This document provides an overview of the Physician Quality Reporting System (PQRS). It describes PQRS as a voluntary reporting program for quality measures related to services provided to Medicare beneficiaries. Eligible professionals include physicians, practitioners, and therapists. Reporting methods include individual reporting through claims, EHR, registry, or QCDR, as well as group practice reporting through the GPRO Web Interface, registry, EHR, or survey vendor. The document provides details on the requirements and options for each reporting method.
Our Insights webinar this week tackles a little-known program that will have a big impact on fee-for-service Medicare providers. The Value-Based Payment Modifier (or Value Modifier for short) is something every Medicare provider should know about as soon as possible. One way or another, providers will wind up on either the incentive or penalty side of this legislation. Take advantage of our webinar for in-depth information on this complex and far-reaching topic.
Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014Practice Fusion
This webinar, Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014, goes over which reporting options are available, what the incentives and penalties are for participating, reporting requirements, and how to choose quality measure for reporting.
This slide deck provides a detailed overview of the PQRS program, including helpful information on how to report for PQRS using the claims-based reporting method. Learn how to report Quality Data Codes for PQRS on Medicare claims and avoid penalties!
New clinical quality measure reporting in Practice Fusion [slides]Practice Fusion
Learn about the new data elements, which quality measures they can be used for, and information on reporting quality measures using Practice Fusion for Meaningful Use, PQRS EHR Reporting, and other quality improvement programs.
Using Practice Fusion for PQRS EHR Reporting in 2014Practice Fusion
This presentation is an overview of PQRS requirements in 2014, requirements for PQRS EHR reporting, and measure selection and EHR reporting applicability. The presentation will also give a deep dive into using Practice Fusion for PQRS reporting.
SourceMed Therapy Q1 2016 Regulatory Update, hosted by Chief Therapy Officer David McMullan, PT. Covering news and regulatory updates for the outpatient physical therapy industry.
Our Insights webinar this week tackles a little-known program that will have a big impact on fee-for-service Medicare providers. The Value-Based Payment Modifier (or Value Modifier for short) is something every Medicare provider should know about as soon as possible. One way or another, providers will wind up on either the incentive or penalty side of this legislation. Take advantage of our webinar for in-depth information on this complex and far-reaching topic.
Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014Practice Fusion
This webinar, Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014, goes over which reporting options are available, what the incentives and penalties are for participating, reporting requirements, and how to choose quality measure for reporting.
This slide deck provides a detailed overview of the PQRS program, including helpful information on how to report for PQRS using the claims-based reporting method. Learn how to report Quality Data Codes for PQRS on Medicare claims and avoid penalties!
New clinical quality measure reporting in Practice Fusion [slides]Practice Fusion
Learn about the new data elements, which quality measures they can be used for, and information on reporting quality measures using Practice Fusion for Meaningful Use, PQRS EHR Reporting, and other quality improvement programs.
Using Practice Fusion for PQRS EHR Reporting in 2014Practice Fusion
This presentation is an overview of PQRS requirements in 2014, requirements for PQRS EHR reporting, and measure selection and EHR reporting applicability. The presentation will also give a deep dive into using Practice Fusion for PQRS reporting.
SourceMed Therapy Q1 2016 Regulatory Update, hosted by Chief Therapy Officer David McMullan, PT. Covering news and regulatory updates for the outpatient physical therapy industry.
Measuring & Monitoring Clinical Quality Measures Using Practice FusionPractice Fusion
Review CMS quality measures, how to capture the data in Practice Fusion, and how this data can be used to earn incentive payments through quality reporting programs, including Meaningful Use and PQRS.
Meaningful Use Stage 2 Summary of Care Data Exchange with Practice FusionPractice Fusion
Stage 2 of Meaningful Use requires that providers complete three Summary of Care measures related to sending referrals. Practice Fusion has enabled providers to complete these measures through our new referral workflows.
To learn about how these referral workflows work (including Direct messaging) and how these workflows relate to Meaningful Use, review the slideshow. This detailed guide will walk you through understanding Direct and how to enable it, the variety of ways to send a referral in Practice Fusion, and how to achieve the related Meaningful Use measures.
