MedClimate Health News Daily http://medclimate.com/feed en-us Copyright MedClimate, Inc2017 Social interaction affects cancer patients’ response to treatment http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/social-interaction-affects-cancer-patients-response-treatment http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/social-interaction-affects-cancer-patients-response-treatment Wed, 19 Jul 2017 16:45:00 CDT NIH News Release Biological basis is unknown but may be related to stress response, NIH researchers say. ]]> US Digital Service continues to focus on health IT for VA, CMS under Trump http://medclimate.com/external/index.php?http://www.healthcareitnews.com/news/us-digital-service-continues-focus-health-it-va-cms-under-trump http://medclimate.com/external/index.php?http://www.healthcareitnews.com/news/us-digital-service-continues-focus-health-it-va-cms-under-trump Wed, 19 Jul 2017 14:49:41 CDT walmeida at Healthcare IT News - Government & Policy The U.S. Digital Health Service remains diligent about improving health IT under the Trump administration, specifically for the Centers for Medicare and Medicaid Services and the Department of Veterans Affairs, according to a new report to Congress. Established in 2014, USDS consults with federal agencies on IT as part of the Executive Office with the goal of improving digital services and websites. USDS is also a member of President Trump’s Office of American Innovation. USDS is working with CMS on a MACRA API, according to the report. The project is designed to reduce the cost and burden of participating in CMS programs by helping third-party vendors develop software able to directly connect with Medicare systems and data. [Also: Cerner hires VA technology expert to help with Vista overhaul strategy] Specifically, the API opened quality measures data, which led to vendors developing new tools, such as an iPhone app to look up quality payment program measures. Currently, the agency is collaborating with developers on API submission and scoring tools to replace manual processes, provide feedback and scoring and a platform to build QPP-related tools. The final version of the API is set to be available by the end of 2017. USDS’ other health IT projects are focused on the VA. The agency is helping the VA simplify its services for veterans. The VA Digital Service team built Vets.gov in 2015, and USDS has worked to improve the site that will allow veterans to download their benefit status and medical records. The new services are scheduled to be available this summer. Twitter: @JessieFDavis Email the writer: jessica.davis@himssmedia.com Like Healthcare IT News on Facebook and LinkedIn Primary Topic: RegulationAdditional Topics: PolicyRegulationCustom Tags: Regulation (7021)Disable Auto Tagging: Disable Auto Tagging

The U.S. Digital Health Service remains diligent about improving health IT under the Trump administration, specifically for the Centers for Medicare and Medicaid Services and the Department of Veterans Affairs, according to a new report to Congress.

Established in 2014, USDS consults with federal agencies on IT as part of the Executive Office with the goal of improving digital services and websites. USDS is also a member of President Trump’s Office of American Innovation.

USDS is working with CMS on a MACRA API, according to the report. The project is designed to reduce the cost and burden of participating in CMS programs by helping third-party vendors develop software able to directly connect with Medicare systems and data.

[Also: Cerner hires VA technology expert to help with Vista overhaul strategy]

Specifically, the API opened quality measures data, which led to vendors developing new tools, such as an iPhone app to look up quality payment program measures.

Currently, the agency is collaborating with developers on API submission and scoring tools to replace manual processes, provide feedback and scoring and a platform to build QPP-related tools. The final version of the API is set to be available by the end of 2017.

USDS’ other health IT projects are focused on the VA. The agency is helping the VA simplify its services for veterans. The VA Digital Service team built Vets.gov in 2015, and USDS has worked to improve the site that will allow veterans to download their benefit status and medical records.

The new services are scheduled to be available this summer.

