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July 2013 Briefing - Ophthalmology

July 2013 Briefing - Ophthalmology

Here are what the editors at HealthDay consider to be the most important developments in Ophthalmology for July 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Health 'Mutual Accountability' Pilot Program Launching

WEDNESDAY, July 31 (HealthDay News) -- The State of Oklahoma Office of Management and Enterprise Services has chosen MedEncentive to conduct a three-year heath improvement program pilot among HealthChoice beneficiaries.

More Information (https://www.i2e.org/news/medencentive-selected-for-pilot-program/ )

Reversal of Medical Practices Common Over Past Decade

TUESDAY, July 30 (HealthDay News) -- Over 100 contemporary medical practices have subsequently been reversed over the last 10 years, according to a review published online July 22 in Mayo Clinical Proceedings.

Abstract (http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900405-9/abstract )Full Text (http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900405-9/fulltext )Editorial (http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900403-5/fulltext )

IOM Confirms Geographic Variation in Health Spending

THURSDAY, July 25 (HealthDay News) -- Considerable geographic variation exists in health care spending and utilization, but a geographically-based value index is unlikely to promote value improvement, according to a report published July 24 by the Institute of Medicine.

More Information (http://www.iom.edu/Reports/2013/Variation-in-Health-Care-Spending-Target-Decision-Making-Not-Geography.aspx )

Docs Need to Follow Patients' Lead, Embrace Social Media

WEDNESDAY, July 24 (HealthDay News) -- As more patients discuss and manage their health care online, doctors need to keep up and use social media, according to a report published by the American Medical Association (AMA).

More Information (http://www.amednews.com/article/20130722/business/130729980/7/ )

U.S. Physicians Not Supportive of Changes in Payment Models

TUESDAY, July 23 (HealthDay News) -- U.S. physicians accept some responsibility for reducing health care costs in their practice, but most do not want to change payment models, according to research published in the July 24/31 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1719740#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1719740 )

Pros and Cons of Electronic Cigarette Regulation Discussed

TUESDAY, July 23 (HealthDay News) -- The pros and cons of electronic cigarette (EC) regulation are discussed in to two editorials published online July 23 in The Lancet Respiratory Medicine.

Editorial 1 (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70160-7/fulltext )Editorial 2 (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70124-3/fulltext )

Tablets Help Physicians Keep Up With Medical Research

MONDAY, July 22 (HealthDay News) -- Most physicians find keeping up with the latest research to be challenging, but the use of tablets and smartphones may help, according to a report published by Wolters Kluwer Health.

More Information (http://www.wolterskluwerhealth.com/News/Documents/White%20Papers/Wolters%20Kluwer%20Health%20Physician%20Study%20Executive%20Summary.pdf )

Premiums Expected to Be About 20 Percent Lower in 2014

MONDAY, July 22 (HealthDay News) -- Premiums in the Health Insurance Marketplace are likely to be about 20 percent lower than anticipated in 2014, according to a report published by the U.S. Department of Health and Human Services (HHS).

More Information (http://www.hhs.gov/news/press/2013pres/07/20130718a.html )

Socioeconomic Disparities Linked to Use of Eye Care

FRIDAY, July 19 (HealthDay News) -- People with age-related eye disease such as cataracts or glaucoma are less likely to see an eye care provider if they are in a low socioeconomic position, according to research published online July 18 in JAMA Ophthalmology.

Abstract (http://archopht.jamanetwork.com/article.aspx?articleid=1713563#Abstract )Full Text (subscription or payment may be required) (http://archopht.jamanetwork.com/article.aspx?articleid=1713563 )

Top Challenges for Docs Include Financial Management

FRIDAY, July 19 (HealthDay News) -- The top issues and challenges facing physicians include managing changing reimbursement models with payors and financial management, according to a report published by Wolters Kluwer Health.

More Information (http://www.wolterskluwerhealth.com/News/Documents/White%20Papers/Wolters%20Kluwer%20Health%20Physician%20Study%20Executive%20Summary.pdf )

Missed Diagnoses, Med Errors Most Common Malpractice Claims

FRIDAY, July 19 (HealthDay News) -- The most common medical misadventures resulting in malpractice claims in primary care are missed or delayed diagnoses and medication errors, according to a review published online July 18 in BMJ Open.

