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October 22, 2007

DEVELOPMENTAL PEDIATRIC CLINIC ANNOUNCES APPOINTMENT POLICY: Due to a continued long wait for a new patient appointment, developmental pediatrics will remain closed to new patient referrals until January 1, 2008. This affects referrals made to Eileen Kasten, MD, and Cecilia Rivera-Amisola, MD, for children 5 years old and younger. John Pascoe, MD, MPH, will continue to accept new patient referrals for school-aged children with attention deficit disorders and Dr. Kasten will continue to accept referrals for Down syndrome patients. For assistance in identifying alternative sources of care, please call the developmental pediatrics clinic at 937-641-4073. If you have any questions, please contact Lisa Coffey at 937-641-3374.

THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) ANNOUNCES NEW EXCEPTIONS TO PAYMENT: In August 2007, CMS announced that effective October 1, 2008, CMS would no longer pay "extra for specific conditions that could generally be avoided if the hospital followed proven preventive procedures or common sense precautions." Currently CMS pays hospitals based upon DRGs. If the patient experiences a complication such as a catheter related UTI, there is a modifier that increases the payment. For eight conditions, CMS will no longer pay the higher rate, but they will still pay for the basic condition. The eight new conditions are:

  • Serious preventable event:  object left in at surgery (eg, lap sponge)
  • Serious preventable event:  air embolism
  • Serious preventable event:  blood group incompatibility
  • Catheter-associated UTI
  • Pressure ulcers
  • Vascular catheter-associated infections
  • Mediastinitis after coronary artery bypass graft
  • Hospital-acquired injuries:  fractures, dislocations, burns

Of note, CMS plans to add three more conditions for FY 2009, including ventilator-associated pneumonia, staphylococcus aureus sepsis and DVT/PE. CMS has yet to codify the exclusionary conditions for these criteria such as excluding patients with prolonged neutropenia from the vascular catheter-associated infections carve out. CMS adapted some of the criteria from the AHRQ patient safety indicators, CMS chose to omit the exclusionary criteria that the expert panel created for AHRQ. This is likely to have a significant financial impact on hospitals and ultimately on physicians. Stay tuned for more information. Questions? Call Tom Murphy at 937-641-5871.

PROFESSIONAL STAFF COMBINED MEETING: The next professional staff meeting will be at NCR Country Club on November 6, 2007 at 6:00 pm. This will be a town hall meeting with updates to the professional staff on items such as hospital construction projects, physician recruiting, EPIC, service expansion to the south, testing centers and professional staff elections. David Kinsaul, president and chief executive officer, will provide an administrative update as well as answer questions. Save the date.

PROFESSIONAL STAFF PARKING LOT: We have made changes to ease access to the parking lot outside the laboratory entrance. I need some feedback. Please respond to the following statement and either e-mail me or fax the result to 937-641-5954.

Statement: It is now easy to access the professional staff parking lot.

  • 1. Absolutely disagree
  • 2. Somewhat disagree
  • 3. Neutral
  • 4. Somewhat agree
  • 5. Absolutely agree

If you answer with 1 or 2, please comment upon recommended changes/improvements.


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