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March 2015

 

A Word from the President


Welcome to the March issue of NAMSS Gateway.

In the rapidly changing healthcare landscape, there has been lots of discussion surrounding the Interstate Medical Licensure Compact. The Compact has been introduced in 15 states and was recently enacted in Wyoming. The Compact offers a solution to the rise of telemedicine and the need to greater access to medical coverage through the Affordable Care Act. We are excited to see which state will be next to introduce the Compact!

NAMSS recently hosted a webinar to discuss the Interstate Medical Licensure Compact. You can find more information about the Compact and access the webinar recording in this issue of Gateway.

Please enjoy this issue of Gateway!

Linda Waldorf, BS, CPMSM, CPCS
President
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Headlines


News From NAMSS
FSMB Interstate Medical Licensure Compact
Call for Nominations
Certification Summer Application Deadline
Save the date! 2015 AMA-OMSS Annual Meeting
Remember to Renew Your Dues for 2015!
The NAMSS Handshake

Industry News
"U.S. Faces 90,000 Doctor Shortage by 2025, Medical School Association Warns"
"Hospitals Battle Data Breaches With a Cybersecurity SOS"
"Dentists Doing Dermatology? Cosmetics Lure Docs of All Types"
"Hospital Rating Systems Differ on Best and Worst"
"700 Portland Physicians Form a Powerhouse Care Network"
"Physician Leadership of Hospitals: Seizing the Moment"
"Essential Skills for Visionary Healthcare Leadership"
"Health Exchange, Medicare Advantage Plans Must Keep Updated Doctor Directories in 2016"


News From NAMSS


FSMB Interstate Medical Licensure Compact

Recently, NAMSS hosted a webinar with a representative from the Federation of State Medical Boards (FSMB), to discuss the Interstate Medical Licensure Compact. The Compact was enacted as a result of the rapidly changing healthcare landscape and alleviates the stress caused by the rise of telemedicine and new technology, as well as the Affordable Care Act and the need for great access to medical coverage. The purpose of the compact is to facilitate multi-state practice without compromising patient safety or quality. States and physicians must opt in to the compact in order to participate in the compact. Click here to access the recording. Please bookmark this page, as NAMSS will also be providing letter templates for you to download and send to your local representation to encourage support for participation.
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Call for Nominations

Are you interested in taking your involvement with NAMSS to the next level? This spring, NAMSS is looking for talented and driven individuals to comprise the next generation of NAMSS leaders. The Call for Board Nominations will open March 19th. The deadline to apply will be April 17th. Visit the NAMSS website for more info!
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Certification Summer Application Deadline

The deadline for applications for the summer testing window for the CPCS and CPMSM exam is Friday, April 10th, 2015. Visit the NAMSS website for more information about the CPCS and CPMSM exams and to access the online applications!
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Save the date! 2015 AMA-OMSS Annual Meeting

June 4–6
Hyatt Regency Chicago



You or one or more representatives from your medical staff are invited to participate in the 2015 American Medical Association Organized Medical Staff Section (OMSS) Annual Meeting and education program. Registration opens March 23. For your convenience a complete meeting program will be available for review on the AMA website (bookmark it) in March.
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Remember to Renew Your Dues for 2015!

NAMSS Members – this is your last chance! Renew your NAMSS dues by logging into your account on the NAMSS Website and selecting “Renew your NAMSS Membership.” Maintain your membership in a network of over 5,000 MSPs across the country! If you require a paper renewal invoice to submit a personal or facility check, you can move through the renewal process online and select the “pay by check” option at checkout.
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The NAMSS Handshake

LinkedIn is a great way to introduce colleagues to NAMSS. “Like” content on the NAMSS LinkedIn page so your connections will see the latest industry and association news featured on the NAMSS LinkedIn page. Better yet, add a comment and tag your connections to seal the deal!


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Industry News


U.S. Faces 90,000 Doctor Shortage by 2025, Medical School Association Warns
Washington Post (03/03/15) Bernstein, Lenny

The United States faces a shortage of as many as 90,000 physicians by 2025, including a critical need for specialists to treat an aging population that will increasingly live with chronic disease, the association that represents medical schools and teaching hospitals reported Tuesday. The nation's shortage of primary care physicians has received considerable attention in recent years. However, the Association of American Medical Colleges report predicts that the greatest shortfall, on a percentage basis, will be in the demand for surgeons -- especially those who treat diseases more common to older people, such as cancer.
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Hospitals Battle Data Breaches With a Cybersecurity SOS
Hospitals & Health Networks (02/15) Taylor, Mark

Since 2009, the personal health data of 30 million Americans has been compromised, according to the U.S. Department of Health and Human Services' Office for Civil Rights, which lists close to 1,000 data breaches on its website's "Wall of Shame." Experts say hospitals need to prioritize cybersecurity in their risk management programs. Lawrence Holmes, assistant general counsel for the American Hospital Association, wanrs, "Any of your systems that are connected to the Internet can potentially allow a source of invasion into your organization." Hospital executives should analyze the OCR Wall of Shame to learn about the most common breaches, says Harry Rhodes, director of practice excellence for the American Health Information Association. Meanwhile, College of Healthcare Information Management Executives CEO Russ Branzell urges hospitals to perform risk assessments every other year at a minimum to pinpoint and prioritize the biggest, most complex vulnerabilities. Experts also recommend that hospitals purchase cyber insurance policies to cover the costs of cyber attacks, separate confidential and non-confidential data, increase oversight of their vendors, and even hire professional hackers to find and correct weaknesses in their systems.
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Dentists Doing Dermatology? Cosmetics Lure Docs of All Types
NBC News (03/12/15) Schechter, Anna; McFadden, Cynthia; Connor, Tracy

