info.dorsata.com

blog.dorsata.com

The Dark Side of Too Many Clicks

http://blog.dorsata.com/the-dark-side-of-too-many-clicks

The Dark Side of Too Many Clicks. Posted by Dan Mazanec, MD on Apr 18, 2016 12:32:35 PM. Inefficiency and Rise of the Scribes. Do you spend more time clicking away on a keyboard than actually making eye contact and engaging with the patient? Are you spending more time after clinic completing chart notes in the EMR? Do your notes really reflect your clinical thinking and plans? In a recent report. Of practicing internists found almost two-thirds reported writing a note took more time in the EMR and added ...

blog.dorsata.com

Bundling Healthcare Payment: CMS strategy to drive value-based care

http://blog.dorsata.com/bundling-healthcare-payment-cms-strategy-to-drive-value-based-care

Bundling Healthcare Payment: CMS strategy to drive value-based care. Posted by Dan Mazanec, MD on May 11, 2016 9:27:00 AM. Expanding the "episode of care". Driving increased coordination of care. Central role for Health IT. On April 1, 2016, the Center for Medicare and Medicaid Services (CMS) Innovation Center announced a potentially transformational program - the Comprehensive Care for Joint Replacement (CCJR). Bundles and Episodes Redefined. Care Coordination is Key to Success. In the follow up period.

blog.dorsata.com

Dorsata Blog

http://blog.dorsata.com/all

Re-imagining the EMR: Three essential and transformative innovations for caregivers in value-based world. Betting on Bundles: CMS launches new mandatory orthopedic and cardiovascular programs. Three reasons that scribes are not the right answer to EMR physician burnout. Effectiveness of Clinical Decision Support in the EMR: The glass is half full. Tablets in the exam room deliver improved efficiency and patient communication - who would have thought? MACRA Update: 5 Clear Messages to CMS - Now What?

blog.dorsata.com

MACRA and Interoperability: Finally REAL 'Meaningful Use'?

http://blog.dorsata.com/macra-and-interoperability-finally-real-meaningful-use

MACRA and Interoperability: Finally REAL 'Meaningful Use'? Posted by Dan Mazanec, MD on Jun 9, 2016 8:56:27 AM. A) Ask the patient's family to make a 220 mile round trip to pick up. And deliver the records and MRI. B) Order a clinically not indicated repeat MRI adding $2500 to the cost. C) Provide a second rate opinion based on inadequate information. Of course, the correct answer is none of the above. Focus on Performance, not just Process. As the ecology of health care. Interoperability in the EMR.

blog.dorsata.com

Re-imagining the EMR:  Three essential and transformative innovations for caregivers in value-based world.

http://blog.dorsata.com/reimagining-the-emr-5-essentials-in-a-value-based-world

Re-imagining the EMR: Three essential and transformative innovations for caregivers in value-based world. Posted by Dan Mazanec, MD on Oct 26, 2016 3:16:29 PM. Describing loss of enthusiasm for work, increased cynicism and a decreased sense of personal worth. Frustration with dated, antiquated electronic medical record technology is a major contributor to burnout as increased computer data entry consumes precious time better devoted to genuine patient care. A just-released survey. As a workaround for poo...

blog.dorsata.com

Antibiotic stewardship: dealing with bad bugs and fewer drugs

http://blog.dorsata.com/antibiotic-stewardship-dealing-with-bad-bugs-and-fewer-drugs

Antibiotic stewardship: dealing with bad bugs and fewer drugs. Posted by Dan Mazanec, MD on May 25, 2016 9:25:46 AM. At the dawn of the 20th century, the top three causes of death in the U.S. were infectious diseases. More than 20 new novel classes of antibiotics were discovered. Bacterial resistance to an antibiotic was met with a new and stronger drug. As we began the 21st century, the death rate due to infections had declined 97%! Deaths in the U.S. related to multiple drug resistant (MDR) bac...Commi...

blog.dorsata.com

Tablets in the exam room deliver improved efficiency & patient communication - who would have thought?

http://blog.dorsata.com/tablet-computers-add-value-in-the-exam-room-new-studies-highlight-positive-effects-on-provider-efficiency-and-patient-communication

Tablets in the exam room deliver improved efficiency and patient communication - who would have thought? Posted by Dan Mazanec, MD on Jul 12, 2016 9:47:36 AM. The use of mobile technology use in health care has exploded in the past 5 years with 87% of physicians. More productive, satisfied clinicians. Schooley B, et al. 571% reported the device improved their workday and nearly 50% reported reduced time after work completing documentation. A major perceived barrier to use of tablet computers is patie...

blog.dorsata.com

MACRA Update: 5 Clear Messages to CMS - Now What?

http://blog.dorsata.com/macra-update-the-comments-are-in-now-what

MACRA Update: 5 Clear Messages to CMS - Now What? Posted by Dan Mazanec, MD on Jul 5, 2016 10:37:03 AM. On April 27, 2016. Delay implementation - at least until July 1, 2017. Quality measures need to be fair to both specialists and primary care doctors, practicing in or out of the hospital. The Advancing Care Information (ACI) portion of the Merit-based Incentive Payment System (MIPS) needs to significantly revamped. MACRA: A brief review. Merit-based Incentive Payment System (MIPS). Almost 90% of eligib...

blog.dorsata.com

Literature to the Exam Room: Sorting out guidelines, pathways, and workflows

http://blog.dorsata.com/from-the-literature-to-the-exam-room-guidelines-pathways-and-workflows

Literature to the Exam Room: Sorting out guidelines, pathways, and workflows. Posted by Dan Mazanec, MD on Apr 14, 2016 9:03:42 AM. The practice of evidence-based medicine (EBM). Is at the center of the tectonic shift to a value based delivery model currently sweeping through the healthcare industry. EBM. CPGs: the starting point. Has published rules for developing trustworthy guidelines emphasizing the need to address potential conflicts of interest of developers and requirement for external review....