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Rev DiCerto

Citing Troubling CPOE Test Data, Report Shows Need for Improvements
A recent test of computerized physician order entry (CPOE) systems found high error rates among the 214 U.S. hospitals that participated in the study. It was conducted by The Leapfrog Group, an organization in Washington, D.C., devoted to improving patient safety.

Report: Episode-Based Payment Could Boost Efficiency, Lower Costs
As Congress debates how and whether to reform health care, some health care purchasers are already planning to reform how they pay for care. Massachusetts is considering replacing the traditional fee for service (FFS) and managed care methods of payment with payment based on episodes of care and aims to develop what it calls accountable care organizations (ACOs), in which groups of providers would deliver care and be responsible for the costs and quality of care delivered to a population of patients. Medicare is considering a similar episode-based payment initiative.

EHR Helps Physician Practice Cut Errors and Delays
Palm Beach Obstetrics & Gynecology, PA, offers an excellent example of a medical group that achieved outstanding success by implementing an electronic health record (EHR) system. As a result of installing an EHR in 2006, the group streamlined workflow, increased revenue, reduced its staffing needs, improved billing and coding, and eliminated a significant amount of overtime.

Report Outlines Need for Disability Insurance
A recently released report, Physician’s Guide to Purchasing Disability Insurance, by Michael Reiman, a financial planner and founder of Reiman Financial in Dallas, contains important advice for physicians.

How IT Would Benefit Medical Homes
A recent report, Meaningful Connections: A resource guide for using health IT to support the patient centered medical home, from the Patient-Centered Primary Care Collaborative (at www.pcpcc.net), in Washington-D.C., contains case study examples of how medical homes would work in practice. In the report, physicians and others in PCPCC member practices that are currently certified as patient-centered medical homes (PCMHs) or considering becoming certified describe the effects that health information technology (HIT) has had on their practices and patients.
These case examples provide insight, in the words of the practitioners themselves, into the effect that HIT can have on primary care. In particular, of the 19 examples provided in the report, seven mention the effect HIT has had on helping practices manage the care of patients with diabetes. The section was prepared based on responses to questions PCPCC sent to its member practices.

Report Defines PCMH IT Needs
Health policy experts believe that one possible solution to some of the most difficult problems physicians and patients face in the current health care system may be to develop patient-centered medical homes (PCMHs). In a PCMH, each patient would have an ongoing relationship with a primary care physician who would coordinate and manage patient care.