Twitter: @JessieFDavis
Email the writer: jessica.davis@himssmedia.com


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NIH-funded mouse study sheds light on neural risks associated with prenatal alcohol exposure http://medclimate.com/external/index.php?https://www.nih.gov/news-events/nih-funded-mouse-study-sheds-light-neural-risks-associated-prenatal-alcohol-exposure http://medclimate.com/external/index.php?https://www.nih.gov/news-events/nih-funded-mouse-study-sheds-light-neural-risks-associated-prenatal-alcohol-exposure Wed, 19 Jul 2017 12:15:00 CDT NIH News Release New findings may help explain the range of behavioral and learning deficits and other symptoms. ]]> Family sues medical center for refusing to help patient die http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/family-sues-medical-center-for-refusing-to-help-patient-die?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/family-sues-medical-center-for-refusing-to-help-patient-die?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 11:01:54 CDT Joanne Finnegan at FierceHealthcare: Healthcare A family has filed a lawsuit against a California medical center for first agreeing to and then refusing to help their terminally ill mother die under the state’s End of Life Option Act. The family recently filed a civil lawsuit in San Francisco Superior Court against the UC San Francisco Medical Center. Lawmakers build patient matching into HHS budget http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/lawmakers-build-patient-data-matching-initiatives-into-hhs-budget?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/lawmakers-build-patient-data-matching-initiatives-into-hhs-budget?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 10:40:22 CDT Evan Sweeney at FierceHealthcare: It Despite bookmarking less funding for health IT initiatives overall, lawmakers want HHS officials to use the funding they do have to focus on patient matching—a position supported by health IT groups. The House Appropriations bill requires officials to develop a new report on patient matching and coordinate with the private sector. Lawmakers build patient matching into HHS budget http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/lawmakers-build-patient-data-matching-initiatives-into-hhs-budget?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/lawmakers-build-patient-data-matching-initiatives-into-hhs-budget?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 10:40:22 CDT Evan Sweeney at FierceHealthcare: It Despite bookmarking less funding for health IT initiatives overall, lawmakers want HHS officials to use the funding they do have to focus on patient matching—a position supported by health IT groups. The House Appropriations bill requires officials to develop a new report on patient matching and coordinate with the private sector. Lawmakers build patient matching into HHS budget http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/lawmakers-build-patient-data-matching-initiatives-into-hhs-budget?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/lawmakers-build-patient-data-matching-initiatives-into-hhs-budget?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 10:40:22 CDT Evan Sweeney at FierceHealthcare: Healthcare Despite bookmarking less funding for health IT initiatives overall, lawmakers want HHS officials to use the funding they do have to focus on patient matching—a position supported by health IT groups. The House Appropriations bill requires officials to develop a new report on patient matching and coordinate with the private sector. Analysis: Failure to replace ACA was years in the making http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/analysis-gop-failure-to-replace-aca-was-years-making?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/analysis-gop-failure-to-replace-aca-was-years-making?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 10:26:31 CDT Julie Rovner at FierceHealthcare: Healthcare From Kaiser Health News: In retrospect, Republicans’ inability to overhaul the Affordable Care Act should not come as much of a surprise. For example, once launched, federal programs that provide people with benefits they find important and valuable are very difficult to rescind. For insurers, stalled ACA repeal doesn't remove uncertainty http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/for-insurers-stalled-aca-repeal-doesn-t-remove-uncertainty?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/for-insurers-stalled-aca-repeal-doesn-t-remove-uncertainty?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 10:13:39 CDT Leslie Small at FierceHealthcare: Healthcare Though the threat of an Affordable Care Act repeal has faded, policy uncertainty continues to loom over health insurers that sell plans in the individual marketplaces. The most immediate concern is the possibility that the latest round of cost-sharing reduction payments won’t be sent to insurers to help them defray ACA exchange enrollees’ out-of-pocket costs. 4 reasons patients value access to visit notes in the EHR http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/4-reasons-patients-value-access-to-visit-notes-ehr?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/4-reasons-patients-value-access-to-visit-notes-ehr?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 09:53:18 CDT Joanne Finnegan at FierceHealthcare: It There are four primary reasons patients like having access to the notes doctors and other clinicians write after a visit and include in their electronic health record, according to a new study. With more organizations offering patients access to their EHRs, researchers wanted to know what patients value about the process. 4 reasons patients value access to visit notes in the EHR http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/4-reasons-patients-value-access-to-visit-notes-ehr?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/4-reasons-patients-value-access-to-visit-notes-ehr?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 09:53:18 CDT Joanne Finnegan at FierceHealthcare: Healthcare There are four primary reasons patients like having access to the notes doctors and other clinicians write after a visit and include in their electronic health record, according to a new study. With more organizations offering patients access to their EHRs, researchers wanted to know what patients value about the process. 