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Temas de Salud, para Líderes
Por: Domingo Nevárez-Ramírez, MHSA
Temas de Salud, para Líderes es gratis, invita a un amigo(a) para que reciba el mismo, escríbenos su nombre y apellidos, lugar de trabajo o estudio y correo electrónico a firstname.lastname@example.org
El formato no es estricto y se combinan noticias, educativas, artículos de interés y otros de lo que he podido leer o lo que hayan compartido conmigo que entienda pueda ser de su interés. El contenido será en inglés y español.
Ya hoy, sobre 500 líderes en salud reciben el boletín electrónico. Si tienes alguna actividad educativa o información, déjanoslo saber.
Importante – Importante – Importante
Casi al final del Boletín hay noticias importantes sobre el pago de incentivos por el uso de e-prescribing, no deje de leerla y compartirla.
Grants applications that are due on the coming months of March, April and other are open for a longer period. The Federal Government in Fiscal Year 2011(the current FY that started on October 1, 2010 to September 30, 2011) and next FY 2012 is moving many grants to competitive grants. State Governments, Municipalities, Non-for-profits and private companies providing health care services as part of a network will be challenge to competitive for the federal funds.
Part 1 http://attachment.benchmarkemail.com/c97790/Grants_1.pdf
Part 2 http://attachment.benchmarkemail.com/c97790/Grants_2.pdf
For Governors, Medicaid Looks Ripe for Slashing
By Kevin Sack
Published: January 28, 2011
Hamstrung by federal prohibitions against lowering Medicaid eligibility, governors from both parties are exercising their remaining options in proposing bone-deep cuts to the program during the fourth consecutive year of brutal economic conditions.
Click here: www.nytimes.com/2011/01/29/us/politics/29medicaid.html
Los invito a leer detenidamente el documento titulado: Health Care Leader Action Guide: Understanding and Managing Variation, cito de una de las observaciones de cambio que nos hace el autor.
“Preparing for health care system transformation: Improving integration across the care continuum is an effective way to reduce unwarranted variation and attain the desired outcomes of reducing costs—for the health care organization, the community, and the industry as a whole—and improving outcomes. Changes to payment incentives, where value over volume is rewarded, will help facilitate integration efforts.
In addition, new delivery models such as accountable care organizations, bundled payment arrangements, and medical home models will require that providers accept more risk for delivering health care services. Standardizing care processes that eliminate unwarranted variation can help prepare an organization to accept this
type of risk.”
Oprima aquí: www.hret.org/quality/projects/healthcare-leader-action-guide-understanding-managing-variation.shtml
New Study Suggests Perchlorate is Thyroid Danger to 44 Million American Women
By Mary Shomon, About.com Guide
Updated October 05, 2006
About.com Health's Disease and Condition content is reviewed by our Medical Review Board. Researchers at the Centers for Disease Control and Prevention (CDC) have just released findings that show that American women -- and especially women with low iodine intake -- are at risk of hypothyroidism due to common exposure to the toxin perchlorate.
Click here: http://thyroid.about.com/od/toxictriggers/a/cdcperchlorate.htm
Perchlorate & its Danger to the Thyroid Guide picks
Information on the toxic chemical perchlorate, a rocket fuel and fireworks production byproduct, and its negative impact on the thyroid, and potential relationship to thyroid cancer and hypothyroidism
Click here: http://thyroid.about.com/cs/perchloratedanger/
Puerto Rico, are you in compliance?, Healthcare facilities and insurance companies, check with you legal advisor.
Data Banks at a Glance
Click here: http://attachment.benchmarkemail.com/c97790/Data_Banks_at_a_Glance.pdf
The National Practitioner Data Bank was established under Title IV of Public Law 99-660, the Health Care Quality Improvement Act of 1986. NPDB is an information clearinghouse to collect and release information related to the professional competence and conduct of physicians, dentists, and other healthcare practitioners
The Healthcare Integrity and Protection Data Bank was established under section 1128E of the Social Security Act as added by Section 221(A) of the Health Insurance Portability and Accountability Act of 1996. HIPDB was implemented to combat fraud and abuse in health insurance and health care delivery and to promote quality care. HIPDB alerts users that a more comprehensive review of past actions by a practitioner, provider or supplier may be prudent.
- Medical malpractice payers
- State health care practitioner licensing and certification authorities (including medical and dental boards)
- Other health care entities with formal peer review (HMOs, group practices, managed care organizations)
- Professional societies with formal peer review
- State entity licensing and certification authorities
- Peer review organizations
- Private accreditation organizations
- Federal and State Government Agencies
- Health Plans
For more information about Data Banks, click here www.npdb-hipdb.hrsa.gov
Asociación de Calidad en Salud de Puerto Rico
Separa la fecha, los sábados 19 y 26 de marzo de 2011 repaso para la Certificación:
Certified Professional In Healthcare Quality
Para más información sobre la National Association for Healthcare Quality (NAHQ)
Marque aquí: www.cphq.org
“Starting in fiscal year 2013, Medicare hospitals with re-admission rates above the 75th percentile will have payments for the original hospitalization reduced by 20% if a patient with a selected condition is re-hospitalized with a preventable re-admission within 7 days, and by 10% if the patient is re-admitted within 15 days.”