Full Text (http://bmjopen.bmj.com/content/3/7/e002929.full )

Financial Incentives Can Drive Health IT Adoption

WEDNESDAY, July 17 (HealthDay News) -- Financial incentives can drive providers' adoption of health information technology, including e-prescribing, according to a study published in the July issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/7/1221.abstract?=right )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/7/1221.full )

Redesign of Medical Education Needed for Chronic Disease Era

TUESDAY, July 16 (HealthDay News) -- Medical education programs should be redesigned to address the current complex chronic disease era, with emphasis on appropriate basic sciences and clinical skills, according to a special communication published online July 15 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1713510 )

CMS Medicare Physician Fee Schedule Could Benefit Docs

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services has released the 2014 proposed Medicare physician fee schedule, which could help create a more equitable payment system by adjusting misvalued codes and proposing new complex management codes, according to a report published by American Academy of Family Physicians.

More Information (http://www.aafp.org/news-now/government-medicine/20130710feeschedule2014.html )

Improvements Made to CMS Online Directory of Physicians

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) has reworked and redesigned their online directory of physicians (Physicians Compare) after errors were discovered throughout the site.

More Information (http://www.amednews.com/article/20130708/government/130709925/4/ )Physician Compare (http://www.medicare.gov/physiciancompare/search.html?AspxAutoDetectCookieSupport=1 )

EHRs May Slow Growth in Ambulatory Health Care Costs

MONDAY, July 15 (HealthDay News) -- Adoption of electronic health records (EHRs) modestly slows growth in ambulatory health care costs, according to research published in the July 16 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1709804 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1709807 )

More Job Opportunities Available for Physicians

MONDAY, July 15 (HealthDay News) -- More than half of physicians are receiving up to three employment solicitations per week, according to a report published by American Medical Association (AMA).

More Information (http://www.amednews.com/article/20130708/business/130709921/1/ )

CMS Proposes New Rule for Outpatient Payment Policies

MONDAY, July 15 (HealthDay News) -- A new rule proposes updating Medicare payment policies and rates for the hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) services, according to a report issued by the Centers for Medicare and Medicaid Services.

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2013-Fact-Sheets-Items/2013-07-08-3.html )

Review Identifies Risk Factors for Comitant Strabismus

FRIDAY, July 12 (HealthDay News) -- Risk factors for strabismus include low birth weight, prematurity, retinopathy of prematurity, smoking during pregnancy, anisometropia, hyperopia, and genetic factors, according to a review published online July 11 in JAMA Ophthalmology.

Abstract (http://archopht.jamanetwork.com/article.aspx?articleid=1710519#Abstract )Full Text (subscription or payment may be required) (http://archopht.jamanetwork.com/article.aspx?articleid=1710519 )

Physicians Frustrated by Third-Party Interference

FRIDAY, July 12 (HealthDay News) -- Third-party interference is the most commonly cited key frustration for physicians, according to the results of a survey published in Physicians Practice.

More Information (http://www.physicianspractice.com/blog/doctors-voice-biggest-frustrations-practicing-medicine )

AMA Offers Guidance for Improving EHR Effectiveness

FRIDAY, July 12 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has voted for policies to help physicians navigate patient interaction while using electronic devices and to improve the interoperability of electronic health records (EHRs).

More Information (http://www.amednews.com/article/20130701/house/130709957/7/ )

Phone Call OK Instead of Visit for Routine Post-Op Follow-Up

FRIDAY, July 12 (HealthDay News) -- A telephone visit can be safely substituted for the standard clinic visit as postoperative follow-up for certain types of ambulatory surgery, and most patients report a high degree of satisfaction, according to research published online on July 10 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1710512 #Abstract )Full Text (http://archsurg.jamanetwork.com/article.aspx?articleid=1710512 )Editorial (http://archsurg.jamanetwork.com/article.aspx?articleid=1710510 )

Grants of $150 Million for Community Health Centers

THURSDAY, July 11 (HealthDay News) -- Grants totaling $150 million are to be shared by 1,100 community health centers to help enroll patients in insurance programs, according to the U.S. Department of Health and Human Services (HHS).

