Healthcare

Today, you stand upon the precipice of the rest of your life. Precipice – “a very steep side of a mountain or cliff; a point where danger, trouble, or difficulty begins” – is not often used in this context. More often, one would choose threshold, which means “the point or level at which something begins or changes.” In actuality, both precipice and threshold apply to commencement.

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In a nationwide lecture and Webinar on electronic prescribing of controlled substances (ePCS), the benefits of ePCS were discussed this week in Austin. Performed in the context of identifying safety and quality issues related to all medication prescribing habits and methods, the discussion included “medication reconciliation,” one of the most important aspects of prescribing medications.

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March 22, The Texas Health Institute (THI) invited SETMA to participate in an initiative for the promotion of dental health as an integrated part of patient-centered care. The Oral Health 2020 project was convened by The DentaQuest Foundation, a not-for-profit organization that promotes dental health.

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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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Change is not surprising in human experience. We are humorously told that as Adam and Eve left the Garden of Eden, Adam said, “Well, Eve, things are changing!” And it has been that way ever since. In a meeting Jan. 26, 2015, Health and Human Services Secretary Sylvia M. Burwell announced measurable goals and a timeline to move the Medicare program, and the health care system at large, toward paying providers based on the quality, rather than the quantity of care they give patients.

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SETMA’s soon-to-be 21 years of healthcare delivery can logically be seen in three seven-year segments:

• 1995-2002 – marked by the development of a team approach to healthcare, electronic medical records, which morphed into electronic medical management, population health, and the foundation of analytics and data management with 1999-sentinel events that continue to define our care delivery.

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