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Telemedicine Education for Healthcare Professionals

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Telemedicine education

Tanya Mack of Womens Telehealth

Telemedicine Education for Healthcare Professionals

This week Tanya Mack hosted Aneel Irfan, of Telehealth Magazine, to talk about telemedicine education for healthcare professionals.  American healthcare is transforming and telemedicine will be a critical part of it going into the future.  Research, medical information and consults are now delivered instantly across large geographic distances.

Telemedicine has been transformed from a novelty way to provide patient care to a booming industry. Current healthcare professionals are the 1 st generation of “Digital Natives”, who are well versed in incorporating technology into their daily interactions. They are in a position to apply these advances
into the patient care arena.

However, formal, systematic training will be required to get on pace with telemedicine encounters being “on par” with in-person, traditional patient care. Today, our segment will be exploring the question: “How do we begin training healthcare professionals to maximize the potential of telemedicine?” Listen in as our guest, Aneel Irfan; from the industry’s premier publication,
Telehealth Magazine, discusses his thoughts in this area.

Special Guest:

Aneel Irfan, Contributing Editor, Telehealth Magazine

Autism Spectrum Disorder

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autism

Caitlin Delfs

Womens Telehealth Logo

Autism Spectrum Disorder

The CDC estimates that the prevalence of Autism Spectrum Disorders (ASD) in the US is approximately
1:68 children. ASD affects more males (1:42 ) than females (1:189). ASD is a class of neurodevelopmental conditions including: interaction difficulties, communication and language impairments, and repetitive behaviors.

The average of at ASD diagnosis is around 4 years of age, but can be diagnosed much earlier.  Recent studies suggest that there is a gap between the number of children diagnosed with ASD and those
receiving services to treat ASD. Yet- we know early intervention helps children with ASD progress. Our
segment today focuses on the latest in ASD intervention and how technology has impacted the field. Top national expert, Dr. Caitlin Delfs, from the Marcus Autism Center joins us to provide the latest in ASD information and research findings.

More info soon!

 

HealtheParadigm

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health information exchanges

Susan Moore and Laura McCrary

HealtheParadigm

I hosted a special edition of Top Docs Radio with MAG this week, to talk about healthcare information exchanges with MAG’s Susan Moore, and Laura McCrary, SVP of KaMMCO Health Solutions (KHS) and the executive director of the Kansas Health Information Network, Inc. (KHIN).

KHIN is a non-profit organization that provides health information exchange technology services to over 1,350 health care organizations throughout Kansas. KHS incorporates the KHIN formula for success with the valuable lessons learned and provides health exchange information and analytics services to physician-led organizations across the nation.  Laura has been instrumental in developing the new HealtheParadigm health information network that is available in Georgia.

Susan Moore is the Medical Association of Georgia’s Director of Third Party Payer and Health Policy. She will serve as MAG’s primary contact for HealtheParadigm.

MAG and KaMMCO Health Solutions (KHS) have established a partnership that is called HealtheParadigm that is transforming the state’s health care system with a health IT solution that enables physicians to generate sophisticated patient data reports that they can use to improve outcomes and fulfill the new quality-based payer metrics.

It features a private, statewide health information network that participating physicians can use to share key patient data. HealtheParadigm will appeal to a lot of physicians and other health care providers who have remained on the sidelines because they haven’t found the right ‘fit’ given the options that are currently available in Georgia.

With the new alternative payment models that have been developed by CMS as a result of federal law – including the Merit-based Incentive Payment System (MIPS) and a number of Advanced Alternative Payment Models (APMs) – it is imperative for physicians to be able to secure and submit the data they need to demonstrate they are delivering quality care.

Physicians who participate in the HealtheParadigm network will have access to actionable, real time data and meaningful reports which can help identify high-risk patients and chronic disease populations and improve patient outcomes through enhanced care coordination.  Physicians have indicated they want a proven technology for connectivity that also delivers actionable intelligence while also providing patients with access to their own health data.

This new suite of health information tools not only provides physicians with seamless, real-time access to their patient’s full longitudinal medical record at the point of care but also prepares them for the transition to the MACRA/MIPS alternative payment models.  MAG has established a HealtheParadigm advisory committee that consists of physicians and MAG’s executive director, Donald J. Palmisano Jr.

Physicians can contact Susan Moore with MAG at smoore@mag.org or 678-303- 9275 for details on how to begin using HealtheParadigm.

