Postings
See something of interest? Please share our postings with colleagues in your institutions! Spotlight The MAReport: read the Summer/Fall 2018 issue of the MAReport newsletter! This quarter, we shined a spotlight on Deena Caswell, MSLIS, from the Cherry Hill Public Library in New Jersey, and her amazing work in creating programs that focus on LGBTQ populations and topics. NNLM Fall 2018 Wikipedia Edit-a-thon: it’s not too late to participate! Join NNLM on November 7th as we add citations to, and improve existing Wikipedia articles on Women’s Health, using trusted National Library of Medicine resources and Natio...
Source: NN/LM Middle Atlantic Region Blog - November 2, 2018 Category: Databases & Libraries Authors: Hannah Sinemus Tags: Weekly Postings Source Type: news

CMS Delays E/M Coding Changes in New Physician Payment Rule
(MedPage Today) -- Also expands telemedicine coverage, cuts Part B drug reimbursements (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 2, 2018 Category: Primary Care Source Type: news

Letting the Learners Learn
(MedPage Today) -- Let's allow interns and residents to figure out the right questions to ask (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 2, 2018 Category: Primary Care Source Type: news

EXCLUSIVE: Three local employers partner with national firm on health care
Several large employers are the first in Greater Cincinnati to partner with OurHealth, which intends to open at least three clinics to provide affordable primary care for their workforces. OurHealth plans to invest about $25 million to establish a MyClinic network at locations in downtown Cincinnati, the Shoppes at Kings Mills in Mason and Springdale Town Center.  The leased locations will encompass 3,000 square feet and be shared by employees of multiple firms, which incur no cap ital costs. The… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 2, 2018 Category: American Health Authors: Barrett J. Brunsman Source Type: news

Malpractice Case: Here's Where Procedure Errors Often Occur Malpractice Case: Here's Where Procedure Errors Often Occur
Physicians rely on their staff to complete all necessary paperwork, but patients often hold doctors responsible for completing this task.Cooperative of American Physicians (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 2, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Integration of the Safe Environment for Every Kid (SEEK) model across primary care settings - Eismann EA, Theuerling J, Maguire S, Hente EA, Shapiro RA.
This project sought to assess the generalizability, barriers, and facilitators of implementing the Safe Environment for Every Kid (SEEK) model for addressing psychosocial risk factors for maltreatment across multiple primary care settings, including a pedi... (Source: SafetyLit)
Source: SafetyLit - November 2, 2018 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news

Many African Americans May Have Undiagnosed Sleep Apnea Many African Americans May Have Undiagnosed Sleep Apnea
Even though almost one in four black people in the U.S. may have moderate to severe sleep apnea, a common nighttime breathing disorder, a new study suggests the vast majority haven't been diagnosed or treated by a doctor.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 2, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Anemia in Older Adults Anemia in Older Adults
Anemia in older adults is common, but often asymptomatic and discovered incidentally. Review its differential diagnoses and management in this brief primer.American Family Physician (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 2, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Medicare Plans to Phase in Changes for Office-Visit Payments Medicare Plans to Phase in Changes for Office-Visit Payments
CMS delays the start of a controversial E&M payment change but remains committed to collapsing what's now a five-level coding system.Medscape Medical News (Source: Medscape Radiology Headlines)
Source: Medscape Radiology Headlines - November 1, 2018 Category: Radiology Tags: Family Medicine/Primary Care News Alert Source Type: news

Cutting edge training for working professionals
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Source: Johns Hopkins University and Health Systems Archive - November 1, 2018 Category: Nursing Source Type: news

Thumbs Down from FDA Advisors on Depression Opioid
(MedPage Today) -- Panel votes 21-2 that drug does not show favorable risk-benefit to support approval (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 1, 2018 Category: Primary Care Source Type: news

Outcomes Research Group Likely to Be Reauthorized
(MedPage Today) -- There may be'tweaks,'but likely no major changes, Hill staffer says (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 1, 2018 Category: Primary Care Source Type: news

A State-Enforced Nurse-to-Patient Ratio
(MedPage Today) -- Suneel Dhand, MD, discusses the pros and cons of potential Massachusetts law (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 1, 2018 Category: Primary Care Source Type: news

Burnout in Residency Coordinators Tied to Job Satisfaction
A study published in the October issue ofFamily Medicine reports on job satisfaction and burnout among family medicine residency coordinators in the United States. (Source: AAFP News)
Source: AAFP News - November 1, 2018 Category: Primary Care Source Type: news

Can the Astana Declaration Be a Turning Point to Finally Ensuring Primary Health Care for All?
November 02, 2018These three factors will be critical.Fellow delegates to last week ’s ​Global Conference on Primary Health Care in Astana, Kazakhstan, have flown home to an awesome yet daunting challenge: 40 years after the landmark Alma-Ata Declaration of 1978 declaring health as a human right, how can we finally make the declaration’s vision of primary health care (PHC) for all a reality?The monumental 1978 conference in Alma-Ata, USSR  (now Almaty, Kazakhstan), pronounced for the first time global agreement that health is a “fundamental human right” and called for “ur...
Source: IntraHealth International - November 1, 2018 Category: International Medicine & Public Health Authors: mnathe Source Type: news

