Healthcare Dive There is a general assumption that large primary care practices perform better than smaller, independent offices. These groups have more resources, often ones provided by hospitals that own the groups. To test this theory, a study led by researchers at Weill Cornell Medical College surveyed small- and medium-sized primary care practices to compare the number of preventable hospital admissions of the groups' patients. Contrary to popular notions, the study authors found that the smaller practices had markedly fewer preventable hospital admissions. Groups with up to two physicians had 33% fewer ambulatory care-sensitive admissions than practices with 10 to 19 doctors. Those with three to nine physicians had 27% fewer than the larger groups. "For decades, we have looked at practice size because it's something we can count," said Anne-Marie Audet, vice president for delivery system reform for the Commonwealth Fund, which funded the study. "It has … [Read more...] about The impact of practice size on readmission rates
College of family physicians
Dive Brief: The AmericanEHR survey, conducted between May and July 2014, found more than half of 940 respondents said EHRs had a negative impact on costs, efficiency and productivity. Only 9% of respondents reported their total practice operating costs decreased from using an EHR system. The longer respondents had used their EHR system, the more likely they were to report a positive impact on their practice. More than half of respondents said they started using their EHR system in the past three years. Eighty percent of those expressing dissatisfaction with their system had used it for less than five years. Approximately 13% of respondents said they employed scribes to address increased data entry requirements. Half of those who already employed scribes said it had a negative financial impact on their practice. Dive Insight: The survey concluded "there is cause for optimism" since those who said they were satisfied with their … [Read more...] about Survey: Majority of physicians not satisfied with EHR systems
CMS, through the Core Quality Measures Collaborative (CQMC), has released seven sets of clinical quality measures, primarily for physician quality programs. The CQMC is led by AHIP and its member plans’ CMOs, CMS and the National Quality Forum (NQF) members in addition to national physician organizations, employers and consumers. The release marks the first time multi-payer support on core measures for physician quality programs has occurred. "In the U.S. health care system, where we are moving to measure and pay for quality, patients and care providers deserve a uniform approach to measure quality,” said CMS Acting Administrator Andy Slavitt. “This agreement today will reduce unnecessary burden for physicians and accelerate the country's movement to better quality.” This work is the first of the Core Quality Measures Collaborative participants and informs the Medicare Access … [Read more...] about CMS, private payers play nice, agree to 7 sets of clinical quality standards
Dive Brief: The American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP) and American Congress of Obstetricians and Gynecologists (ACOG) joined forces to voice their concerns about patient access to care during healthcare reform. Leaders of the four organizations fear a disruption of the health insurance market will reverse patient access and other improvements seen since implementation of the Affordable Care Act. In a joint letter sent to congressional leaders, they urged Congress to ensure a safety net is in place for low-income Americans; to preserve premium assistance and cost-sharing subsidies; and to maintain protections for those with pre-existing conditions or family history of health problems, regardless of age, gender, race, national origin or disability. Dive Insight: The four organizations represent about 400,000 doctors and reminded legislators of improvements under the ACA and the Children’s … [Read more...] about Physician groups unite to pressure Congress for patient protections during reform
Young physicians may appear to have it all. Passion. Youth. Slang you don't understand. However, the current national debt average for graduating medical students is $183,000 according to the Association of American Medical Colleges (AAMC). That figure does not include personal debt or pre-medical school debt, which many students also have. Fortunately, there are numerous federal scholarship and loan repayment programs, including pay-as-you-earn (PAYE) options. Some medical groups are concerned the daunting thought of paying off a $200,000 loan plus interest over 17 to 20 years may discourage many students from even considering medical school. There is already a substantial physician shortage nationwide, and AAMC predicts by 2025 the U.S. could be short up to 90,000 physicians, including 31,000 primary care physicians. Many posit medical student debt is affecting career choices. So instead of choosing the lower-compensating primary … [Read more...] about Med students are facing up to the rising price of education but how are they managing debt?