Special Guests:

Susan Moore, Director of Third Party Payer and Health Policy, Medical Association of Georgia

linkedin_small1  twitter_logo_small-e1403698475314  facebook_logo_small3

Laura McCrary, EVP, KaMMCO Health Solutions  linkedin_small1
Executive Director, Kansas Health Information Network

 

Author Dr. Jay Faber and Enduring Hearts

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Ankur Chatterjee

Ankur Chatterjee

Author Dr. Jay Faber and Enduring Hearts

Founded as a nonprofit organization in 2013, the mission of Enduring Hearts is to fund research that both increases the longevity of pediatric heart transplants and improves the quality of life for transplant recipients. The results of funded research projects contribute to the clinical and scientific knowledge about many important aspects of organ transplantation, e.g. the mechanisms of long-term organ deterioration, the consequences of tissue injury, and opportunities to intervene, postpone, and eliminate these rejection processes.

Executive Director for Enduring Hearts, Ankur Chatterjee joined me to talk about how the organization got its start and what it hopes to achieve by supporting research that will help extend the life

Dr. Faber is a veteran children’s and adult psychiatrist on staff at the Amen Clinic in Atlanta and in Costa Mesa, California.  He has written a book entitled “Escape: Rehab Your Brain to Stay out of the Legal System,” so he’ll be talking about this publication and how he believes this will be a game-changer for those who find themselves constantly getting into trouble with the law, often to the point of incarceration.

I was surprised to hear that as many as 85% of incarcerated Americans suffer from some form of substance abuse/addiction and many also face mental illness.  Dr. Faber’s book shares a road map for people who are dealing with substance abuse/addiction to be able to have a greater chance of recovery.

Minimally-invasive Gynecologic Surgery

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minimally-invasive

Tanya Mack and Dr. Hugo Ribot of Cartersville OB-GYN

Womens Telehealth Logo

Minimally-invasive Gynecologic Surgery

The field of women’s health has had some remarkable advancements in recent years – well even recent
months! Although there have been many advancements in women’s health, today’s show will focus on
three areas we have additional resources for here in Georgia: Laparoscopic Surgery, Maternal Fetal
Telemedicine in the OB office and Zika virus recommendations for pregnant women.

In this US, 1:9 women are expected to have a hysterectomy in their lifetime, mostly for benign disease. Technology advancements have now made it possible for MFM specialists to bring high risk care directly into the OB office vs. the patient traveling to a tertiary care center and well – the Zika virus has come to our communities in the US. Dr. Hugo Ribot has been a premier Georgia OB/GYN for over 20 years and has continued to be a top GYN surgeon and forward thinking obstetrician outside of the metro Atlanta area.

Time to get informed on what’s new in women’s health!

Special Guest:

Dr. Hugo Ribot, MD, Cartersville OB/GYN Associates  linkedin_small1

minimally-invasive

Dr. Hugo Ribot

Infertility

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infertility

Dr. Dorothy Mitchell-Leef

Infertility

This week Tanya hosted Dr. Dorothy Mitchell-Leef, MD, a long-time expert in infertility.  Respected in her field, she has helped parents give birth to over 8,000 babies.  Tanya and Dr. Mitchell-Leef discussed some of the common causes of infertility, along with treatments available today, which have significantly improved the likelihood of mothers successfully conceiving a child when they were initially having trouble.

More information soon!

 

Transition to MIPS

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Dr. Ame

Transition to MIPS

On this week’s MAG episode, I hosted Dr. Adrienne Mims, Vice President and Chief Medical Officer, Medicare Quality Improvement for Alliant Quality, to talk about the transition to the Merit-based Incentive Payment System (MIPS).

Adrienne Mims, M.D., MPH, is the vice president and chief medical officer for Alliant GMCF. Board certified in family medicine and geriatrics, she has more than 30 years of primary care, consultative and home care geriatric experience. Dr. Mims serves on a number of boards, including the American Health Quality Association (the trade association for Medicare Quality Improvement Organizations), the Georgia Academy of Family Physicians, and the PCPI (the national organization that develops quality measures for all specialties).

In addition, the MAG member serves on the NCQA Geriatric Measurement Advisory Panel and the NCQA Clinical Programs Committee.  Dr. Mims was the medical director of the Georgia Medicaid Management Program, and she was the director of prevention health promotion and research with The Southeast Permanente Medical Group in Atlanta.

Dr. Mims completed her undergraduate training at George Washington University, her medical school at Stanford University, her residency at the Martin Luther King Jr./Charles Drew Medical Center, and her geriatric fellowship at the West Los Angeles VA. She also has an MPH in epidemiology from UCLA. It is imperative for medical practices to make a successful transition to Medicare’s new Merit-based Incentive Payment System (MIPS).

Instead of the EHR (Electronic Health Record) or the PQRS (Physician Quality Reporting System) or the Value-based Payment Modifier programs, the government will employ a single payment platform
– which is the result of the Medicare Access and CHIP Reauthorization Act (MACRA) that was signed into law in 2015. The new payment model will be based on a 100-point MIPS Composite Performance Score. That CPS will determine your Medicare payment adjustment – either up or down.

This is scheduled to commence in 2019, and the Centers for Medicare and Medicaid Services will use the 2017 calendar year as the basis for the initial reimbursement – keeping mind this is not an optional process.