Patient-Centered Primary Care for HIV at ANAC 2018 Patient-Centered Primary Care for HIV at ANAC 2018
As the needs of patients with HIV evolve and the role of HIV providers shifts, nonphysician providers look for tools to help people with HIV live long, healthy lives.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 1, 2018 Category: Consumer Health News Tags: Nursing News Source Type: news

Sanitas Medical Centers to add 8 local bilingual clinics, 75 jobs
Sanitas Medical Centers will open eight bilingual clinics and add 75 jobs in Central Florida by fourth-quarter 2018 The clinics are a joint venture between Jacksonville-based nonprofit GuideWell Mutual Holding Co. and multinational health care business group Organización Sanitas Internacional. The facilities, which will offer service to GuideWell subsidiary Florida Blue customers, will include family primary care services, urgent care, laboratory and diagnostic imaging services. “Central Florida… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 1, 2018 Category: American Health Authors: Ryan Lynch Source Type: news

Private primary care center partners with businesses to help lower employee health insurance costs
Employers throughout the United States have been facing a major dilemma, and it ’s not just the rising cost of health insurance. Employee accessibility to high-quality primary care physicians has taken a backseat to many cost-related issues, but has become a steadily-growing challenge with serious implications. Fifty years ago, roughly half of America’s physicians were con sidered primary care doctors, according to CareHere findings. Today, that number is less than one third.  That trend is… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 1, 2018 Category: American Health Authors: Bryn Scarborough Source Type: news

Cochrane prioritisation project informs NIHR tobacco research funding
In 2016 the Cochrane Tobacco Addiction Group carried out a priority setting project (CTAG taps), funded by the NIHR School for Primary Care Research in the UK. Drawing on the opinions and experiences of members of the public, health professionals, healthcare commissioners, researchers, guideline developers and funders a clear message emerged- that there are still many unanswered research questions in the areas of tobacco use prevention, harm reduction and cessation. Now the NIHR have put out a large funding call, across a number of its funding streams, for research in these areas. The NIHR cite the findings of CTAG taps as...
Source: Cochrane News and Events - November 1, 2018 Category: Information Technology Authors: Muriah Umoquit Source Type: news

Managing common infections: guidance for primary care
This guidance for managing common infections, including upper and lower respiratory, and urinary tract infections was updated in October 2018. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 1, 2018 Category: Consumer Health News Source Type: news

5 Services Pediatricians Forget to Bill For 5 Services Pediatricians Forget to Bill For
Pediatricians often focus on proper coding and on-time collections. But they also need to ensure they are capturing all charges for the services provided.Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 1, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Opioid Withdrawal Not Deadly? Wrong
(MedPage Today) -- Forget what you learned about the'best'treatment (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 1, 2018 Category: Primary Care Source Type: news

Plans for new Premier Health facility in Beavercreek move forward
Premier Health's plans for a new primary care facility in Beavercreek are moving forward. Cincinnati-based contractor Al. Neyer was issued a building permit valued at $7.23 million for a 46,000-square-foot facility on Lakeview Drive. Beavercreek city officials confirmed the permit is intended for the construction of a Premier Health primary care office. The Dayton Business Journal re ported last month the hospital network plans to open two primary care facilities, each at about 45,000 square feet,… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 1, 2018 Category: Pharmaceuticals Authors: Cecilia Salomone Source Type: news

The Integrator: Lost in transition
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week by senior bureau chief Dave West. (Source: HSJ)
Source: HSJ - November 1, 2018 Category: UK Health Source Type: news

Popular drug combination for treatment resistant depression is not more effective than a single antidepressant in primary care
Psychiatrists and GPs increasingly combine mirtazapine with an SSRI (selective serotonin reuptake inhibitor) or SNRI (serotonin-noradenaline reuptake inhibitor) antidepressant for patients whose depression does not respond to a single antidepressant. A large clinical trial led by researchers at the Universities of Bristol, Exeter, Keele, Manchester and Hull York Medical School, and published in the British Medical Journal today, looked at the effectiveness of adding mirtazapine to an SSRI or SNRI in patients who remain depressed after at least six weeks of conventional (SSRI or SNRI) antidepressant treatment. They found th...
Source: University of Bristol news - November 1, 2018 Category: Universities & Medical Training Tags: Health; Faculty of Health Sciences, Faculty of Health Sciences, Bristol Medical School; Press Release Source Type: news

Epidural Analgesia and Any Vaginal Laceration Epidural Analgesia and Any Vaginal Laceration
Does a relationship exist between epidural analgesia and vaginal laceration in laboring women?Journal of the American Board of Family Medicine (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - November 1, 2018 Category: Surgery Tags: Family Medicine/Primary Care Journal Article Source Type: news