Dr. James Holly

Sept. 20, SETMA’s provider training session focused on MACRA, the acronym for the Medicare Access and CHIP Reauthorization Act of 2015, and MIPS, the acronym for the Merit-Based Incentive Payment System.

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Here is a difficult question: “Can a healthcare provider help a patient develop virtue?” Without doubt, it is hard, but it is possible. Virtue is more than the development of habits, but virtue’s presence or absence will result in habits being formed. The healthcare provider can help a patient develop positive habits with accountability and reinforcement of positive conduct. The healthcare provider can promote virtue in the life of the patient by celebrating success, however small, and by cheering the patient on to success.

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May 18, I had a new experience: I flew across the country to attend a conference and, after the first session and brief discussions with several leaders, flew back to Beaumont on the same day. I did not leave angry but realized that if I stayed, I would be disruptive. I was there at the invitation of someone I greatly respect and did not want to embarrass or disappoint that person, so my only option was to leave.

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SETMA’s Medication Reconciliation Tutorial is online at www.setma.com/epm-tools/medication-reconciliation-tutorial. This is important because the most critical function in medical record keeping is the maintenance of and access to an accurate, valid list of the medications a person is taking.

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After tossing the chalk into the air, I asked, “What made the chalk fall to the floor?” I answered my own question, saying, “You think it’s gravity, but it is the little green people. They live in the air and are cleaning their homes.” I then gave a 15-minute speech on the little green people. I had one in my pocket. Part of my speech was a brief dialogue with my invisible friend, one of the little green people.

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In May 1965, Carolyn Ann Bellue and myself graduated from Northwestern State College (NSC) in Natchitoches, Louisiana, which became Northwestern State University (NSU) in 1970.

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In 2016-2017, SETMA will be reaccredited by the following organizations:

1. NCQA Diabetes Recognition (accredited from 2010-2016) reaccreditation due April 2016

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Quality care and patient safety would be immeasurably advanced if an automated medication reconciliation function could be accomplished in the next two years. The two most complicated and difficult problems in medical record keeping are consistently and relentlessly maintaining an accurate, complete and current medication list and maintaining a similar list for chronic problems for which a patient is being followed.

What follows is from the Problem List Reconciliation Tutorial.

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In a publication Feb. 1, senior financial editor of HealthLeaders Media Christopher Cheney addresses the consequences of Texas’ refusal to expand Medicaid. Increasing pressures on primary care through the taxes imposed by the Affordable Care Act on healthcare organizations and the five-year annual decrease in Medicare Advantage reimbursement, which continues for two more years, resulting in a 28 percent decrease, in reimbursement, continues to decrease the ability of providers to care for our most vulnerable citizens.

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The lesson Carolina Panthers quarterback Cam Newton needs to learn is that he will be remembered more by how he responds to failure than victory. His talent is showcased by his wins; his character is revealed in defeat.

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