Small Practices
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Tory plans will break small practices claims O'Brien
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Smaller practices could be ‘broken’ by Tory plans to write commissioning responsibility into the GP contract, health minister Mike O’Brien has warned. (Source: Pulse)
Source: Pulse - November 18, 2009 Category: Primary Care Tags: News Source Type: news
Tory plans will break small practices claims O'Brien
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Smaller practices could be ‘broken’ by Tory plans to write commissioning responsibility into the GP contract, health minister Mike O’Brien warned today. (Source: Pulse)
Source: Pulse - November 17, 2009 Category: Primary Care Tags: Picture stories Source Type: news
Kerry introduces bill to make small practices eligible for health IT loans
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Senator John Kerry (D-Mass.) introduced legislation last week that would help underwrite efforts by family doctors and other small medical practices to modernize their patients’ records and prescriptions. (Source: CMIO.net: The News Weekly for Health IT Executives)
Source: CMIO.net: The News Weekly for Health IT Executives - November 13, 2009 Category: Information Technology Tags: Latest News Source Type: news
Costs and Cost Effectiveness of a Health Care Provider-Directed Intervention to Promote Colorectal Cancer Screening [Gastrointestinal Cancer]
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Conclusion
A comprehensive, multicomponent academic detailing intervention conducted in small practices in metropolitan New York was clinically effective in improving CRC screening rates, but was not cost effective. (Source: Journal of Clinical Oncology)
Source: Journal of Clinical Oncology - November 6, 2009 Category: Cancer & Oncology Authors: Shankaran, Luu, Nonzee, Richey, McKoy, Graff Zivin, Ashford, Lantigua, Frucht, Scoppettone, Bennett, Sheinfeld Gorin Tags: Diagnosis & Staging, Cost Effectiveness, Cost of Cancer Care Gastrointestinal Cancer Source Type: journals
Practice management a hot topic for Sermo docs
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A new social media tool highlighting practice management issues for small practices has been launched by the online physician community Sermo.
Sermo officials say the Practice Management Exchange (PME) is an opportunity for physicians to exchange business advice through peer-to-peer discussions, posts and online forums as well as earn CME credits on practice management topics. (Source: Healthcare IT News)
Source: Healthcare IT News - November 6, 2009 Category: Information Technology Authors: Molly Merrill Tags: Online Only Cambridge Sermo Physician Practices & Ambulatory Care Source Type: news
Bill Exempts Small Practices From Red Flags Rule
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Small physician and accounting practices are exempt from the Federal Trade Commission's "red flags rule" under legislation the U.S. House of Representatives passed on Oct. 20. (Source: Blogged_Arteries)
Source: Blogged_Arteries - October 29, 2009 Category: Health Management Source Type: organizations
Bill Exempts Small Practices From Red Flag Rule
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Small physician and accounting practices are exempt from the Federal Trade Commission's (FTC) "red flags rule" under legislation the U.S. House of Representatives passed on Oct. 20. (Source: Blogged_Arteries)
Source: Blogged_Arteries - October 27, 2009 Category: Health Management Source Type: organizations
Radiology Practices' Use of External Off-Hours Teleradiology Services in 2007 and Changes Since 2003
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CONCLUSION. Use of EOTSs was widespread by 2007, and it had been
increasing rapidly in the preceding few years. Patterns of use were generally
as might be expected except that nonmetropolitan practices did not have high
odds of using EOTSs. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - October 20, 2009 Category: Radiology Authors: Lewis, R. S., Sunshine, J. H., Bhargavan, M. Tags: Health Care Policy and Quality Source Type: journals
Half of large practices net bonuses from Medicare P4P demo
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Participants say they are pleased with the results, despite the payout rate. Small practices start seeing their own performance dollars. (Source: American Medical News)
Source: American Medical News - August 31, 2009 Category: American Health Source Type: news
Carestream unveils PACS for small practices at AHRA
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Carestream Health is launching a PACS for small medical practices at the 2009 meeting of the Association for Medical Imaging Management (AHRA) in Las Vegas, Nev., Aug. 9-13. (Source: Health Imaging News)
Source: Health Imaging News - August 7, 2009 Category: Radiology Tags: Latest News Source Type: news
Big Practice, Small Practice, Part 3: A Solution to the Primary Care Conundrum -- Distribute, Don't Integrate
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Networked providers, regulatory relief, and reining in of overbearing health plans are among the ingredients in this recipe for relieving the strain on primary care practices. Medscape Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 6, 2009 Category: Consumer Health News Tags: Family Medicine/Primary Care Source Type: news
Box Store's EHR System Targets Small Practices
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The big box store Sam's Club, which is owned by Wal-Mart, is setting its sights on the information technology frontier: The stores are starting to market electronic health record systems aimed at medical practices with one to three physicians. (Source: Skin and Allergy News)
Source: Skin and Allergy News - July 31, 2009 Category: Dermatology Authors: JOYCE FRIEDEN Tags: Practice Trends Source Type: journals
Big Practice, Small Practice, Part 2: Can the Medical Home Accommodate the Small Practice?