MIPS APM for ACOs: A Hybrid Reimbursement ModelCitiusTech
CMS announced the Quality Payment Program (QPP) final rule in October 2017, stating how it plans to implement the clinician payment changes to QPP, mandated under the Medicare Access and CHIP Reauthorization (MACRA) act. The implementation of the MACRA act impacts different type of organizations, one such being the Accountable Care Organizations (ACOs). ACOs are evaluated for payments on the basis of quality care and the cost factors associated in achieving their quality goals. Post MACRA implementation, all clinicians will receive payments as per the MIPS (Merit based incentive payments) and Advanced APMs (Advanced alternative payment models). ACO’s can register as APM entities and are eligible to receive payments under Advanced APMs. There is a third category of APM entities which participate in Advanced APMs models but do not meet the threshold of payments and patients set by CMS. Such entities fall into a category that is straddling the line between APM and the MIPS track, called MIPS APM (partially qualifying APM participants). This document discusses about the reporting, scoring and payments for the MIPS APM entities
Gain added clarity about your 2014 Meaningful Use attestation options to avoid Medicare payment adjustments, including timeline and impacts of recent CMS proposed rule changes. Preview the new interactive decision tool and understand compliance exemptions.
This presentation walks through the transition from chart abstracted quality reporting to electronic quality reporting for the CMS and The Joint Commission
Making CJR Work for You: A Roadmap for Successful Implementation of Medicare ...Wellbe
This presentation will describe a structured approach to successfully launching a program for the Comprehensive Care for Joint Replacement (CJR) Model. Based on years of experience with bundled programs, this roadmap provides the basis for developing a targeted plan for your organization as the April 1, 2016 deadline for CJR rapidly approaches.
Key topics to be addressed include:
• Overview of CJR rules and program requirements
• CJR implications for your organization
• Bundle evaluation – financial and clinical issues
• Gainsharing considerations with program collaborators
• Designing an effective post-acute care network
• Using analytics to develop and monitor your program
• Key “must-dos” for an April 1, 2016 launch
Learning Objectives:
1. Describe the rules and requirements of CJR
2. Assess the key success drivers in bundle performance
3. Evaluate where and why organizations fail in bundles
4. Develop strategies and tactics to create a post-acute partnership
5. Illustrate risk stratification factors in bundle design
About the Speaker:
Sheldon Hamburger is an Alternative Payment Model advisor for hospitals and healthcare firms nationally. With a focus on program implementation, he brings extensive knowledge and experience gained from more than 25 years of healthcare financial consulting, technology design and development, and sales & marketing strategy for Fortune 1000 clients. He is a frequently sought-after speaker and writer on regulatory and technology trends affecting hospital operations, provider reimbursement issues, BPCI / CJR, programs and regulations, medical expense strategies and payer-provider dynamics. Residing in Raleigh, he is an active member of HIMSS, HFMA, & ACHE. He earned his B.S.E. in Computer Engineering from the University of Michigan.
Basic explanation of the physician quality reporting system. Some of the due dates and actions that could be taken before Dec 31st to prevent losing money in the future.
Physician Quality Reporting System (PQRS) is a CMS reporting program that uses a combination of incentive payments and penalties to promote reporting of quality data. This presentation discusses.
Measuring & Monitoring Clinical Quality Measures Using Practice FusionPractice Fusion
Review CMS quality measures, how to capture the data in Practice Fusion, and how this data can be used to earn incentive payments through quality reporting programs, including Meaningful Use and PQRS.
Meaningful Use Stage 2 Summary of Care Data Exchange with Practice FusionPractice Fusion
Stage 2 of Meaningful Use requires that providers complete three Summary of Care measures related to sending referrals. Practice Fusion has enabled providers to complete these measures through our new referral workflows.
To learn about how these referral workflows work (including Direct messaging) and how these workflows relate to Meaningful Use, review the slideshow. This detailed guide will walk you through understanding Direct and how to enable it, the variety of ways to send a referral in Practice Fusion, and how to achieve the related Meaningful Use measures.