At Snelling, the difference is in the details. From understanding skill requirements and environments, getting to know our supplemental staff so that we make the right fit and doing our part to ensure compliance we focus on getting even the smallest details right.
We also adhere to the health care staffing industry standards on hiring practices, credentialing and competency of medical professionals. Snelling will specialize, among others, in the following areas:
-Doctor of Medicine------------------------------------------------------------Social Workers
-Registered Nurse and/or Licensed Practical Nurse ------------Clinical Psychologists
-Epidemiolgists-Health Information Professionals
-Clinical Pharmacists and/or Pharmacy Doctors-------------------Pharmacy Technicians
In addition to our medical/healthcare staffing services, Snelling will continue to provide hiring assistance for medical/pharmacy/mental health/dental management, professional and administrative positions in areas such as customer service, claim processing, provider network administration, clinical management, quality, financial management and sales and marketing operations.
Please contact us for your hiring needs or to discuss our new services.
350 Chardon Ave. Suite 119
San Juan, PR 00918
¡ENTERATE DE LOS CAMBIOS DEL CPT DEL 2011!
Conferencia: CPT Changes 2011
Fecha: Lunes, 28 de febrero de 2011
Reunión de Matricula PRHIMA
Socios - Libre de Costo
No Socios - $20.00
Horas Contacto - 2
Para registro favor contactar a: Srta. Lorena Sabathié Berrios, RHIA
Tel. (787) 380-0580
Para registrarse favor indique:
Lugar de Trabajo
Importante – Importante – Importante
2011 Electronic Prescribing (eRx) Incentive Program Reminder
Avoiding the Adjustment
In November, the Centers for Medicare & Medicaid Services announced that, beginning in calendar year 2012, eligible professionals who are not successful electronic prescribers based on claims submitted between January 1, 2011 – June 30, 2011, may be subject to a payment adjustment on their Medicare Part B Physician Fee Schedule (PFS) covered professional services. Section 132 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) authorizes CMS to apply this payment adjustment whether or not the eligible professional is planning to participate in the eRx Incentive Program.
From 2012 through 2014, the payment adjustment will increase each calendar year. In 2012, the payment adjustment for not being a successful electronic prescriber will result in an eligible professional or group practice receiving 99% of their Medicare Part B PFS amount that would otherwise apply to such services. In 2013, an eligible professional or group practice will receive 98.5% of their Medicare Part B PFS covered professional services for not being a successful electronic prescriber in 2011 or as defined in a future regulation. In 2014, the payment adjustment for not being a successful electronic prescriber is 2%, resulting in an eligible professional or group practice receiving 98% of their Medicare Part B PFS covered professional services.
The payment adjustment does not apply if <10% of an eligible professional’s (or group practice’s) allowed charges for the January 1, 2011 through June 30, 2011 reporting period are comprised of codes in the denominator of the 2011 eRx measure.
Please note that earning an eRx incentive for 2011 will NOT necessarily exempt an eligible professional or group practice from the payment adjustment in 2012.
How to Avoid the 2012 eRx Payment Adjustment
Eligible professionals – An eligible professional can avoid the 2012 eRx Payment Adjustment if (s)he:
Is not a physician (MD, DO, or podiatrist), nurse practitioner, or physician assistant as of Jun 30, 2011 based on primary taxonomy code in NPPES;
Does not have prescribing privileges. Note: (S)he must report (G8644) at least one time on an eligible claim prior to June 30, 2011;
Does not have at least 100 cases containing an encounter code in the measure denominator;
Becomes a successful e-prescriber; and
Reports the eRx measure for at least 10 unique eRx events for patients in the denominator of the measure.
Group Practices - For group practices that are participating in eRx GPRO I or GPRO II during 2011, the group practice MUST become a successful e-prescriber.
Depending on the group’s size, the group practice must report the eRx measure for 75-2,500 unique eRx events for patients in the denominator of the measure.
For additional information, please visit the “Getting Started” webpage at http://www.cms.gov/erxincentive on the CMS website for more information; or download the Medicare’s Practical Guide to the Electronic Prescribing (eRx) Incentive Program under Educational Resources.
The Universal Rock Band
Music: 60's & 70's Rock
José C.(Joe) Cordero - Lead Vocals
Cesar E. Santiago - Hammond Organ & Keyboards/Backing Vocals
John P. (Felipe) Segui - Bass/Backing Vocals
Juan G. (Goyo) Padín – Guitar
Roberto H. Hau - Drums
Hometown: Puerto Rico
"El tiempo es radiografía inequívoca del talento y la determinación provechosa. Así lo atestigua “The Universals Rock Band“, un grupo musical de integrantes isabelinos, cuyo resurgir ha dado muestra de que su prolongada ausencia de los escenarios artísticos sólo ha potenciado su ejecución y calidad interpretativa…."
Marque aquí: www.facebook.com/home.php#!/pages/The-Universals-RockBand/326164170924
Para contrataciones llame a los teléfonos:
Sr. Segui (787) 528-6650; Sr. Santiago (787)242-5331 o Sr. Hau (787) 872-3529