Special Guest:

Dr. Adrienne Mims, Vice President and Chief Medical Officer, Medicare Quality Improvement, Alliant Quality

 

Maternal Fetal Medicine via Telehealth

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maternal-fetal medicine

Dr. C. Anne Patterson

maternal-fetal medicine

Tanya Mack

Maternal Fetal Medicine via Telehealth

Women’s Telehealth’s Tanya Mack, interviews the company’s CEO and Medical Director, Dr. C. Anne Patterson, discussing maternal-fetal medicine as a specialty, and how they are now able to capitalize on telemedicine technology to deliver high-risk maternity care to a wider patient population.

Maternal fetal medicine is rare sub-specialty of obstetrics which delivers high risk obstetric care. These
specialists manage complex complications of pregnancy such as: multiple gestations, chronic medical
conditions during pregnancy, gestational diabetes and fetal abnormalities. The CDC and March of Dimes both estimate that in 2015 in the US, approximately 1:10 babies in the US are born prematurely.

GA ranks 50/50 for maternal death and 42/50 for infant mortality. Getting access to maternal fetal medicine services is often difficult as there are only about 1200 MFM physicians in the US and most are not located in rural areas.

Clearly, there is a need for many physicians of different specialties in rural areas and maternal-fetal medicine is one of them.  OB practices and hospitals in these areas can engage with Womens Telehealth to be able to help these patients avoid having to spend long travel times in cars to be seen by these needed specialists.  This allows them to stay closer to home and receive care in their local community.

But this solution has value for urban practices as well.  There are very few maternal-fetal specialists nationwide—only ~20 or so in Georgia.  By deploying the Womens Telehealth solution, these city-based groups and hospitals can also provide access to this specialty care for their patients, preventing potential loss of the patient to other facilities/groups in the community that do have maternal-fetal specialists on campus.

Special Guest:

Dr. C. Anne Patterson, CEO/Medical Director, Womens Telehealth

Talking Compliance

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compliance

Liz Schoen

Talking Compliance

On this week’s episode with Medical Association of Georgia, healthcare law expert, Liz Schoen stopped by to share information regarding compliance with current healthcare law and regulations on Top Docs Radio.

Liz Schoen has more than 25 years of experience in the health care field. She serves as a legal and business advisor for health care providers and businesses. Schoen began her legal career as an assistant regional counsel for the U.S. Department of Health, Human Services in Atlanta. Later, she served as the general counsel and chief compliance and privacy officer at the Harbin Clinic – a large multi-specialty, physician-owned medical practice in northwest Georgia.

While there, she was responsible for advising the executive team, board of managers, physicians, and staff on a variety of federal and state complex legal and regulatory matters related to health care and compliance. Schoen drafted, reviewed, and negotiated the majority of contracts for the organization as well as developing and enhancing its compliance and privacy programs and protocols.

She also worked as hospital counsel for the Shepherd Center in Atlanta, and she was the vice president of compliance and assistant general counsel for the Georgia Hospital Association. Schoen has a law degree from Emory University School of Law.

Complying with the staggering number of complex federal and state laws and regulations is a daunting task for physicians and their staff, regardless of the medical practice’s size. Distinguishing between marketing “hype” from outside consultants versus practical reality is another challenge faced when trying to allocate proper resources that don’t appear to directly impact patient care.

The first step for medical practices is understanding what compliance issues are and how they pose risk to their practice. The laws continuously change and the next step is understanding how and where to prioritize staff time and resources. Lastly, physicians and their staff need to understand what best practices are and compare such best practices to what is in their own shop and proactively develop solutions to fill-in any gaps.

Special Guest:

Liz Schoen, Attorney, E.S. Schoen & Affiliates

compliance

 

 

Legal Considerations in Telemedicine

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telemedicine

Bill Boling, Mason Reid

telemedicine

Tanya Mack

Legal Considerations in Telemedicine

This week, Tanya hosted healthcare and telemedicine legal experts, Bill Boling and Mason Reid, of Boling and Company, to talk about legal considerations in telemedicine.

Affordable, quality telemedicine is on almost everyone’s mind! Telemedicine is a tool that is being used more frequently to provide access when and where needed and to decrease costs. One analyst recently predicted that 2020, the telemedicine market would be worth $36B dollars.

Although technology improvements have enable a new generation of telemedicine services, policy makers have been slower to adopt telemedicine.  Recently, however, a number of telemedicine related bills have been introduced that could fuel escalated telemedicine adoption by patients, payers and providers.

Bill and Mason discussed such topics as parity law, telemedicine informed consent, provider licensure requirements, telepresenter regulations, provider-patient encounter requirements, security and telemedicine clinical standards of care.

Special Guests:

Bill Boling, Founder, Boling and Company

 

Mason Reid, Associate, Boling and Company