Health care leaders from across the Bay Area will gather at the American College of Surgeons (ACS) Surgical Health Care Quality Forum Northern California to discuss the lessons learned in the successful delivery of emergency and trauma care at multiple local hospitals after the Asiana Airlines accident this summer. Participants will share the challenges in trauma/critical care delivery in the days and weeks after the accident and will explore new solutions to advance emergency care through regionalization, coordination and collaboration.
Mission Bay Conference Center at UCSF
January 14, 2014
8:00 a.m. to 10:00 a.m.
Hosted by ACS Chapter President and SFMS board member John Maa, MD, FACS, and President-elect Shelley Marks, MD, FACS, the forum will examine emergency medical response in California and delve into best practices on improving health care delivery and quality in the state, including the need to invest further resources to maintain the emergency care system.
Confirmed forum speakers include:
Please follow this link to RSVP for this important discussion. Please email InspiringQualityTour@facs.org or visit http://inspiringquality.facs.org/national-tour/ for more information on the event.
Please join the SFMS/CMA for the following upcoming webinars:
California's Health Benefit Exchange: Updates on Key Developments within the Exchange
Tuesday, December 10, 12:15 p.m. to 1:15 p.m.
California’s health insurance exchange, named Covered California, is now open for business and individuals are enrolling for the 2014 benefit year. Depending on health plans’ distribution of enrollees, a surge of physician contracting efforts may occur as these plans attempt to ensure adequate networks are in place prior to January 1, 2014. In this presentation you will learn more about California’s exchange and what it will mean for physicians.
You will also gain an understanding of some of the risks and benefits of being contracted to provide services to exchange enrollees.
ACA and the Insurance Impact on You as a Small Business Owner
Wednesday, December 11, 12:15 p.m. to 1:15 p.m.
Because of recent outbreaks of Serogroup B Meningococcal Disease at Princeton Unversity and University of California, Santa Barbara, students from these universities may return to San Francisco for the holidays and present themselves to local medical providers for care.
The following may be helpful in making the diagnosis:
While any individual finding does not necessarily indicate IMD, the constellation of findings warrants closer scrutiny and consideration of antibiotic therapy. Antibiotic treatment should not be delayed to obtain diagnostic specimens.
With the release of its 2014 physician fee schedule, Medicare is one step closer to paying physicians for non-face-to-face care management for beneficiaries with two or more significant chronic conditions. The Centers for Medicare and Medicaid Services (CMS) released the finalized fee schedule late Wednesday and said it will begin paying for chronic care management services beginning in 2015.
Care management includes the development and implementation of a care plan, patient and caregiver communication, and medication management, CMS said. Medicare beneficiaries can receive such services from practices that meet certain standards set by Medicare.
However, the American College of Physicians (ACP) told the agency in comments submitted in September that the 90-day reporting time may be too long to create meaningful documentation -- especially since most of the care is rendered within the first 4 to 6 weeks -- and overall too complex for physicians to bill for. The billing code also has been panned by those who advocate for a greater move away from fee-for-service.
Generally, the 2014 fee schedule provides payment increases for many medical specialties, CMS said. The greatest boost will go to mental health providers, psychiatry, clinical psychologists and clinical social workers. Last year, CMS granted family physicians up to a 7% boost in Medicare payments in 2013, and other primary care providers a 3% to 5% boost. The 2014 fee schedule will also allow underserved areas in urban settings to bill for telehealth services.
In regard to the Physician Quality Reporting System (PQRS), CMS finalized a new option for 2014 for eligible professionals to report quality measures through qualified clinical data registries. Furthermore, CMS will align quality measures in 2014 across reporting programs so that physicians may report a measure once to receive credit for all programs. Groups reporting PQRS measures in 2012 will have their data publicly reported on CMS' Physician Compare website in 2014.
On Wednesday, CMS also released the 2014 fee schedule for the hospital outpatient prospective payment system (OPPS) and for ambulatory surgical centers (ACS). The final rule increases overall payments for hospital outpatient departments by an estimated 1.7%. Provisions in that fee schedule streamline outpatient services by combining payment for multiple items and services into a single payment. Items include drugs, biologics, and radio-pharmaceuticals that function as supplies.
"The final OPPS/ASC rule gives hospitals a stake in managing their resources to generate better coordinated and ultimately, more affordable outpatient care," CMS Principal Deputy Administrator Jonathan Blum said.
Medicare has been rough on doctor payments this year. Payments to providers were cut by 2% -- $11 billion -- in mandatory federal spending cuts under the so-called sequester that started March 1. Physicians face the prospect of a Medicare pay freeze for a decade under a proposal to repeal the program's sustainable growth rate (SGR) payment formula currently pending in Congress. However, groups like the American Medical Association have vowed to fight that. The AMA took the release of the schedule to remind Congress of the need to replace the SGR.
"Today's release of the final Medicare payment rule serves as an urgent reminder to Congress that there are just 34 days before physicians who care for Medicare patients will face a steep payment cut of about 24% due to the short-sighted, fatally flawed Medicare payment formula -- the SGR," AMA President Ardis Hoven, MD, said in a statement.
The final 2014 physician fee schedule rule will be published in the Federal Register on Dec. 10 and take effect Jan. 1.
Source: MedPage Today
Speakers will give a brief (10 minute) presentation on one innovation they have taken part of in primary care, followed by 10 minutes of Q&A. The session will be streamed online and viewed by primary care groups at other training institutions; viewers will be able to participate in the discussion and send questions in real-time via Twitter.
Below is a link to a brief LiveCast registration form for those who cannot attend the event in person. UCSF PSP will send an email containing further details as well as the LiveCast weblink before the event.
Transforming Outpatient Medicine (TOM) Talks
6:00-8:00 pm Wednesday, Dec 4th in Cole Hall
Refreshments will be provided.
Featuring a series of short dynamic talks by a panel of Bay Area experts regarding innovations in primary care:
- Kate Lorig RN DrPH, Positive Applications of Patient Internet Use for Primary Care
- Fiona Wilson MD, The My Health Model: Personalize Care and Convenient Access
- Margaret Hutchinson CNM MSN, Improving Maternal and Child Health by Transforming Care through Centering Groups
- Alan Glaseroff MD, If Primary Care is the Answer, What is the Question?
- Sang-ick Chang MD MPH, Medical Education Reform: Involving Pre-Clinical Students More in Patient Care