MIPS APM for ACOs: A Hybrid Reimbursement ModelCitiusTech
CMS announced the Quality Payment Program (QPP) final rule in October 2017, stating how it plans to implement the clinician payment changes to QPP, mandated under the Medicare Access and CHIP Reauthorization (MACRA) act. The implementation of the MACRA act impacts different type of organizations, one such being the Accountable Care Organizations (ACOs). ACOs are evaluated for payments on the basis of quality care and the cost factors associated in achieving their quality goals. Post MACRA implementation, all clinicians will receive payments as per the MIPS (Merit based incentive payments) and Advanced APMs (Advanced alternative payment models). ACO’s can register as APM entities and are eligible to receive payments under Advanced APMs. There is a third category of APM entities which participate in Advanced APMs models but do not meet the threshold of payments and patients set by CMS. Such entities fall into a category that is straddling the line between APM and the MIPS track, called MIPS APM (partially qualifying APM participants). This document discusses about the reporting, scoring and payments for the MIPS APM entities
Gain added clarity about your 2014 Meaningful Use attestation options to avoid Medicare payment adjustments, including timeline and impacts of recent CMS proposed rule changes. Preview the new interactive decision tool and understand compliance exemptions.
This presentation walks through the transition from chart abstracted quality reporting to electronic quality reporting for the CMS and The Joint Commission
Making CJR Work for You: A Roadmap for Successful Implementation of Medicare ...Wellbe
This presentation will describe a structured approach to successfully launching a program for the Comprehensive Care for Joint Replacement (CJR) Model. Based on years of experience with bundled programs, this roadmap provides the basis for developing a targeted plan for your organization as the April 1, 2016 deadline for CJR rapidly approaches.
Key topics to be addressed include:
• Overview of CJR rules and program requirements
• CJR implications for your organization
• Bundle evaluation – financial and clinical issues
• Gainsharing considerations with program collaborators
• Designing an effective post-acute care network
• Using analytics to develop and monitor your program
• Key “must-dos” for an April 1, 2016 launch
Learning Objectives:
1. Describe the rules and requirements of CJR
2. Assess the key success drivers in bundle performance
3. Evaluate where and why organizations fail in bundles
4. Develop strategies and tactics to create a post-acute partnership
5. Illustrate risk stratification factors in bundle design
About the Speaker:
Sheldon Hamburger is an Alternative Payment Model advisor for hospitals and healthcare firms nationally. With a focus on program implementation, he brings extensive knowledge and experience gained from more than 25 years of healthcare financial consulting, technology design and development, and sales & marketing strategy for Fortune 1000 clients. He is a frequently sought-after speaker and writer on regulatory and technology trends affecting hospital operations, provider reimbursement issues, BPCI / CJR, programs and regulations, medical expense strategies and payer-provider dynamics. Residing in Raleigh, he is an active member of HIMSS, HFMA, & ACHE. He earned his B.S.E. in Computer Engineering from the University of Michigan.
Basic explanation of the physician quality reporting system. Some of the due dates and actions that could be taken before Dec 31st to prevent losing money in the future.
Physician Quality Reporting System (PQRS) is a CMS reporting program that uses a combination of incentive payments and penalties to promote reporting of quality data. This presentation discusses.
Meaningful Use: Programs, Penalities, and PaymentsBen Quirk
Meaningful Use is not dead!
MIPS may be just around the corner, but MU is still very much in the picture. There is enough time, however, for your practice to optimize 2016 reporting and increase 2018 payments and avoid penalties.
This presentation takes you through the steps needed to successfully attest for 2016 and be prepared for upcoming changes.
Medicare Advantage is one of the few areas your clinic can generate risk scores. Learn the basics of the program, strategies to increase your reimbursement processes to monitor compliance with 5 star and tools available on the market to help your physicians.
The Evolving Role of the Compliance Officer in the Age of Accountable CarePYA, P.C.
PYA Consulting Principals Jeff Ellis and Martie Ross presented at the Health Care Compliance Association 2013 Midwest Regional Compliance Conference in Overland Park, Kansas. Ellis and Ross teamed up to explore, “The Evolving Role of the Compliance Officer in the Age of Accountable Care.”
