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September 2015

 

A Word from the President


The NAMSS 39th Educational Conference and Exhibition is right around the corner! I am excited to see familiar colleagues and new faces at this year’s event. With our focus on leadership and developing a path for MSPs, NAMSS is offering multiple ways to build leadership skills and meet the leaders of NAMSS. Through Dine-Arounds, Tea Time with the Board, and the Leadership Lounge in the Exhibit Hall, it will be easy to meet with the NAMSS leadership and gain valuable insights into the role of a MSP.

It is expected to be in the mid 60’s in Seattle—perfect weather for exploring the city and increasing your steps for the NAMSS Walking Challenge!

I look forward to seeing you in Seattle.

Linda Waldorf, BS, CPMSM, CPCS
NAMSS President
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GreeleySept2015
 

Headlines


News From NAMSS
Register Now for the NAMSS 39th Educational Conference and Exhibition
NAMSS Virtual Conference
Upcoming Webinars
The Recertification Application Has Moved Online!
Social Corner
Monthly Discount

Industry News
"NLRB Ruling Could Shake Up Healthcare Staffing Industry"
"AHRQ Offers Patient Safety Grants"
"Music in the OR Can Be a Distraction"
"Hospital Hiring Booms in July, but Outlook Sketchy"
"Surgeon Performance Unaffected by Fatigue From Overnight Work: Study"
"Patients Much Likelier to Choose Hospital That Employs Their Doctor"


News From NAMSS


Register Now for the NAMSS 39th Educational Conference and Exhibition



Join NAMSS from October 3-7 in Seattle, WA for the NAMSS 39th Educational Conference and Exhibition. The Educational Conference includes five days of networking and dedicated education sessions geared toward helping you grow as a leader in the industry. Register now and don't miss out on this educational opportunity!
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NAMSS Virtual Conference

Don’t miss the NAMSS 39th Educational Conference simply because you can’t make it to Seattle. Register today for the NAMSS Virtual Conference and take advantage of the sessions that are available online. Visit the NAMSS website to view our eight virtual sessions and see how you can earn up to 12 CE Credits.
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Upcoming Webinars

Attend a NAMSS PASS Training Webinar!
“Patient Safety: The Critical Role of NAMSS PASS”


The next webinar will be held on: Wednesday, September 16 - 1:00 - 2:00 PM EDT

This is a new webinar focusing on Patient Safety and how NAMSS PASS is the critical solution to one of the on-going challenges we face as MSPs. When practitioners do not fully disclose their work history, MSPs are not able to verify what they don't know and places their patients and facilities at risk. This important webinar covers the critical role of how NAMSS PASS addresses this issue. This webinar is free and you will receive one CE credit for attendance.

Click here to register now and to view all upcoming webinar dates!

An Advanced Look at the NPDB Guidebook
September 17, 2015 from 2:00 – 3:30 pm ET
This webinar has been approved for 1.5 CEs
Presented by Michael Callahan and Carol Cairns, CPCS, CPMSM

On April 6, 2015, the National Practitioner Data Bank issued its long awaited update to its Guidebook. The draft Guidebook was finalized after receiving numerous comments from many organizations including NAMSS, the AHA and the AMA. Since that time, NPDB representatives have sponsored two webinar programs, one for NAMSS and one for the American Health Lawyers Association, to address follow up questions and some concerns particularly with respect to a healthcare entity’s reporting requirements.

The purpose of this program is to focus on the key provisions of the Guidebook which address a providers’ query and reporting obligations. In addition to providing an overview of the final Guidebook, registrants will be able to answer the following standards and questions:

1. When is an “investigation” triggered according to the Guidebook which views this term “expansively.”
2. When does the imposition of a proctoring requirement become reportable?
3. If a physician is not aware that he is under an investigation but resigns, is this a reportable event?
4. Do I have to query the Data Bank for honorary and emeritus staff members even if they do not have clinical privileges?
5. Can a multi-hospital system share physician Data Bank reports who are on more than one medical staff?
6. How can the Bylaws be drafted to clarify when an investigation is and is not triggered consistent with Guidebook standards?