4 reasons patients value access to visit notes in the EHR http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/4-reasons-patients-value-access-to-visit-notes-ehr?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/4-reasons-patients-value-access-to-visit-notes-ehr?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 09:53:18 CDT Joanne Finnegan at FierceHealthcare: It There are four primary reasons patients like having access to the notes doctors and other clinicians write after a visit and include in their electronic health record, according to a new study. With more organizations offering patients access to their EHRs, researchers wanted to know what patients value about the process. Death rates don’t go up when hospitals reduce readmissions http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/healthcare/death-rates-don-t-go-up-when-hospitals-reduce-readmissions?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/healthcare/death-rates-don-t-go-up-when-hospitals-reduce-readmissions?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 09:52:33 CDT Ilene MacDonald at FierceHealthcare: Healthcare Recent efforts to reduce hospital readmissions for common medical conditions have not led to an increase in death rates. In fact, they may have led to a decrease in mortality rates, a new study finds. The link between reduced readmissions and reduced mortality was even stronger at 90 days compared to 30 days after hospital discharge. ONC’s Genevieve Morris: Value-based payments will make the business case for interoperability http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/onc-s-genevieve-morris-value-based-payments-will-make-a-business-case-for-data-exchange?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/onc-s-genevieve-morris-value-based-payments-will-make-a-business-case-for-data-exchange?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 08:58:16 CDT Evan Sweeney at FierceHealthcare: It Federal officials are making interoperability a top health IT priority, and a big part of their push will be to help organizations understand the benefits of data sharing from a business perspective. The ONC’s Genevieve Morris says payment reform will play a big role. ONC’s Genevieve Morris: Value-based payments will make the business case for interoperability http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/onc-s-genevieve-morris-value-based-payments-will-make-a-business-case-for-data-exchange?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/onc-s-genevieve-morris-value-based-payments-will-make-a-business-case-for-data-exchange?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 08:58:16 CDT Evan Sweeney at FierceHealthcare: It Federal officials are making interoperability a top health IT priority, and a big part of their push will be to help organizations understand the benefits of data sharing from a business perspective. The ONC’s Genevieve Morris says payment reform will play a big role. ONC’s Genevieve Morris: Value-based payments will make the business case for interoperability http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/onc-s-genevieve-morris-value-based-payments-will-make-a-business-case-for-data-exchange?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/onc-s-genevieve-morris-value-based-payments-will-make-a-business-case-for-data-exchange?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 08:58:16 CDT Evan Sweeney at FierceHealthcare: Payer Federal officials are making interoperability a top health IT priority, and a big part of their push will be to help organizations understand the benefits of data sharing from a business perspective. The ONC’s Genevieve Morris says payment reform will play a big role. ONC’s Genevieve Morris: Value-based payments will make the business case for interoperability http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/onc-s-genevieve-morris-value-based-payments-will-make-a-business-case-for-data-exchange?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/onc-s-genevieve-morris-value-based-payments-will-make-a-business-case-for-data-exchange?utm_source=internal&utm_medium=rss Wed, 19 Jul 2017 08:58:16 CDT Evan Sweeney at FierceHealthcare: Healthcare Federal officials are making interoperability a top health IT priority, and a big part of their push will be to help organizations understand the benefits of data sharing from a business perspective. The ONC’s Genevieve Morris says payment reform will play a big role. Trump suggests letting ACA fail, but McConnell vows vote on repeal-and-delay in 'near future' http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/trump-suggests-letting-aca-fail-but-mcconnell-vows-vote-repeal-and-delay-near-future?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/trump-suggests-letting-aca-fail-but-mcconnell-vows-vote-repeal-and-delay-near-future?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 15:47:23 CDT Leslie Small at FierceHealthcare: Healthcare President Donald Trump on Tuesday indicated that since Republicans have failed to repeal the Affordable Care Act, they should instead let the law fail. Senate Majority Leader Mitch McConnell, however, appears determined to vote on a measure that would repeal the ACA and replace it later—despite lacking enough GOP support to pass it. The dirty (and dangerous) truth about doctors' stethoscopes http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/how-many-doctors-wipe-off-stethoscope-between-patients-zero?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/how-many-doctors-wipe-off-stethoscope-between-patients-zero?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 15:47:06 CDT Joanne Finnegan at FierceHealthcare: Healthcare Yale researchers weren't expecting great results when they set out to see how many doctors clean their stethoscopes between patients. But they were still dismayed by what they found. Even more surprising: Educational intervention didn't help. Yale New Haven's nurse navigators assist stroke patients http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/healthcare/yale-new-haven-uses-nurse-navigators-to-assist-stroke-patients?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/healthcare/yale-new-haven-uses-nurse-navigators-to-assist-stroke-patients?