Medicare Advantage is a well-known program, but perhaps not so well-known in its details. In this webinar, we get into the nuts and bolts of how the program works, including a case study with practical examples. If you’d like to offer or improve a Medicare Advantage plan at your facility, this is a good place to start.
The Evolving Role of the Compliance Officer in the Age of Accountable CarePYA, P.C.
Much has been written about new competencies physicians must develop in the face of payment and delivery system reform. But providers are not the only ones seeing their roles change. Compliance officers, who serve as organizations’ internal police officers, will have many new challenges. PYA Principal Martie Ross presented a national Health Care Compliance Association (HCCA) webinar entitled “The Evolving Role of the Compliance Officer In the Age of Accountable Care.”
Did you know that ALL of your Medicare reimbursements will be docked if you don't participate in the PQRS reporting program? This applies to mental / behavioral heath and substance abuse providers - get the full scoop in our guide.
Setting Your Business Up for MIPS Success in 2019Kareo
In this webinar, Sr. Training Specialist, Marina Verdara, will provide you with the information and tools you need to ensure that your business avoids receiving penalties related to MACRA.
Marina will:
-Provide an in-depth analysis of MACRA, including APM and MIPS
-Review the four MIPS reporting categories and how your business can meet each of their individual requirements
-Recommend industry best practices so both independent medical practices and billing companies can avoid penalties in 2019
Clinical Quality Measures (CQMs) for Meaningful Use & PQRSEmily Richmond
This presentation provides information on reporting clinical quality measures (CQMs) for Meaningful Use and PQRS, while also providing detailed information on the quality measure specifications that Practice Fusion currently supports.
Practice Fusion is a free, web-based, 2014 certified complete ambulatory EHR.
www.practicefusion.com/signup/
CPT E/M codes are changing January 1, 2021. This webinar unpacks those changes for you, outlining everything you need to know including:
How to navigate all the changes
What these mean for reimbursement
What you need to know to make sure your providers and coders are ready.
Telemedicine has moved to the forefront of healthcare, opening up opportunities for both practices and their patients. To help unpack some of the enormous amounts of new information, This presentation focuses on:
- Relaxing of Regulatory Issues
- How Telemedicine Can Help Your Practice
- Challenges
- The Future of Telemedicine
This episode continues our COVID-19 COVID-19 Insights Webinar discussing CMS changes, available grants and loans, existing opportunities in telehealth, and more state openings for elective surgeries.
The COVID-19 pandemic continues to present challenges to healthcare practices. This presentation covers the reinstatement of elective surgeries in a few states, the greater adoption of remote tracking, and new developments with the FCC’s Telehealth Program.
It also goes over the technology CareOptimize has developed to help streamline COVID-19 monitoring and reporting, its genesis, and how this utility can help your practice post-pandemic.
This webinar continues the COVID-19 Insights webinar series. Topics include the loans and grants being offered by the government, how they differ, and how they may benefit your practice, including SBA Loans and Grants, HHS Grants, Medicare Advance/Accelerated Payments, and Telehealth Funding. The webinar also goes over the CareOptimize technology developed to assist with streamlining COVID-19 monitoring and reporting.
Does it feel like you’re falling behind on the latest CMS regulatory updates? You’re not alone. The CareOptimize COVID-19 Insights webinar is designed to keep you informed of everything going on with CMS as healthcare practices continue to adjust. Along with CMS updates, this webinar goes over SBA loans and Fee-for-service Advance/Accelerated Medicare payments.
CareOptimize COVID-19 Webinar series episode 2 continues with the most up-to-date news from CMS along with other regulatory changes affecting the healthcare industry. The primary focus is on a trio of distinct provider models and how each of them is managing their practices while adapting to the challenges of the pandemic. We also go over the technology CareOptimize has developed aimed at streamlining COVID-19 monitoring and reporting.
MIPS continues to be a major risk, with practices who do not participate subject to a 5% penalty. This webinar covers:
Rule clarification and changes that have occured since January 1st.
Measure clarification and changes that have occured since January 1st. Your measure calculations may be changing as a result.
