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Ben Amirault February 25, The physician shortage has put greater demands on the physician community, leading to more work hours and greater patient workloads.

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High workloads and fatigued physicians can lead to poor patient care and costly medical mistakes. Ben Amirault February 22, The world of medical licensure is similar to a jungle—it can big and hard to navigate without some help.

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One obstacle many of our locum tenens physicia Ben Amirault February 20, The fiscal cliff is back, and this time lawmakers are skeptical that there will be a late night deal to keep the automati Ben Amirault February 18, In , UC Irvine launched its iMedEd initiative, which provided incoming students with fully loaded iPads that students would use throughout their coursework. Ben Amirault February 15, On February 1, CMS released a final rule implementing the Sunshine Act, but a new survey shows most physicians know little about the law. The Sunshine Act requires pharmaceutical and medical device manufacturers to report payments and transfers of value that they make to physicians and teaching hos Ben Amirault February 14, The AMA is encouraging healthcare providers and patients to contact their representatives and urge them to retain Medicare funding for graduate medical education GME programs and increase the number of residency slots.

If Congress does not take action to address the sequester that is scheduled to Ben Amirault February 13, To meet the requirements for Stage 1 of meaningful use, ophthalmologists will need to meet 20 of 25 meaningful use objectives. A full list of the objectives can be found on the CMS website cms. Stage 2 and 3 criteria are still in development.

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Specialists have expressed concern that the objectives seem more applicable to primary-care practices. However, this should not be a concern.

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Chiang, in those cases, specialists are excluded from having to meet those criteria. For example, it would be expected that many ophthalmologists would report a 0 denominator for vital signs.

Polack notes that the details are still a work in progress. They have made a lot of changes to the initial criteria, and there will probably continue to be changes, tweaks, and modifications to them. Lum explains.

Chiang, the EHR companies go to one of the certification bodies and have their system tested. Then, if they pass the test to be certified for meaningful use, ophthalmologists can use one of those systems to qualify for the federal incentive payments. There is really a lot out there that physicians are going to have to keep abreast of. I see a big industry in third-party consulting and practice-management advice.

You want to check references, and you want to talk to practices that have used these. You also want to do a site visit, so you can see how the system is used in true practice.

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Michael V. The practices for which it may not make sense are those that do not do a reasonable amount of Medicare business. Boland says. I liken it to deciding whether you are going to build a new building for your practice.

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You would have to work with people who understood architecture and construction. An EHR project is similar in that it is a fundamental change in your practice. You have to be prepared, and you have to do a lot of planning. They may also start penalizing you for not documenting electronically. Adoption and perceptions of electronic health record systems by ophthalmologists: An American Academy of Ophthalmology survey.

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