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 15:37:30 CDT Paige Minemyer at FierceHealthcare: Healthcare ​​​​​​​Stroke recovery can be a long and complex process for patients and caregivers, so Yale New Haven Hospital is deploying nurse navigators to help ease the transition between sites of care. “They will be seen by countless providers, so it’s nice to establish a familiar face," Kelsey Halbert, R.N., one of the navigators, said. Cleveland Clinic appoints Edward Marx as CIO http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/it/cleveland-clinic-names-former-advisory-board-executive-as-cio?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/it/cleveland-clinic-names-former-advisory-board-executive-as-cio?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 13:44:11 CDT Evan Sweeney at FierceHealthcare: Healthcare The Cleveland Clinic has appointed former Advisory Board Executive Vice President Edward Marx as chief information officer. Marx, widely recognized as one of the top health IT leaders in the country, has previously served in health IT leadership positions at systems in New York, Texas and Ohio. GOP's repeal-and-delay plan flops after 3 senators oppose it http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/gop-s-repeal-and-delay-plan-dies-after-3-senators-oppose-it?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/gop-s-repeal-and-delay-plan-dies-after-3-senators-oppose-it?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 12:07:02 CDT Leslie Small at FierceHealthcare: Healthcare Three moderate Republican senators now oppose a plan to repeal the Affordable Care Act and replace it later, leaving Senate Majority Leader Mitch McConnell lacking the votes he’d need to move the measure forward. Alaska Sen. Lisa Murkowski, Susan Collins of Maine and Shelley Moore Capito of West Virginia all have publicly opposed the plan. Global health investments could reach $371B a year by 2030 http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/healthcare/who-global-health-investments-could-reach-371b-a-year-by-2030?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/healthcare/who-global-health-investments-could-reach-371b-a-year-by-2030?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 10:59:30 CDT Paige Minemyer at FierceHealthcare: Healthcare An ambitious plan to achieve global access to healthcare could require national governments and donors to pay $371 billion each year by 2030, according to a new report. The World Health Organization estimates it would cost $58 per person each year to reach all of its sustainable development goal healthcare targets. Physician groups call proposed fee schedule a mixed bag http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/physician-groups-find-mixed-bag-cms-proposed-physician-fee-schedule?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/physician-groups-find-mixed-bag-cms-proposed-physician-fee-schedule?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 10:51:54 CDT Joanne Finnegan at FierceHealthcare: Healthcare Physician groups gave a mixed review to the government’s latest attempt to change the physician payment system. The groups, which represent doctors across the country, praised the Centers for Medicare & Medicaid Services for responding to physicians’ concerns in its physician fee schedule proposed rule released last week, but found areas they want the agency to address. OIG plans to investigate $15 billion in meaningful use payments http://medclimate.com/external/index.php?http://www.healthcareitnews.com/news/oig-plans-investigate-15-billion-meaningful-use-payments http://medclimate.com/external/index.php?http://www.healthcareitnews.com/news/oig-plans-investigate-15-billion-meaningful-use-payments Tue, 18 Jul 2017 10:41:08 CDT walmeida at Healthcare IT News - Government & Policy The Department of Health and Human Services Office of Inspector General will review the accuracy of $14.6 billion in meaningful use payments made to hospitals by Medicare between 2011 and 2016. Earlier this year, the OIG estimated physicians were wrongfully paid $729 million under meaningful use. Medicare incentive payments were authorized over a 5-year period to hospitals that adopted electronic health record technology. From January 1, 2011, through December 31, 2016, the Centers for Medicare and Medicaid Services made Medicare EHR incentive payments to hospitals totaling $14.6 billion, the OIG said. [Also: Senators press CMS to recoup EHR overpayments under meaningful use] The Government Accountability Office identified improper incentive payments as the primary risk to the Medicare EHR incentive program. An OIG report described the obstacles that CMS faces in overseeing the Medicare EHR incentive program. In addition, previous OIG reviews of Medicaid EHR incentive payments found that state agencies overpaid hospitals by $66.7 million and would in the future overpay these hospitals an additional $13.2 million, the OIG said. “These overpayments resulted from inaccuracies in the hospitals’ calculations of total incentive payments,” the OIG said. “We will review the hospitals’ incentive payment calculations to identify potential overpayments that the hospitals would have received as a result of the inaccuracies.” [Also: CMS won't punish eClinicalWorks customers for meaningful use EHR attestations] On another front, the OIG will be reviewing the accuracy of telemedicine payments under Medicare. Medicare Part B covers expenses for telehealth services on the telehealth list when those services are delivered via an interactive telecommunications system, provided certain conditions are met. To support rural access to care, Medicare pays for telehealth services provided through live, interactive videoconferencing between a beneficiary located at a rural originating site and a practitioner located at a distant site. “An eligible originating site must be the practitioner’s office or a specified medical facility, not a beneficiary’s home or office,” the OIG explained. “We will review Medicare claims paid for telehealth services provided at distant sites that do not have corresponding claims from originating sites to determine whether those services met Medicare requirements.” Twitter: @SiwickiHealthIT Email the writer: bill.siwicki@himssmedia.com Like Healthcare IT News on Facebook and LinkedIn Primary Topic: RegulationAdditional Topics: Meaningful UsePolicyRegulationCustom Tags: Regulation (7021)Meaningful Use (6951)Disable Auto Tagging: Disable Auto Tagging