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Will the Patient-Centered Medical Home end up being an office tower? Medscape Family Medicine (Source: Medscape Pediatrics Headlines)
Source: Medscape Pediatrics Headlines - July 30, 2009 Category: Pediatrics Tags: Family Medicine/Primary Care Source Type: info
Big Practice, Small Practice, Part 1: What's Behind the Economics in Primary Care?
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This first part of a three-part series describes some of the reimbursement issues affecting the size of primary care practices, and why economy of scale may not apply in primary care. Medscape Family Medicine (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - July 17, 2009 Category: Allergy & Immunology Tags: Allergy & Clinical Immunology Source Type: info
Box Store's EHR System Targets Small Practices
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The big box store Sam's Club is setting its sights on the information technology frontier by marketing electronic health record systems for medical practices with one to three physicians. (Source: Internal Medicine News)
Source: Internal Medicine News - June 30, 2009 Category: Internal Medicine Authors: JOYCE FRIEDEN Tags: Practice Trends Source Type: journals
Elements of the patient-centered medical home in family practices in virginia.
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CONCLUSIONS: Most family practices in Virginia exhibit some elements of the PCMH model. Full implementation of the PCMH model is low. Baseline information on practice characteristics, prevalence of PCMH, and challenges of small practices should be considered in guiding efforts, evaluating progress, and developing policies for care model reform.
PMID: 19597167 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - June 30, 2009 Category: Primary Care Authors: Goldberg DG, Kuzel AJ Tags: Ann Fam Med Source Type: journals
Legislation seeks to help small practices with IT costs
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Legislation was introduced during a hearing of the House Committee on Small Business' Subcommittee on Regulations and Healthcare earlier this week to help small medical practices in adopting healthcare IT.
Subcommittee Chairwoman Kathy Dahlkemper (D-Pa.) introduced the Small Business Health Information Technology Financing Act, designed to help providers overcome the financial barriers to implementing healthcare technology. (Source: Healthcare IT News)
Source: Healthcare IT News - June 26, 2009 Category: Information Technology Authors: Molly Merrill Tags: Online Only Industry News Kathy Dahlkemper Washington Physician Practices & Ambulatory Care Source Type: news
Coding group: Don't start ICD-10 training yet
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The American Academy of Professional Coders, which in April released a five-year training plan to
prepare coders and physicians for ICD-10, recommends all practices start analyzing how the expanded code sets will
affect them, but small practices should not begin training until at least six months prior to
implementation. (Source: Modern Medicine)
Source: Modern Medicine - June 18, 2009 Category: Journals (General) Source Type: info
Coding group: Don't start ICD-10 training yet
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The American Academy of Professional Coders, which in April released a five-year training plan to
prepare coders and physicians for ICD-10, recommends all practices start analyzing how the expanded code sets will
affect them, but small practices should not begin training until at least six months prior to
implementation. (Source: Modern Medicine Medical Economics)
Source: Modern Medicine Medical Economics - June 18, 2009 Category: Health Management Source Type: info
Box Store's EHR Rollout Is Aimed at Small Practices
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The big box store Sam's Club, which is owned by Wal-Mart, is setting its sights on the information technology frontier: The stores are starting to market electronic health record systems aimed at medical practices with one to three physicians. (Source: Family Practice News)
Source: Family Practice News - June 14, 2009 Category: Primary Care Authors: JOYCE FRIEDEN Tags: News Source Type: news
Teams Bring Coordinated Care to Small Practices
