Appropriate Use of Medical Resources: Elective Percutaneous Coronary Intervention
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CMS issues “strategic vision” for physician quality reporting programs
The Centers for Medicare & Medicaid Services (CMS) recently issued a â€œ strategic visionâ€ for how it will administer the Physician Quality Reporting System, Physician Feedback/Value-Based Payment Modifier Program and other physician quality reporting programs. The document outlines five vision statements, or principles, and indicators of success for each. The principles are: input from patients, caregivers and health care professionals will guide the programs; feedback and data will drive rapid cycle quality improvement; public reporting will provide meaningful, transparent and actionable information; quality reporting programs will rely on an aligned measure portfolio; and quality reporting and value-based purchasing program policies will be aligned. â€œWith passage of H.R. 2, key components of these physician programs will serve as the foundation for the Merit-based Incentive Payment System,â€ wrote Patrick Conway, MD, CMS principal deputy administrator and chief medical officer. â€œThe Strategic Vision describes in concrete terms how we will advance the goals and objectives for quality improvement outlined in the CMS Quality Strategy through these quality measurement and reporting programs.â€
AABB issues patient blood management resource
The AABB has released a white paper to help organizations overcome common hurdles associated with starting a Patient Blood Management (PBM) program â€“ an evidence-based, multidisciplinary approach to optimizing care for patients who might need transfusion. The paper includes a review of the business case for a PBM program, a case example and transfusion committee resources. As part of its appropriate use of medical resources initiative, the AHAâ€™s Physician Leadership Forum last year partnered with AABB on a PBM toolkit to encourage appropriate blood management in inpatient service. Learn more at www.aha.org/appropriateuse.
PCORI awards $120 million to compare treatments for certain conditions
The Patient-Centered Outcomes Research Institute recently awarded about $59 million for five â€œpragmatic clinical studiesâ€ to compare the clinical effectiveness of certain treatments in typical care settings. The studies will compare proton beam versus photon radiation therapy to treat breast cancer; lifestyle interventions alone versus with diabetes medication to reduce weight and metabolic problems in youth taking certain antipsychotic medications for bipolar disorders; biological versus conventional drug treatment for Crohnâ€™s disease in children; nerve blocking regional versus general anesthesia for older adults undergoing surgery for hip fracture; and exercise coaching versus usual care for older adults with low-impact fractures from falls. The institute also awarded about $62 million for 29 studies that will compare options for improving outcomes for conditions such as opioid addiction, arthritis, stroke, Parkinsonâ€™s disease, leukemia and chronic kidney disease.
IOM panel proposes framework for prioritizing U.S. measures of health, health care
An Institute of Medicine (IOM) committee has recommended 15 core measures, or â€œvital signs,â€ and 32 related priority measures for tracking U.S. progress toward improved health and health care, citing the need to reduce the burden of unnecessary reporting and focus on â€œchange that matters most.â€ According to the report, â€œImplementation of this measure set will depend on leadership at every level of the health system, but in particular on the leadership of the secretary of the U.S. Department of Health and Human Services, who is the natural mainstay of the coordinated, multistakeholder process for refining and implementing the core measures that the committee envisions in its recommendations.â€ The 15 core measures are life expectancy, well-being, overweight and obesity, addictive behavior, unintended pregnancy, healthy communities, preventive services, care access, patient safety, evidence-based care, care match with patient goals, personal spending burden, population spending burden, individual engagement, and community engagement. Participating in a recent national leadership panel convened by the IOM to discuss the implications of the report and actions for stakeholders, AHA President and CEO Rich Umbdenstock voiced support for the report, calling it â€œthe type of direction, the type of common playbook that we need as a nation.â€
Medical school enrollment projected to rise, physician shortage will continue to grow
How one organization implemented Choosing Wisely
A recent article (members only) from Spectrum, a bimonthly newsletter from the AHAâ€™s Society for Healthcare Strategy & Market Development, discusses how Anne Arundel Medical Center implemented the ABIM Foundationâ€™s Choosing Wisely initiative at their organization. One of the first things they did was identify their different audiences (medical staff, employees, community) and outline how they could use their communication tools to appeal to each group. For example, they made sure to have a strong physician champion to gain acceptance by the medical staff. The article also discusses the results theyâ€™ve seen, lessons learned, and whatâ€™s next for them.
Reminder: Apply for AHA health care transformation fellowship by June 1
Senior health care leaders may apply through June 1 to participate in the next AHA Health Care Transformation Fellowship, a nine-month program designed to give participants knowledge, tools and connections to transform their health care organizations. Through in-person learning retreats, webinars, one-on-one coaching and peer-to-peer networking, participants learn how to lead their hospital organizations in improving care while lowering costs. Curriculum topics include clinician alignment and leadership; new care delivery models; population health management; integration of health information technology; and evolving partnerships with payers, employers, community organizations and others. For more information, visit www.hpoe.org/hctfellowship.
Still time to apply to the ABMS Visiting Scholars Program
The deadline for applying to the American Board of Medical Specialties (ABMS) Visiting Scholars Program is May 29, 2015. The Scholars Program is an exciting opportunity for junior faculty, PhDs, residents/fellows, medical students, public health students, and graduate students in health services research and other relevant disciplines. Potential research topics include physician assessment and education, quality improvement in patient care, continuing professional development, and health policy, among others. Projects should build on existing research at the scholarâ€™s institution and generate data, tools, and activities that could be useful to specialty boards in the Board Certification and Maintenance of Certification (MOC)/Continuing Certification (CC) process. For more information about the program and the application process, contact ABMS.