Everyone from family practitioners to gynecologists to even dentists have been getting into the cosmetic procedure business in recent years. In turn, they are performing such basic procedures as injecting Botox, zapping age spots with lasers, and plumping out wrinkles with fillers sometimes having taken only a handful of weekend courses. Now, dermatologists say they are seeing the side effects. A dozen skin doctors from all over the nation told NBC News that they have had to fix more and more mistakes of various doctors who have been dabbling in their specialty -- and, of course, cutting into their business. With the two sides waging what amounts to a "turf war," there are no firm statistics on how many M.D.'s are dabbing in dermatology or how many complications result.
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Hospital Rating Systems Differ on Best and Worst
New York Times (03/02/15) Abelson, Reed

A new study published in the academic journal Health Affairs reports that the four popular national rating systems used by consumers to judge hospitals often reach significantly different conclusions about the quality of hospitals. Researchers looked at hospital ratings from U.S. News & World Report, Consumer Reports, Healthgrades, and the Leapfrog Group. No hospital was considered to be a high performer by all four, and most earned a high rating from only one of the four. Some facilities were even rated high by one reviewer and low by another. "The complexity and opacity of the ratings is likely to cause confusion instead of driving patients and purchasers to higher-quality, safer care," the study's authors say. The ratings groups say they are serving different purposes and measuring different metrics, which consumers understand. For example, U.S. News & World Report tries to help patients find the best hospital within a given specialty that excels at treating the most complicated patients. Consumer Reports and Leapfrog focus on patient safety, while Healthgrades uses clinical information to categorize facilities. J. Matthew Austin, an assistant professor at the Johns Hopkins University School of Medicine and one of the study's authors, says the systems need to do more to communicate the goals of the individual ratings.
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700 Portland Physicians Form a Powerhouse Care Network
Portland Business Journal (OR) (03/05/15) Hayes, Elizabeth

The Portland InterHospital Physicians Association (IPA), a group of 700 independent doctors, have joined together to form an accountable care organization (ACO). Dubbed Care Connect Northwest, the new ACO seeks to improve and coordinate care for thousands of patients and to create a local structure for commercial and Medicare contracting. The group is currently in the process of finalizing two contracts with major Oregon payers with details expected to come later this month. The ACO model emphasizes quality and total cost of care. It seeks to reduce the duplication of services and advocates stepped-up preventive care for those at high risk of developing chronic conditions. Additionally, the IPA board created a quality committee to help clinics obtain accreditation from the National Committee for Quality Assurance. Finally, it implemented an electronic referral system to connect primary care doctors with specialists and give each access to patients' electronic health records.
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Physician Leadership of Hospitals: Seizing the Moment
MD News (03/02/2015) Frye, Carrie

Developing physicians as leaders in hospitals can ensure clinical perspectives are at the top of the agenda and can lead to healthcare transformation, according to a white paper, "The Value of Physician Leadership." "Healthcare is evolving quite rapidly, and there is a lot of focus on the changing models of care as well as how to provide more in the way of population health," says Dr. Peter Angood, president and CEO of the American Association for Physician Leadership. Between 90 percent and 95 percent of care is still supervised or directly delivered by physicians, and these physicians can not only drive quality care but also improve the administrative side of healthcare delivery, he says. However, less than 10 percent of the more than 5,700 hospitals registered in the United States have physicians in senior management positions, and only 238 are physician-owned, according to the American Hospital Association (AHA). The need for more physician leaders is evident, says Dr. John R. Combes, senior vice president of the AHA. To that end, the Baylor Scott & White Quality Alliance, an accountable care organization in Texas, has focused its educational curricula on physicians who aspire to lead, and its six-day course at Southern Methodist University's business school is designed to cultivate and expand doctors' leadership skills.
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Essential Skills for Visionary Healthcare Leadership
Health Care Finance News (02/12/2015) Tillman, Merikay H.

One of the things that makes a medical practice unique is the direction its practice leaders set for it. When practice leaders do not clearly set direction and define performance expectations, doctors and other employees are more likely to invent their own ideas as to what needs to be done and how to go about doing it. The article lists a number of specific skills and attributes needed to be both a systems thinker and visionary leader. First is being able to tell the difference between being a leader and being a boss. In this regard, the best leaders are able to help each team member understand the valuable part he or she plays in achieving the organization's goals and overall mission. Second, it is important to manage for innovation and leading edge thinking in one's practice. This requires the leader to be agile and avoid long chains of command that require lengthy decision paths. Third, keep one's sights always on the future of the medical practice. After all, changes are rapidly occurring in how care is delivered, what resources are available, and what new technology is on the horizon. There may be new partnering opportunities; changes in the economy can occur; and, of course, new regulatory requirements. Finally, it's always a good rule of thumb to "manage by fact" and to know the importance of taking intelligent risk.
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Health Exchange, Medicare Advantage Plans Must Keep Updated Doctor Directories in 2016
Kaiser Health News (03/09/15) Jaffe, Susan

The U.S. government will require health insurers beginning next year to provide up-to-date details to Americans enrolled in Medicare Advantage plans or policies sold on HealthCare.gov about which doctors are in their plans and accepting new patients. A rule published recently by the Centers for Medicare & Medicaid Services requires Medicare Advantage plans to contact providers every three months and update their online directories in "real time," and a separate rule from the agency requires the policies sold on the federal exchange to be updated monthly. Plans with errors in their directories face penalties. Frequent directory updates also are required in some states running their own exchanges, with California Insurance Commissioner Dave Jones recently issuing an emergency regulation requiring plans to update their directories on a weekly basis in response to consumers being "socked with huge out-of-network bills."
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