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PHILADELPHIA — Community health teams can bring the patient-centered medical home approach to small, primary care practices that otherwise would not be able to afford a group of care coordinators. (Source: Family Practice News)
Source: Family Practice News - June 14, 2009 Category: Primary Care Authors: MITCHEL L. ZOLER Tags: Clinical Rounds Source Type: news
'GPs are closing small practices, not us', says DH
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The Government has dismissed the concerns of MPs who claimed the rollout of GP-led health centres ignores and could even worsen health inequalities, arguing improved access and choice were ‘what patients across the country want to see’. (Source: Pulse)
Source: Pulse - May 26, 2009 Category: Primary Care Tags: News Source Type: news
Best EMRs for Small Practices
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How physicians in a 1- to 3-doctor office can choose the right EMR for their practice, and overcome a small practice's unique EMR challenges. Medscape Business of Medicine (Source: Medscape Psychiatry Headlines)
Source: Medscape Psychiatry Headlines - May 21, 2009 Category: Psychiatry Tags: Business of Medicine Source Type: info
CHTs Help Small Practices Use Medical Home Approach
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PHILADELPHIA — Community health teams can bring the patient-centered medical home approach to small practices that otherwise would not be able to afford care coordinators. The idea behind community health teams (CHTs) is that the care coordination professionals—such as nurse practitioners, nutritionists, and social and mental health workers—are shared by several small primary care practices within a locality, Kenneth E. Thorpe, Ph.D., said at the annual meeting of the American College of Physicians. Several small practices within a region can share the members of a single CHT, with each practice using the services f...
Source: Internal Medicine News - May 15, 2009 Category: Internal Medicine Authors: MITCHEL L. ZOLER Tags: News Source Type: journals
Allscripts, Cardinal Health announce partnership to sell EHRs to physicians
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One of the nation’s largest electronic health record vendors is teaming up with a major healthcare distributor in an effort to convince solo and small-practice physicians to adopt healthcare IT.
Thursday’s deal between Allscripts-Misys Healthcare Solutions and Cardinal Health is the latest and largest forged by Chicago-based Allscripts to create a distribution network for its MyWay EHR. The partnership allows Cardinal Health, based in Dublin, Ohio, to add Allscripts MyWay to its portfolio of products and services. (Source: Healthcare IT News)
Source: Healthcare IT News - May 7, 2009 Category: Information Technology Authors: Eric Wicklund Tags: Online Only Allscripts Allscripts-Misys Healthcare Solutions Cardinal Health Chicago Dublin Glen Tullman Industry News Kenny Smith Ohio Wilson Conti Physician Practices & Ambulatory Care Vendors Source Type: news
USA Today Examines Debate Sparked By Efforts To Shift to Health Care Information Technology
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Supporters of a nationwide switch to health care information technology systems say the move would help reduce medical costs and errors and increase efficiency and the quality of care, but opponents say "the costly transformation could waste money" if providers do not use compatible systems that can share information, USA Today reports. The Obama administration has set a goal for all physician offices and hospitals to have electronic health record systems in place by 2014, which it projects could reduce health expenditures by as much as $12 billion over 10 years, according to USA Today. The $787 billion economic stimulus p...
Source: kaisernetwork.org: Health Policy Daily Report - April 7, 2009 Category: Consumer Health News Tags: Daily Health Policy Report Source Type: news
'Health IT' touted as good medicine
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A stethoscope with three tiny koala bears dangling from his neck and eyeglasses perched on his nose, Dennis Saver looks every bit the family doctor as he steps into the examining room of his small practice on the Treasure Coast.