The Department of Health and Human Services Office of Inspector General will review the accuracy of $14.6 billion in meaningful use payments made to hospitals by Medicare between 2011 and 2016. Earlier this year, the OIG estimated physicians were wrongfully paid $729 million under meaningful use.

Medicare incentive payments were authorized over a 5-year period to hospitals that adopted electronic health record technology. From January 1, 2011, through December 31, 2016, the Centers for Medicare and Medicaid Services made Medicare EHR incentive payments to hospitals totaling $14.6 billion, the OIG said.

[Also: Senators press CMS to recoup EHR overpayments under meaningful use]

The Government Accountability Office identified improper incentive payments as the primary risk to the Medicare EHR incentive program. An OIG report described the obstacles that CMS faces in overseeing the Medicare EHR incentive program. In addition, previous OIG reviews of Medicaid EHR incentive payments found that state agencies overpaid hospitals by $66.7 million and would in the future overpay these hospitals an additional $13.2 million, the OIG said.

“These overpayments resulted from inaccuracies in the hospitals’ calculations of total incentive payments,” the OIG said. “We will review the hospitals’ incentive payment calculations to identify potential overpayments that the hospitals would have received as a result of the inaccuracies.”

[Also: CMS won't punish eClinicalWorks customers for meaningful use EHR attestations]

On another front, the OIG will be reviewing the accuracy of telemedicine payments under Medicare.

Medicare Part B covers expenses for telehealth services on the telehealth list when those services are delivered via an interactive telecommunications system, provided certain conditions are met. To support rural access to care, Medicare pays for telehealth services provided through live, interactive videoconferencing between a beneficiary located at a rural originating site and a practitioner located at a distant site.

“An eligible originating site must be the practitioner’s office or a specified medical facility, not a beneficiary’s home or office,” the OIG explained. “We will review Medicare claims paid for telehealth services provided at distant sites that do not have corresponding claims from originating sites to determine whether those services met Medicare requirements.”