More Information (http://www.hhs.gov/news/press/2013pres/07/20130710a.html )

Health Searches May Be Leaked to Third Parties

THURSDAY, July 11 (HealthDay News) -- Free health-related websites often have third-party tracking elements and leak search terms to third-party tracking entities, unlike U.S. government or physician-oriented websites, according to a research letter published online July 8 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1710119 )

U.S. Adults Value Health Care Provider Skill Evaluation

THURSDAY, July 11 (HealthDay News) -- Most adults feel that health care providers who treat them should adhere to a recertification program, including passing examinations, attending educational programs, and undergoing certification, regardless of time in practice, according to a report published by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) and the Citizen Advocacy Center.

More Information (http://www.nbcrna.com/about-us/announcements/Pages/Press-Release-Public-Survey-on-Healthcare-Providers.aspx )

Docs Don't Often Talk to Patients About Dietary Supplements

THURSDAY, July 11 (HealthDay News) -- Although primary care physicians are discussing dietary supplements with patients during outpatient visits, these exchanges happen infrequently, according to research published in the June issue of Patient Education and Counseling.

Abstract (http://www.pec-journal.com/article/S0738-3991(13)00049-9/abstract )Full Text (subscription or payment may be required) (http://www.pec-journal.com/article/S0738-3991(13)00049-9/fulltext )

Low-Income Patients Prefer Hospital to Outpatient Care

THURSDAY, July 11 (HealthDay News) -- Patients in low socioeconomic groups who live in urban settings report that they prefer hospital care to ambulatory care because it is less expensive, more accessible, and superior in quality, according to research published in the July issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/7/1196.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/7/1196.full )

One in Five U.S. Adults Will Have Trouble Paying Medical Bills

THURSDAY, July 11 (HealthDay News) -- About one in five U.S. adults will have problems paying health care bills in 2013, including about 10 million adults with year-round insurance coverage, according to a report published by the American Medical Association (AMA).

More Information (http://www.amednews.com/article/20130708/business/130709932/6/ )

In 2010, Blood Transfusion Most Frequent Hospital Procedure

THURSDAY, July 11 (HealthDay News) -- The most frequent procedure performed during hospitalization in 2010 was blood transfusion, which was common among all age groups except for infants, according to the Agency for Healthcare Research and Quality (AHRQ).

More Information (http://www.hcup-us.ahrq.gov/reports/statbriefs/sb149.pdf )

Quality Metrics Play Small Role in Physician Compensation

THURSDAY, July 11 (HealthDay News) -- Quality measures play a small but emerging role in physician compensation, according to a report published by the Medical Group Management Association (MGMA).

More Information (http://www.mgma.com/press/default.aspx?id=1374705 )

Red Cross Issues Emergency Call for Blood Donors

THURSDAY, July 11 (HealthDay News) -- The American Red Cross has issued an emergency request for blood and platelet donors of all blood types, according to report posted July 9.

More Information (http://www.redcross.org/news/article/Red-Cross-Issues-Emergency-Call-for-Blood-and-Platelet-Donors )

Improvement Needed in Drug Post-Marketing Studies

WEDNESDAY, July 10 (HealthDay News) -- Since the requirement in 2007 that drug makers conduct post-marketing studies, the number of studies not yet started has declined while the number of studies fulfilling obligations has nearly doubled, according to a report published in the July 10 issue of the Journal of the American Medical Association. However, more than 40 percent of studies had not yet been started in 2011, and the number of studies with delays doubled as of 2011.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1710442 )

Tablets More Useful Than Smartphones for Docs Using EHRs

WEDNESDAY, July 10 (HealthDay News) -- Although tablets are less often used by physicians than smartphones, they are more frequently used for accessing electronic health records (EHRs), and time spent on tablets is much higher, according to two reports published by AmericanEHR Partners.