When Saver, 56, begins... (Source: OrlandoSentinel: Medical Research)
Source: OrlandoSentinel: Medical Research - March 16, 2009 Category: American Health Source Type: news
Wal-Mart Plans To Offer Lower-Cost Electronic Health Records System for Physician Offices
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Wal-Mart this spring will partner its Sam's Club division with Dell and eClinicalWorks to begin offering low-cost electronic health records systems to physicians, the New York Times reports. Under the initiative, Dell will provide the health care providers with the option for a desktop or tablet personal computer, while eClinicalWorks will contribute the EHR and practice management software that would be used for Internet-based patient billing and registration. Wal-Mart will use its "buying power" to acquire discounts for both the software and hardware, the Times reports.The initial cost to set up the EHR system will be le...
Source: kaisernetwork.org: Health Policy Daily Report - March 11, 2009 Category: Consumer Health News Tags: Daily Health Policy Report Source Type: news
New stimulus incentives may not boost HIT adoption, study says
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While the economic stimulus package contains $19 billion in incentives to encourage providers to adopt healthcare IT, A new study says some physicians - particularly those in small practices - may decide to face penalties provided under the law rather than spend money to adopt healthcare IT.
The study was released Monday by Avalere Health, a Washington, D.C.-based firm that draws expert advice from federal agency officials, Fortune 500 healthcare companies, top consultancies and nonprofits. (Source: Healthcare IT News)
Source: Healthcare IT News - March 10, 2009 Category: Information Technology Authors: Diana Manos Tags: Online Only Avalere Health Industry News Washington Physician Practices & amp; Ambulatory Care Source Type: news
Resistance Is Futile: But It Is Slowing the Pace of EHR Adoption Nonetheless.
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CONCLUSIONS The external forces driving EHR diffusion have grown in importance since 2004 relative to physicians' internal motivation to adopt such systems. Several national forces are likely contributing to the slowing pace of EHR diffusion.
PMID: 19261931 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Ford EW, Menachemi N, Peterson LT, Huerta TR Tags: J Am Med Inform Assoc Source Type: journals
Do list size and remuneration affect GPs' decisions about how they provide consultations?
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Conclusions:
Remuneration appears to affect GPs' decisions about how they provide consultations, especially among GPs with relatively small patient lists. This role is, however, small compared to other factors such as patient characteristics. (Source: BMC Health Services Research)
Source: BMC Health Services Research - February 26, 2009 Category: Journals (General) Authors: Michael J van den Berg, Dinny H de Bakker, Gert P Westert, Jouke van der Zee and Peter P Groenewegen Source Type: journals
Extended hours stripping cash from poor practices
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Exclusive: The Government’s extended hours drive has stripped millions in funding from small practices and those in the poorest areas of the country, a major Pulse investigation reveals (Source: Pulse)
Source: Pulse - February 25, 2009 Category: Primary Care Tags: News Source Type: news
How to successfully select and implement electronic health records (EHR) in small ambulatory practice settings
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DiscussionThe benefits of EHRs in ambulatory practices include improved patient care and office efficiency, and potential financial benefits. Barriers to EHRs include costs; lack of standardization of EHR products and the design of vendor systems for large practice environments; resistance to change; initial difficulty of system use leading to productivity reduction; and perceived accrual of benefits to society and payers rather than providers. The authors stress the need for developing a flexible change management strategy when introducing EHRs that is relevant to the small practice environment; the strategy should acknow...
Source: BMC Medical Informatics and Decision Making - Latest articles - February 23, 2009 Category: Information Technology Authors: Nancy M Lorenzi, Angelina Kouroubali, Don E Detmer and Meryl Bloomrosen Source Type: journals
Single handed practices in rural area
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I attended the commissioning dental services for rural communities yesterday and wanted to know how people are delaing with the recommissioning of services in rural areas where a small practice terminates it's contract - are you replacing like for like or looking at alternative approaches (Source: Networks Talk)
Source: Networks Talk - November 27, 2008 Category: UK Health Authors: Andrew Harris Source Type: organizations
Impact of practice size on delivery of diabetes care before and after the Quality and Outcomes Framework implementation.