Where your practice should be at this point in the year.
How we can help support unique workflows and provider documentation.
In the day and age of value based medicine, it is critical to optimize your reimbursements with more accurate coding.This webinar uses specific examples to demonstrate the intricacies of accurate coding and how you can actually benefit. Questions answered include:
• How is global service reporting changing?
• What procedures require reporting?
• Who is required to report?
• When do new requirements take effect?
MACRA is quickly approaching year 2. CMS recently released their 2018 Proposed Rule, and there are some significant changes everyone should be aware of.
Rather than wading through the 1,058 pages of the Proposed Rule, join CareOptimize for a look at the most important takeaways.
In less than 30 minutes, you'll learn:
Are any of your clinicians now exempt?
What is a Virtual Group, and will it save you money?
Are your practice's priorities aligned with the newly weighted categories?
How can the Proposed Rule increase your 2018 bonus?
Accountable Care Organizations (ACOs) have been part of the healthcare landscape for a while and remain an integral part of the move toward value-based medicine. CMS recently introduced a new model in the MSSP (Medicare Shared Savings Program), ACO Track 1+.
This presentation gives a broad overview of ACOs and explains the basics of the new Track 1+ model. Topics include:
- ACOs and their role in MACRA/MIPS
- Meeting or exceeding the standards
- Why the risk might be worth it
MIPS is here. Are You Ready? CareOptimize Is.
See how the MIPS Management Solution empowers practices like yours to:
1. Know provider scores in real-time and compare those to your peers across the country
2. Provide scorecards for each MIPS category
3. Model different scenarios to determine your highest MIPS score
4. Automatically submit to CMS
5. Choose which level of assistance is best for your organization
... And More!
Let's face it, changes are coming. Healthcare is about to undergo another big shift once the new administration comes in. Between the sure things and the big questions, CareOptimize has found a bit of clarity. Join us to learn what our experts advise you to do to stay on top of it all.
Are you:
Keeping up to date with your risk scoring?
Missing out on reimbursement premiums?
Ensuring accurate health profiles for your patients?
Proper risk adjustment is important, not only to ensure your patients' quality of care, but also to improve your bottom line. This CareOptimize presentation will take you from the basic tenets of risk adjustment to specific ways you can increase your risk scores and get the highest premium payments.
CMS has stopped being nice about ICD10. As of October 1, 2016, the grace period for not using specific codes for certain diagnoses is gone. If you are not precise with these codes, your denial rates will go up.
This presentatio helps you learn how you can avoid high denial rates and also explains:
- Key changes and revisions
- Written guidance from CMS and OIG that may negate a new guideline
- Chapter specific changes
- How to tell when you need documentation and when you don’t
2016 MIPS Final Rule: What you need to know NOWBen Quirk
Find out why you need to pay attention to this Final Rule and what adjustments you need to make to ensure you end up on the winning side of MIPS. It's a complicated program, and results from the Final Rule don't make it any easier.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
Physician Quality Reporting System (PQRS)
1. Physician
Quality
Repor3ng
System
(PQRS)
Wednesday,
February
5,
2014
Disclaimer:
Nothing
that
we
are
sharing
is
intended
as
legally
binding
or
prescrip7ve
advice.
This
presenta7on
is
a
synthesis
of
publically
available
informa7on
and
best
prac7ces.
2. What
is
PQRS?
• Voluntary,
individual
repor1ng
program
– Quality
measures
for
services
provided
to
Medicare
beneficiaries
• Started
in
2007
– Tax
Relief
and
Health
Care
Act
• Incen1ve
payments
for
par1cipa1on
through
2014
• Financial
penalty
for
non-‐par1cipa1on
aKer
2014
• Measures
based
on
combina1ons
of
CPT,
ICD
and
pa1ent
age
at
the
1me
of
the
encounter
4. Provider
Repor1ng
Methods
• Individual
–
–
–
–
–
EHR
Direct
Product
that
is
Cer1fied
EHR
Technology
(CEHRT)
EHR
data
submission
vendor
that
is
CEHRT
Qualified
PQRS
Registry
Par1cipa1on
through
a
Qualified
Clinical
Data
Registry
(QCDR)
Medicare
Part
B
claims
submiYed
to
CMS
• Group
Prac1ce
Repor1ng
–
–
–
–
–
GPRO
Web
Interface
Qualified
PQRS
Registry
EHR
Direct
Product
that
is
CEHRT
EHR
data
submission
vendor
that
is
CERT
CMS-‐cer1fied
survey
vendor
*Group
prac*ces
repor*ng
via
GPRO
must
register
for
their
selected
repor*ng
method
by
September
30,
2014.