More Information (http://www.americanehr.com/about/News/13-06-12/Survey-of-Physicians-Suggests-Tablets-More-Useful-Than-Smartphones.aspx )

Health Insurance Marketplaces Not Required to Verify Claims

WEDNESDAY, July 10 (HealthDay News) -- Health insurance marketplaces will not be required to verify consumers' income and health insurance status and can rely on self-reported information, the Obama administration announced Friday.

More Information (https://s3.amazonaws.com/public-inspection.federalregister.gov/2013-16271.pdf )

Digital Divide Plagues Underserved Areas

TUESDAY, July 9 (HealthDay News) -- Electronic health record (EHR) adoption is uneven, with traditionally underserved areas having lower adoption rates across the United States, according to a study published online June 26 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12078/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12078/full )

Adoption of Electronic Health Records Is Progressing

TUESDAY, July 9 (HealthDay News) -- In 2012, 44 percent of hospitals reported having at least a basic electronic health record (EHR), according to an annual report published by the Robert Wood Johnson Foundation.

More Information (http://www.rwjf.org/content/dam/farm/reports/reports/2013/rwjf406758 )

Rural Program Affects Choice of Surgical Practice

TUESDAY, July 9 (HealthDay News) -- Surgical residents who complete a rural surgery rotation are much more likely to enter general surgery practice and practice in a rural area, even if they had initially planned to specialize, according to research published online July 3 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1703094 #Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1703094 )

USPSTF Finds Evidence Lacking for Glaucoma Screening

MONDAY, July 8 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that there is currently insufficient evidence to weigh the benefits and harms of screening for primary open-angle glaucoma among adults without vision symptoms, according to a Recommendation Statement published online July 9 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1707740 )

Practices Are Not Ready for Implementation of ICD-10

MONDAY, July 8 (HealthDay News) -- Most practices are not ready for implementation of the International Classification of Diseases, Tenth Revision (ICD-10), according to a report published by the Medical Group Management Association (MGMA).

More Information (http://www.mgma.com/press/default.aspx?id=1374754 )

Obama Administration: ACA's Employer Mandate Delayed

WEDNESDAY, July 3 (HealthDay News) -- The Obama Administration is postponing a major Affordable Care Act (ACA) provision, the employer mandate, according to an announcement made Tuesday via the U.S. Department of the Treasury website.

More Information (http://content.govdelivery.com/accounts/USTREAS/bulletins/81ec04?mkt_tok=3RkMMJWWfF9wsRojuazOZKXonjHpfsX56esqUaSzlMI%2F0ER3fOvrPUfGjI4HTMdhI%2BSLDwEYGJlv6SgFT7nNMbh23rgNWRE%3D )

More Than 40 Percent of Docs Report Work Dissatisfaction

WEDNESDAY, July 3 (HealthDay News) -- Many physicians are dissatisfied and are unlikely to recommend the medical profession to young people, according to a report published by Jackson Healthcare.

More Information (http://www.jacksonhealthcare.com/media/191888/2013physiciantrends-void_ebk0513.pdf )

Docs Impact Comparative Effectiveness Research Opinion

TUESDAY, July 2 (HealthDay News) -- Doctors' support of comparative effectiveness research (CER) influences public opinion and has a greater impact on public opinion than cues from political players, according to research to be published this fall in the Journal of Health Politics, Policy and Law.

Full Text (http://orion.luc.edu/~ddoherty/documents/Doctors_Know_Best.pdf )

Collapsible Laundry Hampers Can Cause Severe Eye Injuries

MONDAY, July 1 (HealthDay News) -- Exposed wire in collapsible cloth laundry hampers can cause penetrating eye injuries in children, according to research published online July 1 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/06/26/peds.2012-3169.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/06/26/peds.2012-3169.full.pdf+html )

Diabetic Retinopathy Severity Inversely Tied to Cognition

MONDAY, July 1 (HealthDay News) -- For patients with type 2 diabetes, the severity of diabetic retinopathy (DR) is inversely linked to cognitive impairment, according to a study published online April 30 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/04/30/dc12-2141.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/04/30/dc12-2141.full.pdf+html )