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The Dark Side of Too Many Clicks

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The Dark Side of Too Many Clicks. Posted by Dan Mazanec, MD on Apr 18, 2016 12:32:35 PM. Inefficiency and Rise of the Scribes. Do you spend more time clicking away on a keyboard than actually making eye contact and engaging with the patient? Are you spending more time after clinic completing chart notes in the EMR? Do your notes really reflect your clinical thinking and plans? In a recent report. Of practicing internists found almost two-thirds reported writing a note took more time in the EMR and added ...

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Bundling Healthcare Payment: CMS strategy to drive value-based care

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Bundling Healthcare Payment: CMS strategy to drive value-based care. Posted by Dan Mazanec, MD on May 11, 2016 9:27:00 AM. Expanding the "episode of care". Driving increased coordination of care. Central role for Health IT. On April 1, 2016, the Center for Medicare and Medicaid Services (CMS) Innovation Center announced a potentially transformational program - the Comprehensive Care for Joint Replacement (CCJR). Bundles and Episodes Redefined. Care Coordination is Key to Success. In the follow up period.

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Dorsata Blog

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Re-imagining the EMR: Three essential and transformative innovations for caregivers in value-based world. Betting on Bundles: CMS launches new mandatory orthopedic and cardiovascular programs. Three reasons that scribes are not the right answer to EMR physician burnout. Effectiveness of Clinical Decision Support in the EMR: The glass is half full. Tablets in the exam room deliver improved efficiency and patient communication - who would have thought? MACRA Update: 5 Clear Messages to CMS - Now What?

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MACRA and Interoperability: Finally REAL 'Meaningful Use'?

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MACRA and Interoperability: Finally REAL 'Meaningful Use'? Posted by Dan Mazanec, MD on Jun 9, 2016 8:56:27 AM. A) Ask the patient's family to make a 220 mile round trip to pick up. And deliver the records and MRI. B) Order a clinically not indicated repeat MRI adding $2500 to the cost. C) Provide a second rate opinion based on inadequate information. Of course, the correct answer is none of the above. Focus on Performance, not just Process. As the ecology of health care. Interoperability in the EMR.

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Re-imagining the EMR:  Three essential and transformative innovations for caregivers in value-based world.

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Re-imagining the EMR: Three essential and transformative innovations for caregivers in value-based world. Posted by Dan Mazanec, MD on Oct 26, 2016 3:16:29 PM. Describing loss of enthusiasm for work, increased cynicism and a decreased sense of personal worth. Frustration with dated, antiquated electronic medical record technology is a major contributor to burnout as increased computer data entry consumes precious time better devoted to genuine patient care. A just-released survey. As a workaround for poo...

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Antibiotic stewardship: dealing with bad bugs and fewer drugs

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Antibiotic stewardship: dealing with bad bugs and fewer drugs. Posted by Dan Mazanec, MD on May 25, 2016 9:25:46 AM. At the dawn of the 20th century, the top three causes of death in the U.S. were infectious diseases. More than 20 new novel classes of antibiotics were discovered. Bacterial resistance to an antibiotic was met with a new and stronger drug. As we began the 21st century, the death rate due to infections had declined 97%! Deaths in the U.S. related to multiple drug resistant (MDR) bac...Commi...

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Tablets in the exam room deliver improved efficiency & patient communication - who would have thought?

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Tablets in the exam room deliver improved efficiency and patient communication - who would have thought? Posted by Dan Mazanec, MD on Jul 12, 2016 9:47:36 AM. The use of mobile technology use in health care has exploded in the past 5 years with 87% of physicians. More productive, satisfied clinicians. Schooley B, et al. 571% reported the device improved their workday and nearly 50% reported reduced time after work completing documentation. A major perceived barrier to use of tablet computers is patie...

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MACRA Update: 5 Clear Messages to CMS - Now What?

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MACRA Update: 5 Clear Messages to CMS - Now What? Posted by Dan Mazanec, MD on Jul 5, 2016 10:37:03 AM. On April 27, 2016. Delay implementation - at least until July 1, 2017. Quality measures need to be fair to both specialists and primary care doctors, practicing in or out of the hospital. The Advancing Care Information (ACI) portion of the Merit-based Incentive Payment System (MIPS) needs to significantly revamped. MACRA: A brief review. Merit-based Incentive Payment System (MIPS). Almost 90% of eligib...