5. Claims-‐Based
Repor1ng
• QDCs
must
be
reported
– On
claim
represen1ng
the
denominator
of
eligible
Medicare
Part
B
encounters
– Same
beneficiary
as
encounter
– Same
date
of
service
as
qualifying
EM
code
– Same
EP
who
is
rendering
eligible
performed
code
• QDCs
must
be
submiYed
with
a
line-‐item
charge
of
one
penny
($0.01)
at
the
1me
the
associated
covered
service
is
performed
– SubmiYed
charge
field
cannot
be
blank.
– Line
item
charge
should
be
$0.01
–
beneficiary
not
liable
for
this
amount
– En1re
claim
with
$0.01
charge
will
be
rejected.
Claims
for
just
QDC
codes
are
not
permiYed
*
Claims
may
NOT
be
resubmi@ed
for
the
sole
purpose
of
adding
or
correc7ng
QDCs
6. EHR-‐Based
Repor1ng
• EHR-‐based
repor1ng
op1on
sa1sfies
the
CQM
component
of
Meaningful
Use
• Submit
data
by
the
February
28,
2015
• Direct
EHR
Vendor
– Must
register
for
an
IACS
account
• EHR
Data
Submission
Vendor
– Responsible
for
submicng
PQRS
measures
data
to
CMS
7. Qualified
Registry
• Collects
clinical
data
from
eligible
professional
or
group
prac1ce
• Submits
data
to
CMS
on
behalf
of
par1cipants
• 2014
Par1cipa1ng
Registry
Vendors
list
available
on
the
CMS
PQRS
web-‐
site
8. Qualified
Clinical
Data
Registry
(QCDR)
•
•
CMS-‐approved
en1ty
Collects
medical
and/or
clinical
data
for
pa1ent
and
disease
tracking
– Improved
quality
of
care
•
•
Not
limited
to
PQRS
measures
May
submit
measures
from
one
or
more
of
the
following
categories:
–
–
–
–
–
•
•
Clinician
&
Group
Consumer
Assessment
of
Healthcare
Providers
and
Systems
Na1onal
Quality
Forum
endorsed
measures
Current
2014
PQRS
measures
Measures
used
by
boards
or
specialty
socie1es
Measures
used
in
regional
quality
collabora1ons
Choose
appropriate
QCDR
Work
directly
with
QCDR
– Legal
agreement
for
QCDR
receipt
of
pa1ent-‐specific
data
and
release
of
quality
measure
data
to
CMS
on
the
EPs
behalf.
– Specific
instruc1ons
on
how
to
collect
and
provide
pa1ent
data
for
use
by
the
QCDR
supplied
by
the
QCDR.
9. GPRO
Web
Interface
•
•
•
Register
and
report
chosen
repor1ng
method
no
later
than
September
30,
2014
if
repor1ng
for
2014
Includes
comple1on
of
pre-‐filled
beneficiary
sample.
25
–
99
Eligible
Professionals
– Report
on
all
measures
AND
populate
data
fields
for
the
first
218
consecu1vely
ranked
and
assigned
beneficiaries
Or
– Have
all
12
CG
CAHPS
summary
survey
modules
reported
via
CMS-‐cer1fied
survey
vendor
AND
report
on
6
measures
covering
at
least
2
of
the
NQS
domains
– Use
a
qualified
registry,
direct
EHR
product,
EHR
data
submission
vendor
or
GPRO
Web
Interface
as
a
repor1ng
mechanism.