In addition to addressing these questions, registrants will obtain practical guidance on how to revise your Bylaws and policies, if necessary, to reflect Guidebook standards.

Register Now!

Optimizing Your Use of Federal and State Exclusions and State Sanction Sources
October 21, 2015 from 2:00 – 3:00 pm ET
This webinar has been approved for 1.0 CE
Presented by Dan Decker and Questin Francis of TyphoonData

TyphoonDATA will further your knowledge and application of HHS OIG’s List of Excluded Individuals and Entities (LEIE) and state Medicaid exclusion sources. TyphoonDATA also intends to further participants' knowledge and application of state Board Actions. Due to Recent changes in capabilities, interpretations, and enforcement trends, your need for an up-to-date understanding of the functions and departments of these agencies is crucial to your protection. The market is generally under-informed on the extent to which these differences effect the efficiency and completeness of departmental programs named above, warranting this hour long discussion.

Register Now!
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The Recertification Application Has Moved Online!

We've gone digital! All certificants due for recertification in 2015 are now able to submit recertification applications online! The application is now available at www.namss.org/recertification. Paper applications will no longer be accepted.

A full listing of those due for recertification in 2015 as well as 2015 Recertification Policies and Guidelines can be found at www.namss.org/recertification. All 2015 recertification applications must be submitted by December 1st, 2015.
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Social Corner

Social Media is a great way to connect with other attendees while at the NAMSS conference. Share your experience at the conference using #NAMSS2015 and follow others as they post pictures and lessons learned. You can view and interact with the NAMSS social media pages through the NAMSS Mobile App!

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Monthly Discount

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Industry News


NLRB Ruling Could Shake Up Healthcare Staffing Industry
Modern Healthcare (08/28/15) Rubenfire, Adam

A ruling late last month by the National Labor Relations Board (NLRB) could complicate relations between healthcare organizations and their workers employed by staffing agencies. The NLRB decreed that workers employed by a staffing agency are jointly employed by the agency and the organization where they are working, which means those organizations should be involved in any collective bargaining with the temporary workers. It also means they could be held liable for unfair labor practice cases filed with the U.S. government. The American Hospital Association was one of a number of national associations that filed a friend-of-the-court brief asking the NLRB to continue its longstanding standard of considering the workplaces separate from the staffing agencies unless they exert direct and significant control over the workers. Healthcare organizations rank among the biggest ajor customers of staffing firms. NLRB officials estimate that 2.87 million U.S. workers were employed in temporary staffing agencies as of August 2014. Furthermore, 9 percent of all temporary staffing employees worked in healthcare as of last year, according to the American Staffing Association. The majority of healthcare temporary staffing agencies are not unionized. Consequently, this new ruling could open them up as potential organizing tactics because a union that gains control of a staffing agency can now have meaningful influence on its clientele.
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AHRQ Offers Patient Safety Grants
Healthcare IT News (09/03/15)

The Agency for Healthcare Research and Quality (AHRQ) is now offering a series of grants of up to $1.5 million for research projects that take a close look at patient safety in ambulatory care and long-term facilities. The goal is not only to craft strategies for improving care delivery in such settings, but also develop tools to implement those tactics. An official AHRQ statement read: "While disparities in patient safety have been previously documented, studies have been limited with regard to study design and methods needed to generate the evidence regarding factors underlying disparities." To that end, the Agency said that the key areas of focus will be to improve care quality by accelerating implementation of patient-centered outcomes research, as well as increase accessibility by evaluating Affordable Care Act (ACA) coverage expansions. Improving healthcare affordability, efficiency, and cost transparency will also be given priority. "The studies may involve new or existing technologies that are designed or adapted to improve the ability of staff and caregivers to prevent adverse events, for example using electronic health records to improve preventive practices," the agency said.
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Music in the OR Can Be a Distraction
Outpatient Surgery Magazine (08/15) Cook, Daniel

