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THE INDEPENDENT MONTHLY NEWSPAPER FOR ANESTHESIOLOGISTS AnesthesiologyNews.com • D e c e m b e r 2 0 1 4 • Volume 40 Number 12
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Penalties for Poor Medicare Quality Reporting Start Now
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tarting in 2015, the small financial incentives associated with voluntary reporting of pay-forperformance measures under Medicare will turn into potentially significant financial penalties for anesthesiologists who do not meet the new mandatory quality reporting requirements. Since 2007, the Centers for Medicare & Medicaid Services (CMS) offered physicians and other “eligible professionals”
Perioperative Surgical Home Lowers Costs, Optimizes Care New Orleans—Judging by the experience of two large hospitals, the perioperative surgical home (PSH) model of care can create substantial cost savings, an important benefit as the idea seeks to be widely adopted. The PSH model is a patient-focused multidisciplinary approach whose goal is to optimize health care value, with anesthesiologists at the head of a multidisciplinary, comprehensive care team. At the American Society of Anesthesiology’s annual meeting in New Orleans, physicians from Kaiser Permanente in California and Ochsner Health System in
see performance page 20
see home page 14
Physicians Versus CRNAs:
Redefining Roles in the Changing Landscape of Health Care Michael DeCicca, MD
labor- and cost-savingg machine that made quality clothing widely available to the public. Heathcote’s machine Anesthesiology Resident, CA-2 deftly wove threads into lace that mimicked the artistry State University of New York Upstate Medical Center of experienced lace-makers; lace-makers who, when Syracuse, New York presented with this new invention, immediately recogn 1816, textile activists attacked and destroyed 55 nized its threat to render their jobs obsolete. In response, the lace-makers and other textile artilace-makingg power looms at the Heathcote factory in Loughborough, England.1 The loom, one sans organized themselves into “Luddites,” a name of many innovative new technologies of the Indus- that has come to describe a group unwilling to adopt trial Revolution, had been introduced recently as a see Luddites? page 22
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CLINICAL ANESTHESIOLOGY
Thoracic ultrasound for checking DLET positioning before one-lung ventilation.
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PAIN MEDICINE
Chronic pain a widespread reality among U.S. military veterans.
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CME: PREANESTHETIC ASSESSMENT
Lesson 313: Preanesthetic Assessment of the Patient With Hyperthyroidism
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POLICY & MANAGEMENT
ASA past-president John Neeld Jr., issues CRNA challenge, gets results.
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BUYER’S GUIDE Winter/Spring 2015 Accompanies this issuee.