•
100
+
Eligible
Professionals
– Report
on
all
measures
AND
populate
data
fields
for
the
first
411
ranked
and
assigned
beneficiaries
Individual
eligible
professionals
within
a
group
prac1ce
that
sa1sfactorily
completes
the
GPRO
Web
Interface
will
also
receive
credit
for
the
CQM
component
of
the
EHR
Incen1ve
Program.
11. Requirements
for
Incen1ve
Payments
–
Individual
Measures
• Claims/Qualified
Registry
– At
least
9
measures
covering
at
least
3
NQS
domains
for
at
least
50%
Medicare
Part
B
pa1ents
seen
during
repor1ng
period.
– If
less,
report
1—8
measures
covering
1—3
NQS
domains,
AND
report
each
measure
for
at
least
50%
Medicare
Part
B
pa1ents
seen
during
repor1ng
period.
• Measures
with
a
0%
performance
rate
not
counted.
• Fewer
than
9
measures
covering
3
NQS
subject
to
the
MAV
process.
• EHR
Report
– 9
measures
covering
at
least
3
of
the
NQS
domains
– If
CEHRT
does
not
contain
pa1ent
data
for
at
least
9
measures
covering
at
least
3
domains,
the
EP
must
report
measures
with
Medicare
pa1ent
data
– Must
report
on
at
least
1
measure
for
which
there
is
Medicare
pa1ent
data
12. Requirements
for
Incen1ve
Payments
–
Measure
Groups
• Qualified
Registry
– Report
at
least
1
measures
group,
AND
report
each
measures
group
for
at
least
20
pa1ents
– Majority
must
be
Medicare
Part
B
pa1ents.
• Qualified
Clinical
Data
Registry
– Report
at
least
9
measures
covering
at
least
3
NQS
domains
AND
report
each
measure
for
at
least
50%
eligible
pa1ents
seen
during
the
repor1ng
period
– Measures
with
a
0%
performance
rate
not
counted.
– At
least
1
outcome
measure.
13. Requirements
for
Avoiding
Penal1es
in
2016
–
Individual
Measures
• Claims/Qualified
Registry/Qualified
Registry
Report
– At
least
9
measures
covering
at
least
3
NQS
domains
AND
report
each
measure
for
at
least
50%
Medicare
Part
B
pa1ents
seen
during
repor1ng
period.
– If
less
than
requirement
report
1—8
measures
covering
1—3
NQS
domains,
AND
report
each
measure
for
at
least
50%
Medicare
Part
B
pa1ents
seen
during
the
repor1ng
period.
– Measures
with
a
0%
performance
rate
would
not
counted.
– Fewer
than
9
measures
covering
3
NQS
domains
via
the
claims-‐based
repor1ng
mechanism
subject
to
the
MAV
process
• Claims
– Report
at
least
3
measures
for
at
least
50%
of
the
eligible
professionals
Medicare
Part
B
pa1ents
seen
during
the
repor1ng
period.
– If
less
than
requirement,
report
1—2
measures;
AND
report
each
measure
for
at
least
50%
Medicare
Part
B
pa1ents
seen
during
the
repor1ng
period
to
which
the
measure
applies.
– Measures
with
a
0%
rate
not
counted.
14. Avoiding
Penalty
in
2016
-‐
Individual
Providers,
Group
Measures
• Qualified
Registry
– Report
at
least
1
measures
group,
AND
report
each
measures
group
for
at
least
20
pa1ents,
a
majority
of
which
must
be
Medicare
Part
B
FFS
pa1ents.
• Qualified
Clinical
Data
Registry
– Report
at
least
9
measures
covering
at
least
3
NQS
domains
AND
report
each
measure
for
at
least
50
percent
of
the
eligible
professional’s
applicable
pa1ents
seen
during
the
repor1ng
period
to
which
the
measure
applies.
– Measures
with
a
0%
performance
rate
would
not
be
counted.
– Of
the
measures
reported
via
a
qualified
clinical
data
registry,
the
eligible
professional
must
report
on
at
least
1
outcome
measure
• Qualified
Clinical
Data
Registry
– Report
at
least
3
measures
covering
at
least
1
NQS
domain
AND
report
each
measure
for
at
least
50
percent
of
the
eligible
professional’s
applicable
pa1ents
seen
during
the
repor1ng
period
to
which
the
measure
applies.
