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January 2016

A Word from the President

Happy New Year and welcome to the first issue of NAMSS Gateway for 2016, and my first issue as President of the Board of Directors! It is my hope that you were able to find time to rest and reflect with those you love most during the holiday season. As we kick off the New Year, I am excited to share that we have officially surpassed 5,500 members across all categories of NAMSS membership – a huge accomplishment that signifies our continued growth and success – and it’s all because of members like you. Your commitment allows NAMSS to continue to provide educational, networking, and certification opportunities to MSPs across the country. We are already off to a great start this year, and I look forward to everything 2016 has to offer.

Bonnie Gutierrez, BHA, CPCS, CPMSM
NAMSS President
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News From NAMSS
2016 NAMSS Education Summit
Renewal Reminder
Social Corner

Industry News
"Healthcare Job Growth Set Records in 2015"
"Credentialing Is a Big Pain for Doctors"
"At the Hospital, Better Responses to Those Beeping Alarms"
"Spokane Oncologist Facing Charge He Lied About Certification"
"Doctors Unionize to Resist the Medical Machine"
"Hospital Staffing 'Affects Death Rates'"

News From NAMSS

2016 NAMSS Education Summit

Steer clear of the cold this winter and head to Orlando, Florida for the NAMSS Education Summit, taking place March 11–12, 2016 at the Hyatt Regency Orlando. Spend your days engaged in our interactive workshops and preparing for certification, while spending your evenings out and about in Orlando’s International Drive resort area, offering world-class attractions, non-stop entertainment, fine dining, and high-end shopping.

Choose from three two-day workshops, each designed to prepare you for certification and your role as a medical services professional (MSP), including Credentialing Specialist (CPCS) Certification Preparation Course, Medical Services Management (CPMSM) Certification Preparation Course, and Credentialing 101.

Register before the early bird deadline of January 29, 2016 and save $50 on registration

Visit the NAMSS website for more information about the NAMSS Education Summit including registration, course descriptions, and hotel and travel information.
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Renewal Reminder

NAMSS Members – Did you remember to renew your NAMSS membership dues for 2016? Your membership officially expired December 31, 2015, but don't worry - we’ve got you covered. We’ll keep your benefits intact until March 31. Renew your NAMSS membership dues today before you lose access to all of the discounts, resources, and networking opportunities that come with your membership! IMPORTANT – Renew by the end of January and receive a gift from NAMSS – a coupon to use for a complimentary session recording from the 2015 Annual Conference, worth 1.5 CE credits!

Log in to your account and then click on “My Profile” under the Membership tab to view, print, or pay your renewal invoice (you will see it listed on the right hand side).
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Social Corner

Are You Following NAMSS on Social Media?
Use social media to stay informed! Like NAMSS on Facebook and follow us on LinkedIn to keep up with the latest issues and industry information that affect MSPs.
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Industry News

Healthcare Job Growth Set Records in 2015
Health Leaders Media (01/12/2016) Commins, John

Healthcare jobs accounted for 18 percent of the 2.6 million new jobs created in the United States last year, according to the Bureau of Labor Statistics (BLS). Hospital job growth mushroomed in 2015, with 172,200 payroll additions reported -- a whopping 306 percent increase over the year before. Overall, the healthcare sector registered record job growth from January through December, with 474,700 jobs created. According to BLS data, that marks a 53 percent improvement over the approximately 309,000 healthcare jobs created in 2014. Ambulatory services once again led the way in terms of overall number of jobs created within the sector, up 12 percent to 258,000 new jobs. Christopher DeCarlo, an economist with the BLS, says, "It's just supply and demand. . . . Ultimately, what you probably have is more people coming into the healthcare sector as a result of the higher wages and net growth, particularly with the increasing the number of retirees." The healthcare sector currently accounts for 15.3 million jobs, nearly five million in hospitals.
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Credentialing Is a Big Pain for Doctors
Physicians News Digest (12/16/15) Geraci, Gus