Music is played in nearly 75 percent of operating rooms (ORs) worldwide, but  new research published in the Journal of Advanced Nursing finds that it interferes with communication among surgical team members and puts patients at risk.  To determine how music affected surgery, U.K. researchers analyzed video footage from cameras placed in multiple locations during 20 operations.  They found that surgeons were five times more likely to repeat requests for instruments when music was playing, potentially prolonging total procedure time by a minute or more.  The researchers also said music-related difficulties in communication could spawn staff frustration and compromise patient safety.  Ideally, the entire surgical team must agree if music should be played and, if so, decide on music type and an acceptable volume, the study authors conclude.  Surgical facilities also should institute policies that dictate how and when music is played in the OR and add music volume concerns to pre-surgical checklists.
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Hospital Hiring Booms in July, but Outlook Sketchy
Modern Healthcare (08/07/15) Sandler, Michael

According to seasonally adjusted numbers from the U.S. Bureau of Labor Statistics, hospitals added 15,700 positions during the month of July -- more than twice the previous month's gain. But hospitals, so far, have had a tough time finding traction in hiring for the entire year. The sector added 14,200 jobs in May, but that was down 4.7 percent from the prior month's additions. In March, the sector added just 7,900 jobs, plunging 19.4 percent from February. Consolidation and rural hospital closings could be playing a role in this topsy-turvy sector, states Phillip Miller, vice president of communications at Merritt Hawkins. Another reason could be that hospitals face increased competition from medical groups and community health centers. A study released last month by the Dallas-based physician staffing firm suggested a drop-off in hospital hiring of physicians. The study found that between April 2014 and the end of this year's first quarter, 51 percent of the 3,120 searches for physicians, nurse practitioners, and physician assistants were on behalf of hospitals and hospital-owned practices. That is a decrease from 64 percent of physician searches by hospitals the two years prior. It also marks the first decrease since 2004.
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Surgeon Performance Unaffected by Fatigue From Overnight Work: Study
Reuters (08/27/15) Emery, Gene

Going without sleep the night before does not affect the performance of doctors doing elective surgery the next morning, according to a newly released Ontario study. The senior author of the study, Dr. Nancy Baxter of the University of Toronto, acknowledges that her team's findings run contrary to research demonstrating that sleep-deprived physicians pose a hazard to patients.  According to Baxter, the odds of having a surgery-related problem were 22.2 percent when the doctor had been treating patients between midnight and 7 a.m. and 22.4 percent when the doctor had, presumably, received sufficient sleep. However, the study did not directly measure how much sleep the doctors actually received. Dr. Charles Czeisler, chief of the division of sleep and circadian disorders at Brigham and Women's Hospital in Boston, points to a 2009 study he and his colleagues published that found the odds of a serious mistake nearly triple once the actual amount of sleep is taken into consideration. "Given the increased risk that we've seen with just one night of insufficient sleep, patients have the right to know if their doctor has been awake for one night, two nights, or even three consecutive nights," he remarked. The Baxter study was based on data from 147 hospitals across Ontario. Researchers looked at approximately 39,000 cases performed by 1,448 experienced surgeons.
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Patients Much Likelier to Choose Hospital That Employs Their Doctor
Modern Healthcare (09/01/15) Evans, Melanie

A new study has found that patients who go to the hospital vastly prefer facilities where their doctor works. Study leader Lawrence Baker, a Stanford professor of health research and policy, noted this was important because more physicians are working closely with hospitals under contracts with financial incentives to do so. While this has the potential to improve care and costs, that may not always be the case. Patients who saw their doctors at hospitals tended to pay more for lower-quality care. By contrast, patients who saw independent physicians often paid less for better quality. Baker adds that crossing the low-cost, high-quality threshold for every patient will be a challenge. The Affordable Care Act includes financial incentives for hospitals to work more closely with physicians, but the results have been mixed. The report shows that this marriage of doctor and hospital does not work everywhere. Those who back integration claim that the increased coordination between physicians and hospitals is the best option to keep patients healthy and out of hospitals.
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