– Measures
with
a
0
percent
performance
rate
would
not
be
counted
15. Avoiding
Penalty
in
2016
-‐
GPRO
•
GPRO
Web
Interface
Report
on
all
measures
included
in
web
interface.
– Populate
data
fields
for
the
first
218
(411
for
100
or
more
EPs)
consecu1vely
ranked
and
assigned
beneficiaries
– If
less
than
218
eligible
assigned
beneficiaries,
report
on
100%
of
assigned
beneficiaries.
•
Qualified
Registry
–
–
–
–
•
Report
at
least
9
measures
covering
at
least
3
of
the
NQS
domains
and
report
each
measure
for
at
least
50%
of
the
group’s
Medicare
Part
B
pa1ents
seen
during
the
repor1ng
period.
If
less
than
requirement,
report
1
–
8
measures
covering
1
–
3
domains
with
Medicare
pa1ent
data
AND
report
each
measure
for
at
least
50%
of
Medicare
Part
B
pa1ents
seen
during
the
repor1ng
period.
Measures
with
0%
performance
rate
not
counted.
Fewer
than
9
measures
covering
at
least
3
domains,
subjects
the
group
to
the
MAV
process
Direct
EHR
/
EHR
Data
Submission
by
Vendor
– Report
9
measures
covering
at
least
3
domains.
– If
a
group
prac1ce’s
CEHRT
does
not
contain
pa1ent
data
for
at
least
9
measures
covering
at
least
3
domains,
then
the
group
prac1ce
must
report
the
measures
for
which
there
is
Medicare
pa1ent
data.
– A
group
prac1ce
must
report
on
at
least
1
measure
for
which
there
is
Medicare
pa1ent
data.
•
CMS
-‐
Cer1fied
Survey
Vendor
– Report
all
CG
CAHPS
survey
measures
AND
report
at
least
6
measures
covering
at
least
2
of
the
NQS
domains
16. Measure
Selec1on
• Individual
Measures
– 110
Claims
Based
Measures
– 201
Registry
Based
Measures
– 64
EHR
Measures
• Group
Measures
– 25
Measures
Groups
• Domains
–
–
–
–
–
–
Clinical
Process
/
Effec1veness
Pa1ent
Safety
Popula1on
/
Public
Health
Efficient
Use
of
Healthcare
Resources
Care
Coordina1on
Pa1ent
and
Family
Engagement
17. Measure
Selec1on
• Which
measures
should
you
choose?
– Difficulty
– Relevance
• Clinical
condi1ons
usually
treated
–
Cardiac,
HTN,
Diabetes,
etc.
• Types
of
care
typically
provided
–
e.g.,
preven1ve,
chronic,
acute
– Best
performance
• 200
standardized
quality
measures
• Meet
50%
threshold
requirement
– Choose
a
PQRS
quality
measure
for
services
that
are
performed
frequently.
(This
is
the
minimum
required
to
prevent
penalty)
• Incen1ve
Payment
or
Avoid
Penalty
18. PQRS
Resources
• hYp://www.cms.gov/Medicare/Quality-‐Ini1a1ves-‐Pa1ent-‐Assessment-‐
Instruments/PQRS/MeasuresCodes.html
– 2014
Physician
Quality
Repor1ng
System
Implementa1on
Guide
– 2014
PQRS
Measures
• QualityNet
Help
Desk:
– Portal
password
issues
– PQRS/eRx
feedback
report
availability
and
access
– IACS
registra1on
ques1ons
–
IACS
login
issues
– PQRS
and
eRx
Incen1ve
Program
ques1ons
• 866-‐288-‐8912
(TTY
877-‐715-‐6222)
7:00
a.m.–7:00
p.m.
CST
M-‐F
or
qnetsupport@sdps.org
You
will
be
asked
to
provide
basic
informa1on
such
as
name,
prac1ce,
address,
phone,
and
e-‐mail