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General practice characteristics are important for healthcare providers to maximise outcomes. Although different aspects of general practice characteristics have been studied previously, the impact of practice size on the delivery of care has been sparsely studied, particularly in relation to diabetes care. This brief report presents a longitudinal study in Shropshire (66 practices, 16 858 patients with diabetes) to assess the impact of practice size on diabetes care before and after implementation of the Quality and Outcomes Framework (QOF). Achievement of glycaemic control targets was better before the QOF for larger...
Source: The British Journal of General Practice - August 1, 2008 Category: Primary Care Authors: Tahrani AA, McCarthy M, Godson J, Taylor S, Slater H, Capps N, Moulik P, Macleod AF Tags: Br J Gen Pract Source Type: journals
Medicare Should Increase Payments For Physician Practices That Acquire And Use HIT To Improve Quality Says American College Of Physicians
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"The benefits of widespread adoption of interoperable Health Information Technology (HIT) will be significant, leading to a higher standard of quality in the U.S. healthcare system," Yul D. Ejnes, MD, FACP, told the House Ways and Means Committee subcommittee on Health today. "Unfortunately, without adequate financial incentives, small practices and their patients will be left behind the technological curve." Dr. (Source: IT / Internet / E-mail News From Medical News Today)
Source: IT / Internet / E-mail News From Medical News Today - July 25, 2008 Category: Information Technology Source Type: news
House Energy and Commerce Committee Approves Bill Aiming To Promote Electronic Health Records Nationwide
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The House Energy and Commerce Committee on Wednesday approved by voice vote a modified version of a bill (HR 6357) intended to encourage hospitals, physicians and other health care service providers to adopt a nationwide electronic health record system, CongressDaily reports. The bill was revised to clarify measures related to patient privacy protections and uses of the medical records, based on concerns from stakeholders in the health care, technology and consumer advocacy sectors (Noyes, CongressDaily, 7/23).The legislation would approve grants and loans to hospitals and physicians, particularly those with small practice...
Source: kaisernetwork.org: Health Policy Daily Report - July 24, 2008 Category: Consumer Health News Tags: Daily Health Policy Report Source Type: news
ACP says Medicare should increase payments for physicians that use HIT to improve quality
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(American College of Physicians) "The benefits of widespread adoption of interoperable Health Information Technology will be significant, leading to a higher standard of quality in the US health care system," Yul D. Ejnes, M.D., F.A.C.P., told the House Ways and Means Committee subcommittee on Health today. "Unfortunately, without adequate financial incentives, small practices and their patients will be left behind the technological curve." (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - July 24, 2008 Category: Global & Universal Source Type: news
Widespread Adoption of E-Prescribing Could Save U.S. $156M Over Five Years, Reduce Drug-Related Error Injuries, HHS Secretary Leavitt Says
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HHS Secretary Mike Leavitt on Monday discussed the details of an electronic prescribing incentive program scheduled to begin on Jan. 1, 2009, that will increase Medicare payments to physicians who adopt the technology, the AP/Chicago Tribune reports. The e-prescribing initiative was included in a new Medicare law that delays a 10.6% reduction to Medicare physician payments. Congress last week overrode a presidential veto of the legislation. Leavitt said widespread adoption of e-prescribing could save taxpayers as much as $156 million over five years, as well as reduce the 1.5 million injuries caused by drug-related errors ...
Source: kaisernetwork.org: Health Policy Daily Report - July 22, 2008 Category: Consumer Health News Tags: Daily Health Policy Report Source Type: news
Doctors Reluctant to Reach Patients Online
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In some parts of the country doctors are using e-visits and electronic communication with patients to good effect. But at Dr. Brewer's small practice, the expensive Web site that no one uses is scheduled to come down. (Source: WSJ.com: Health)
Source: WSJ.com: Health - July 9, 2008 Category: Pharmaceuticals Source Type: news
The growing size of radiology practices.