Dr. Gus Geraci, consulting chief medical officer for the Pennsylvania Medical Society (PAMED), writes that finding and recruiting a compatible physician with the right skill sets continues to be a challenge. But even after the challenge has been overcome and a contract has been signed, insurers have to credential the doctor -- "that's each and every insurer for each patient you see." Problems arise when the doctor's start date comes and goes, and he/she either can't see that insurer's patients or they are welcome to see them ... they just won't get paid by the insurer, "because until you are credentialed you are not in their network," Geraci writes. PAMED supports HB 1663, new legislation to streamline the physician credentialing process and make it more uniform across all insurers. In addition, the organization is working closely with the Department of Human Services (DHS) to ensure timelier credentialing of physicians within the state's Medicaid program. After discussions led by PAMED, DHS announced that, starting in 2016, Physical Health Managed Care Organizations will be required to begin the credentialing process upon receipt of a provider's application and must complete the process within 30 days.
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At the Hospital, Better Responses to Those Beeping Alarms
Wall Street Journal (01/04/16) Landro, Laura

A myriad of devices in hospitals can produce so much beeping and noise that many doctors and nurses simply choose to ignore them. Now, hospitals are looking for solutions to fix this issue. As many as 90 percent of alarms are false, according to studies. But when staffers experience "alarm fatigue" and ignore some of the rings, it can lead to fatal errors. Ronald Wyatt, the Joint Commission's medical director for healthcare improvement, says the 138 deaths from alarm fatigue since 2010 could have been prevented by taking the proper steps. The Joint Commission has set this month as the deadline for hospitals to have safety policies and procedures in place, including programs to educate staff about alarm mechanics and settings. But the problem is more than simple mechanics. “Culture is probably the hardest part of alarm management because staffers are used to doing things their own way,” says Rikin Shah, senior consultant at the ECRI Institute. Some hospitals are turning to cameras and video technology to alleviate their alarm overload issues. Children's Hospital of Philadelphia is using an oxygen measurement device that sounds the alarm immediately for a major drop in oxygen and delays the sound for a lesser drop.
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Spokane Oncologist Facing Charge He Lied About Certification
Spokane Spokesman-Review (WA) (01/11/16) Hill, Kip

Washington state investigators are accusing Dr. Rajeev Rajendra, a Spokane oncologist, of lying about his failure to pass medical board exams for two years and falsifying his certification status as he continued to treat cancer patients. Rajendra, who worked at Medical Oncology Associates from mid-2013 through this past November, must now answer a Washington Medical Quality Assurance Commission complaint alleging unprofessional conduct while he was on staff at the practice. Rajendra received his medical degree from Patil Medical College in India and completed a residency in internal medicine at Indiana University. However, he twice failed a board examination, once in 2013 and again in 2014. He told the clinic he'd passed the test in the fall of 2013 and "supplied his employer with a falsified document indicating he'd passed," according to the administrative charges filed by the commission. When pressed to provide further documentation of his test performance in the first quarter of 2015, Rajendra acknowledged that he was not board-certified, stated Arvind Chaudhry, principal at Medical Oncology Associates. Chaudhry said the experience will make the clinic more cautious in its hiring.
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Doctors Unionize to Resist the Medical Machine
New York Times (01/09/16) Scheiber, Noam

There is a debate currently at the heart of medicine in the United States involving round doctors who expect deference and freedom at a time when the imperative to increase hospital efficiency is more prominent than ever. The core issue is the outsourcing of hospitalists, a practice that has become more common over in recent years. In many cases, mass numbers of hospitalists at a given organization can be outsourced to a new employer, a clear sign of trying to advance the efficiency agenda. Numerous doctors are bemoaning the loss of professional judgement -- something that doctors nationwide rely on to correctly diagnose their patients. In Oregon, the issue came to a head after an outsourcing announcement: the staff at PeaceHealth Sacred Heart Medical Center called to unionize and affiliated themselves with the American Federation of Teachers. The union strategy worked, and the company looking to outsource gave up on the effort.
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Hospital Staffing 'Affects Death Rates'
BBC News (12/17/15)

Fewer patients die after emergency surgery in hospitals that have more doctors and nurses, a new study published in the British Journal of Anaesthesia suggests. Researchers analyzed data involving nearly 295,000 patients. The team found death was more likely following a weekend admission, which they said showed staffing was factor in the so-called "weekend effect" -- the term given to the ongoing debate about Saturday and Sunday services. Ministers in England are now looking to improve staffing levels on the weekend, citing two papers published by the British Medical Journal since the summer that found higher rates of death following weekend admissions and among babies born on weekends. The St George's University of London team looked at what factors were behind variations in death rates following emergency abdominal surgery at 156 NHS trusts between 2005 and 2010. While only a small number died within 30 days, there were small but significant variations in the death rates between those hospitals with the highest level of staffing and those with the lowest. The third of hospitals with the lowest number of doctors per bed reported death rates 7 percent higher than the third with the most.
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