The Stage 2 Final Rule (CMS-0044-F) changed the way shared Certified EHR Technologies are handled for the Stage 2 measure option for summary of care records at transitions of care and referrals. Previously, if multiple EPs are using the same certified EHR technology in different physical locations/settings (e.g., different practice locations), there must be a single test performed for each physical location/setting.
The intent of the objective is to demonstrate that a provider has the full capability to use their certified EHR technology to successfully transmit a summary of care document to a different EHR vendor in a live setting.
Under changes made in the Stage 2 Final Rule providers that use the same EHR technology and share a network for which
The PCMH should be designed to enhance the patient experience. This shift requires a transformation, not an incremental change from one that focused on physician workflow. Transformation to a PCMH requires a continuous, unrelenting process of change. It represents a fundamental re-imagination and redesign of practice, replacing old patterns and processes with new one. Transformation includes new scheduling and access arrangements, new coordination arrangements with other parts of the health care system, new ways of bringing evidence to the point of care, quality improvement activities, development of team-based care, changes in practice management, new strategies for patient engagement, and multiple new uses of information systems and technology. These multiple components of a PCMH are highly interdependent. Each component, when implemented,
How many of you remember this information published in RAND Health in 2009 in an article entitled “Changing Views on Chiropractic”?
“What Role Should Chiropractic Have in Health Care?
Where chiropractic fits in today's health care system is still unclear. The lack of high-quality studies reported in the medical literature makes it difficult to arrive at comprehensive conclusions about the value of chiropractic care. For example, RAND researchers could say only that spinal manipulation benefits some people with acute low-back pain. They didn't find enough data from well-designed studies to say anything about chiropractic's value for chronic low-back pain or low-back pain that involves an irritated sciatic nerve; about the complication rate of chiropractic treatment; about the number of manipulations needed to
A Commonwealth Report evaluating 11 countries’ health systems put the U.S. dead last for the fifth time since the report has been published. Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally, used criteria such as quality, efficiency and access to care to reach its conclusion. But it also expects the U.S. scores to be better next time the report is published since it has implemented the Affordable Care Act.
Efficiency: The bureaucratic red tape associated with insurance administration dragged the U.S. to the bottom of the ranks. About 40 percent of U.S. adults who had visited an emergency room could have been treated by a regular doctor, if one had been available, the
The medical home is best described as a model or philosophy of primary care that is patient-centered, comprehensive, team-based, coordinated, accessible, and focused on quality and safety. It has become a widely accepted model for how primary care should be organized and delivered throughout the health care system, and is a philosophy of health care delivery that encourages providers and care teams to meet patients where they are, from the simplest to the most complex conditions. It is a place where patients are treated with respect, dignity, and compassion, and enable strong and trusting relationships with providers and staff. Above all, the medical home is not a final destination instead, it is a model for achieving primary care excellence so