Twitter: @SiwickiHealthIT
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Sidestepping state lawmakers, Missouri governor's executive order establishes unique PDMP http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/sidestepping-state-lawmakers-missouri-governor-issues-a-unique-pdmp-executive-order?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/sidestepping-state-lawmakers-missouri-governor-issues-a-unique-pdmp-executive-order?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 10:24:32 CDT Evan Sweeney at FierceHealthcare: It Calling opioids a “modern plague,” Missouri Gov. Eric Greitens used his executive power to establish a PDMP that requires the state to contract with pharmacy benefit managers to analyze opioid prescriber and dispensing data. But unlike PDMPs in other states, physicians wouldn't have access to the database. Sidestepping state lawmakers, Missouri governor's executive order establishes unique PDMP http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/sidestepping-state-lawmakers-missouri-governor-issues-a-unique-pdmp-executive-order?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/sidestepping-state-lawmakers-missouri-governor-issues-a-unique-pdmp-executive-order?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 10:24:32 CDT Evan Sweeney at FierceHealthcare: Healthcare Calling opioids a “modern plague,” Missouri Gov. Eric Greitens used his executive power to establish a PDMP that requires the state to contract with pharmacy benefit managers to analyze opioid prescriber and dispensing data. But unlike PDMPs in other states, physicians wouldn't have access to the database. Sidestepping state lawmakers, Missouri governor's executive order establishes unique PDMP http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/sidestepping-state-lawmakers-missouri-governor-issues-a-unique-pdmp-executive-order?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/sidestepping-state-lawmakers-missouri-governor-issues-a-unique-pdmp-executive-order?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 10:24:32 CDT Evan Sweeney at FierceHealthcare: It Calling opioids a “modern plague,” Missouri Gov. Eric Greitens used his executive power to establish a PDMP that requires the state to contract with pharmacy benefit managers to analyze opioid prescriber and dispensing data. But unlike PDMPs in other states, physicians wouldn't have access to the database. Unplanned hospitalizations a bigger risk for long-term cognitive decline in older adults than previously thought http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/healthcare/unplanned-hospitalizations-may-be-a-bigger-risk-for-long-term-cognitive-decline-older?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/healthcare/unplanned-hospitalizations-may-be-a-bigger-risk-for-long-term-cognitive-decline-older?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 10:11:07 CDT Ilene MacDonald at FierceHealthcare: Healthcare A new study from Rush University Medical Center reveals that emergency and urgent hospitalizations are linked to an increased rate of cognitive decline in older adults far greater than previously recognized. The findings have important implications for the medical decision-making and care of older adults. Despite barriers, payers plan to boost spending on analytics http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/payers-view-analytics-as-a-building-block-but-data-quality-and-workforce-are-top-concerns?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/payers-view-analytics-as-a-building-block-but-data-quality-and-workforce-are-top-concerns?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 09:35:37 CDT Evan Sweeney at FierceHealthcare: It Some of the nation’s largest insurance companies plan to invest heavily in analytics to improve customer experience and manage costs. But 60% of those organizations also say data quality is a barrier to ensuring analytics are effective and useful. Despite barriers, payers plan to boost spending on analytics http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/payers-view-analytics-as-a-building-block-but-data-quality-and-workforce-are-top-concerns?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/payers-view-analytics-as-a-building-block-but-data-quality-and-workforce-are-top-concerns?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 09:35:37 CDT Evan Sweeney at FierceHealthcare: It Some of the nation’s largest insurance companies plan to invest heavily in analytics to improve customer experience and manage costs. But 60% of those organizations also say data quality is a barrier to ensuring analytics are effective and useful. Despite barriers, payers plan to boost spending on analytics http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/payers-view-analytics-as-a-building-block-but-data-quality-and-workforce-are-top-concerns?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/analytics/payers-view-analytics-as-a-building-block-but-data-quality-and-workforce-are-top-concerns?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 09:35:37 CDT Evan Sweeney at FierceHealthcare: Payer Some of the nation’s largest insurance companies plan to invest heavily in analytics to improve customer experience and manage costs. But 60% of those organizations also say data quality is a barrier to ensuring analytics are effective and useful. Physician assistants continue to move into specialty areas, including hospital medicine and surgery http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/physician-assistants-continue-to-move-into-specialty-areas-including-hospital-medicine?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/physician-assistants-continue-to-move-into-specialty-areas-including-hospital-medicine?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 09:31:59 CDT Joanne Finnegan at FierceHealthcare: Healthcare Physician assistants aren’t just working in primary care anymore, as a new report shows an overwhelming majority work in specialty areas, including both hospital medicine and surgery. The report, published by the National Commission on Certification of Physician Assistants, said PAs working in specialties are also well compensated, earning an average salary of more than $104,000. Changing gears in the face of defections, Mitch McConnell says Senate will vote on repeal, save replace for later http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/mitch-mcconnel-says-senate-will-now-vote-repeal-save-replace-for-later?