SETMA

This is a three-part series that examines SETMA’s work over the last 20 years and how it anticipated the categories of the MACRA and MIPS. While I personally like MACRA and MIPS, there are elements of its design that perpetuate past healthcare reform design flaws. This series examines those flaws and recommends means of resolving them.

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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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Southeast Texas Medical Associates began using electronic health records in March 1998. Shortly after that, we determined that our “real” goal was “electronic patient management,” i.e., the leveraging of the capabilities of electronics to improve the quality of the care we provided to our patients.

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June 16, 2016, SETMA received a note from our friends in China. They have previously made two visits to SETMA and as this note indicates they want to visit a third time. The note stated:

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Dr. James L. Holly is CEO of Southeast Texas Medical Associates, LLP (SETMA) in

As we move deeper into the 21st century, we do so knowing that the technological advances we face are astounding. Our grandchildren’s generation will experience healthcare methods and possibilities that seem like science fiction to us today. Yet that technology risks decreasing the value of our lives if we do not, in the midst of technology, retain our humanity.

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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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The context of my visit with the Lamar pre-professional students included my discussion of the OSR and the AAMC. My relationship with the founding dean of the University of Texas Medical School at San Antonio is part of that context.

(Author’s Note: This letter was sent to the founding dean of the University of Texas Health Science Center in San Antonio School of Medicine upon the occasion of the Dedication on Feb. 17 of the Dr. and Mrs. James L. Holly Auditorium)

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In the spring of 1970, at the Student American Medical Association – renamed American Medical Student Association in 1975 – I was elected the first chairman of the OSR. The first national meeting of the OSR was held in December 1971.

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James  Holly, M.D.

Join a team

In his remarkable book “The Fifth Discipline,” Dr. Peter Senge, addressed the value and the power of a team. He said:

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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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