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CONCLUSION: Radiology practices grew in size throughout the 1990 to 2007 period. In general, changes were more rapid in 1990 to 2000 than since. The most conspicuous growth was in practices with 30 radiologists or more. This category almost quadrupled its share of radiologists. In contrast, the share of very small practices (1-4 radiologists) declined relatively little, by only approximately one-fourth.
PMID: 18585656 [PubMed - in process] (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - July 1, 2008 Category: Radiology Authors: Bhargavan M, Sunshine JH Tags: J Am Coll Radiol Source Type: journals
General practitioners' workload associated to practice size rather than chronic care organisation.
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CONCLUSIONS: Practice size rather than chronic care organisation determined physician workload. Larger practices might use physicians' time more efficiently compared to small practices, but reduced quality of care in larger practices could be an alternative interpretation of the findings.
PMID: 18599149 [PubMed - as supplied by publisher] (Source: Health Policy)
Source: Health Policy - July 1, 2008 Category: Health Management Authors: Wensing M, Van den Hombergh P, Van Doremalen J, Grol R, Szecsenyi J Tags: Health Policy Source Type: journals
CQ's Carey Discusses Medicare Physician Payment Cuts, Labor-HHS-Education Bill, Health Information Technology Legislation
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Mary Agnes Carey, associate editor of CQ HealthBeat, discusses Congress' failure to approve legislation to stop a Medicare physician payment cut, a Senate panel's approval of the Labor-HHS-Education appropriations bill and House committee's approval of health information technology legislation in this week's "Health on the Hill from kaisernetwork.org and CQ."According to Carey, the House approved by a veto-proof majority legislation that would delay a scheduled 10.6% reduction to Medicare physician fees, but Senate Democrats fell one vote short of the 60 votes needed to gain cloture. Many Republicans and the White House ob...
Source: kaisernetwork.org: Health Policy Daily Report - June 30, 2008 Category: Consumer Health News Tags: Daily Health Policy Report Source Type: news
Small practice evolution: The medical micropractice
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Going without staff, using technology, and spending more time with fewer patients characterize the
micropractice model. (Source: Medical Economics - Practice Management)
Source: Medical Economics - Practice Management - June 20, 2008 Category: Practice Management Source Type: journals
Small practice evolution: The medical micropractice
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Going without staff, using technology, and spending more time with fewer patients characterize the
micropractice model. (Source: Medical Economics - Medical Economics magazine)
Source: Medical Economics - Medical Economics magazine - June 20, 2008 Category: Practice Management Source Type: journals
Small practice evolution: The medical micropractice
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Going without staff, using technology, and spending more time with fewer patients characterize the
micropractice model. (Source: Medical Economics - Practice Management)
Source: Medical Economics - Practice Management - June 19, 2008 Category: Practice Management Source Type: journals
Physicians Slow To Adopt Electronic Health Record Systems Because of High Costs, Survey Finds
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The cost of switching from a paper-based health records system to an electronic version for patients is a key obstacle for many primary care physicians in the U.S., according to a study published on Wednesday in the New England Journal of Medicine, USA Today reports. For the study, co-authors Catherine DesRoches and David Blumenthal of Massachusetts General Hospital in Boston surveyed 2,758 physicians nationwide (Davis, USA Today, 6/19).According to the New York Times, the study -- funded by HHS and a grant from the Robert Wood Johnson Foundation -- found that the "slow adoption of the technology is mainly economic" as "es...
Source: kaisernetwork.org: Health Policy Daily Report - June 19, 2008 Category: Consumer Health News Tags: Daily Health Policy Report Source Type: news
CMS To Launch Medicare Pilot Project That Will Provide Physicians With Incentives To Use Health IT
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HHS Secretary Mike Leavitt on Tuesday announced the 12 cities and states that have been chosen to participate in a $150 million Medicare pilot program to encourage physicians to use electronic health records, CQ Today reports. The five-year program will help nearly 1,200 small practices in the 12 regions switch from paper to digital record keeping. (Source: IT / Internet / E-mail News From Medical News Today)
Source: IT / Internet / E-mail News From Medical News Today - June 12, 2008 Category: Information Technology Source Type: news