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/mitch-mcconnel-says-senate-will-now-vote-repeal-save-replace-for-later?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 08:30:58 CDT Gienna Shaw at FierceHealthcare: Payer Now that they lack the votes to both repeal and replace the Affordable Care Act, Senate Republicans are poised to vote for a straight-up repeal of former President Barack Obama’s signature healthcare reform law. A replacement bill would come later, said Senate Majority Leader Mitch McConnell.    Changing gears in the face of defections, Mitch McConnell says Senate will vote on repeal, save replace for later http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/mitch-mcconnel-says-senate-will-now-vote-repeal-save-replace-for-later?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/mitch-mcconnel-says-senate-will-now-vote-repeal-save-replace-for-later?utm_source=internal&utm_medium=rss Tue, 18 Jul 2017 08:30:58 CDT Gienna Shaw at FierceHealthcare: Healthcare Now that they lack the votes to both repeal and replace the Affordable Care Act, Senate Republicans are poised to vote for a straight-up repeal of former President Barack Obama’s signature healthcare reform law. A replacement bill would come later, said Senate Majority Leader Mitch McConnell.    GAO official: VA must improve clinician productivity tracking http://medclimate.com/external/index.php?http://www.healthcareitnews.com/news/gao-official-va-must-improve-clinician-productivity-tracking http://medclimate.com/external/index.php?http://www.healthcareitnews.com/news/gao-official-va-must-improve-clinician-productivity-tracking Tue, 18 Jul 2017 08:29:54 CDT walmeida at Healthcare IT News - Government & Policy In testimony this past week before the House of Representatives' Committee on Veterans Affairs, Randall Williamson, director of healthcare at the U.S. Government Accountability Office, spotlighted the ways VA could improve its metrics around clinical productivity and efficiency. With no shortage of attention focused on the VA's new partnership with Cerner to replace its VistA electronic health record, it's worth remembering that the EHR is only a means to an end. The real goal is delivering better care, and Williamson said VA could do better ensuring "high levels of productivity among its clinical services and operational efficiency to maximize veterans' access to care and minimize costs." [Also: GAO: VA clinical quality measures are flawed, data incomplete] Back in 2013, VA developed clinical productivity metrics to track the time and effort it took its providers to perform select procedures in 32 clinical specialties, as well as formulating statistical models to measure clinical efficiency at VA medical centers, designed to track utilization and expenditures for high-volume areas such as ED use and urgent care. A recent report from GAO took a closer look at those tools, hoping to assess whether they give a complete and accurate picture, and look for ways to improve the efforts where they fall short. The office found four big limitations with the VA's metrics, said Williamson: Productivity metrics are incomplete since they don't take into consideration all the providers a veteran might see or clinical services they may use. "Due to systems limitations, the metrics do not capture all types of providers who deliver care at VAMCs, including contract physicians and advanced practice providers, such as nurse practitioners, serving as sole providers," he said. "In addition, the metrics do not capture providers’ workload evaluating and managing hospitalized patients because VA’s data systems are not designed to fully capture providers’ workload delivering inpatient services that do not involve procedures – in particular, evaluating and managing patients who are hospitalized." The metrics don't necessarily reflect the "intensity" of clinicans' workload. Williamson noted that a VA audit from 2016 showed that providers "do not always accurately code the intensity – that is, the amount of effort needed to perform – of clinical procedures or services. As a result, VA’s productivity metrics may not accurately reflect provider productivity, as differences between providers may represent coding inaccuracies rather than true productivity differences." They may not accurately depict staffing levels. "Officials at five of the six selected VAMCs we visited reported that providers do not always accurately record the amount of time they spend performing clinical duties, as distinct from other duties," said Williamson. "VA’s productivity metrics are calculated for providers’ clinical duties only." Efficiency models could be skewed by inaccurate workload and staffing data. "To the extent that the intensity and amount of providers’ clinical workload are inaccurately recorded, some of VA’s efficiency models examining VAMC utilization and expenditures may also be inaccurate," he said. "For example, the model that examines administrative efficiency requires accurate data on the amount of time VA providers spend on administrative tasks; if the time providers allocate to clinical, administrative, and other tasks is incorrect, the model may overstate or understate administrative efficiency." GAO recommends that VA "expand its existing productivity metrics to track the productivity of all providers of care to veterans," said Williamson, such as contract physicians who aren't employees of the agency or advance practice providers acting as sole providers. "VA agreed in principle with our recommendation and stated that it plans to establish productivity performance standards for advanced practice providers, using available productivity data, by October 2017," he said. Moreover the office suggested VA improve its workload and staffing data by giving training for its providers on proper coding clinical procedures. "VA agreed in principle with our recommendation and reiterated its existing efforts to improve clinical coding accuracy. It also said that the department would reissue existing policy to VAMCs by June 2017 as well as continue to provide need-based, focused coding training to providers, as appropriate," said Williamson.   Twitter: @MikeMiliardHITN Email the writer: mike.miliard@himssmedia.com Like Healthcare IT News on Facebook and LinkedIn Primary Topic: EHRAdditional Topics: EHRPolicyRegulationTechnologyCustom Tags: EHR (6586)Regulation (7021)Disable Auto Tagging: Disable Auto Tagging

In testimony this past week before the House of Representatives' Committee on Veterans Affairs, Randall Williamson, director of healthcare at the U.S. Government Accountability Office, spotlighted the ways VA could improve its metrics around clinical productivity and efficiency.

With no shortage of attention focused on the VA's new partnership with Cerner to replace its VistA electronic health record, it's worth remembering that the EHR is only a means to an end. The real goal is delivering better care, and Williamson said VA could do better ensuring "high levels of productivity among its clinical services and operational efficiency to maximize veterans' access to care and minimize costs."

[Also: GAO: VA clinical quality measures are flawed, data incomplete]

Back in 2013, VA developed clinical productivity metrics to track the time and effort it took its providers to perform select procedures in 32 clinical specialties, as well as formulating statistical models to measure clinical efficiency at VA medical centers, designed to track utilization and expenditures for high-volume areas such as ED use and urgent care.

A recent report from GAO took a closer look at those tools, hoping to assess whether they give a complete and accurate picture, and look for ways to improve the efforts where they fall short.

The office found four big limitations with the VA's metrics, said Williamson:

Productivity metrics are incomplete since they don't take into consideration all the providers a veteran might see or clinical services they may use. "Due to systems limitations, the metrics do not capture all types of providers who deliver care at VAMCs, including contract physicians and advanced practice providers, such as nurse practitioners, serving as sole providers," he said. "In addition, the metrics do not capture providers’ workload evaluating and managing hospitalized patients because VA’s data systems are not designed to fully capture providers’ workload delivering inpatient services that do not involve procedures – in particular, evaluating and managing patients who are hospitalized."

The metrics don't necessarily reflect the "intensity" of clinicans' workload. Williamson noted that a VA audit from 2016 showed that providers "do not always accurately code the intensity – that is, the amount of effort needed to perform – of clinical procedures or services. As a result, VA’s productivity metrics may not accurately reflect provider productivity, as differences between providers may represent coding inaccuracies rather than true productivity differences."

They may not accurately depict staffing levels. "Officials at five of the six selected VAMCs we visited reported that providers do not always accurately record the amount of time they spend performing clinical duties, as distinct from other duties," said Williamson. "VA’s productivity metrics are calculated for providers’ clinical duties only."

Efficiency models could be skewed by inaccurate workload and staffing data. "To the extent that the intensity and amount of providers’ clinical workload are inaccurately recorded, some of VA’s efficiency models examining VAMC utilization and expenditures may also be inaccurate," he said. "For example, the model that examines administrative efficiency requires accurate data on the amount of time VA providers spend on administrative tasks; if the time providers allocate to clinical, administrative, and other tasks is incorrect, the model may overstate or understate administrative efficiency."

GAO recommends that VA "expand its existing productivity metrics to track the productivity of all providers of care to veterans," said Williamson, such as contract physicians who aren't employees of the agency or advance practice providers acting as sole providers. "VA agreed in principle with our recommendation and stated that it plans to establish productivity performance standards for advanced practice providers, using available productivity data, by October 2017," he said.

Moreover the office suggested VA improve its workload and staffing data by giving training for its providers on proper coding clinical procedures. "VA agreed in principle with our recommendation and reiterated its existing efforts to improve clinical coding accuracy. It also said that the department would reissue existing policy to VAMCs by June 2017 as well as continue to provide need-based, focused coding training to providers, as appropriate," said Williamson.
 

Twitter: @MikeMiliardHITN
Email the writer: mike.miliard@himssmedia.com


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New defections scuttle Senate healthcare bill—for now http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/new-defections-leave-senate-healthcare-bill-shy-needed-votes?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/new-defections-leave-senate-healthcare-bill-shy-needed-votes?utm_source=internal&utm_medium=rss Mon, 17 Jul 2017 21:02:51 CDT Leslie Small at FierceHealthcare: Payer Two more Republican senators have defected against the chamber’s healthcare bill, leaving the measure without enough votes to move forward—at least for now. Jerry Moran of Kansas and Mike Lee of Utah both announced Monday night that they would vote no on a motion to proceed with the Better Care Reconciliation Act. New defections scuttle Senate healthcare bill—for now http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/new-defections-leave-senate-healthcare-bill-shy-needed-votes?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/aca/new-defections-leave-senate-healthcare-bill-shy-needed-votes?utm_source=internal&utm_medium=rss Mon, 17 Jul 2017 21:02:51 CDT Leslie Small at FierceHealthcare: Healthcare Two more Republican senators have defected against the chamber’s healthcare bill, leaving the measure without enough votes to move forward—at least for now. Jerry Moran of Kansas and Mike Lee of Utah both announced Monday night that they would vote no on a motion to proceed with the Better Care Reconciliation Act. Space station project seeks to crystalize the means to counteract nerve poisons http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/space-station-project-seeks-crystalize-means-counteract-nerve-poisons http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/space-station-project-seeks-crystalize-means-counteract-nerve-poisons Mon, 17 Jul 2017 18:45:00 CDT NIH News Release NIH-supported experiment could lead to improved antidotes. ]]> Artificial intelligence is transforming radiology, but it still can't make human judgment calls http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/artificial-intelligence-transforming-radiology-but-still-a-need-for-humans-to-make?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/artificial-intelligence-transforming-radiology-but-still-a-need-for-humans-to-make?utm_source=internal&utm_medium=rss Mon, 17 Jul 2017 16:33:58 CDT Joanne Finnegan at FierceHealthcare: Healthcare Automation will replace millions of jobs in the coming years, but it’s not just blue-collar workers in the crossfire. Technology is changing the way some doctors work, and that could result in lower demand for some specialties. Radiologists will be among the first to feel the effects of that trend.