HealthLeaders Media PhysicianLeaders - October 22, 2009 | The SGR Lives, For Now View as a Webpage | Subscribe for Free
The SGR Lives, For Now
Elyas Bakhtiari, Managing Editor

The future of physician reimbursement is now officially tied to the outcome of healthcare reform efforts. Yesterday, the Senate failed to garner enough votes to overcome the filibuster of S.1776, known as the Medicare Physician Fairness Act, which would have eliminated the 21% Medicare physician reimbursement cut set to take effect in 2010. Unless additional legislation is introduced, the only remaining hope for eliminating the cuts mandated by the Sustainable Growth Rate formula is in HR 3200, the House healthcare reform bill. [Read More]
  October 22, 2009

Editor's Picks
What do physician leaders think?
The 2010 edition of the HealthLeaders Media Industry Survey for Physician Leaders is now open online at Included this year are new questions that seek your thoughts on service lines, the HIT stimulus package, and healthcare reform efforts, among others. Plus, we build on key benchmark questions from last year, checking on your top priorities and your assessment of key healthcare initiatives. This comprehensive survey should take about 14 minutes to complete. Be sure to provide contact information and we'll enter your name in a drawing for a $1,000 gift card. [Take the Survey Now]
Lack of Physician Participation is Hindering Quality Efforts
Time constraints, financial pressures, and a waning sense of obligation to hospitals are hindering physician participation in hospital quality improvement efforts, according to a study by the Center for Studying Health System Change. The report recommends three strategies to improve physician engagement: 1) Focus on a limited number of programs that demonstrate the most promise, 2) create mechanisms to better use data, and 3) establish financial and other incentives, such as gainsharing, to improve physician involvement. [Read More]
Poll: Mass. doctors support healthcare overhaul law
Massachusetts is used as a bellwether for national healthcare reform by both its opponents and supporters, so this poll is worth pointing out. Doctors in Massachusetts support the state's 2006 overhaul by a 5-to-1 margin, and three-quarters of the 2,135 physicians surveyed said they wanted the law to continue. Half of physicians thought there should be changes, but only 7% wanted the law repealed. The overhaul has taken some heat because of access problems and physician shortages in the state, but it looks like physicians as a whole are happy with it. [Read More]
Med school enrollment up 2%
First-year enrollment in the nation's medical schools rose this year by 2% over 2008 to nearly 18,400 students, according to data released by the American Association of Medical Colleges. Any increase is good news for a system preparing for expanded access, but Darrell G. Kirch, MD, AAMC president and CEO, noted that residency slots must be expanded in order to really change the physician workforce. "We must also increase the number of residency training slots to prevent a bottleneck in the pipeline of new physicians, and ensure access to care for the millions of Americans who hopefully will attain coverage under healthcare reform." [Read More]
Business Rx
Linking CME to Performance Improvements
Continuing medical education is becoming more aligned with performance improvement. Although meeting new ACCME requirements sounds daunting, small changes can make a big difference. [Read More]
Physician News
The Future of Nursing is Up for Debate
Rebecca Hendren, for HealthLeaders Media - October 22, 2009
Steps to greater accountability in medical education
New York Times - October 21, 2009
The Anti-Dartmouth: Study Says Spending More Results In Lower Mortality
Cheryl Clark, for HealthLeaders Media - October 20, 2009
Divorce of San Francisco medical groups plays out in ads
San Francisco Chronicle - October 19, 2009
Merck starts revealing payments to doctor-speakers
Associated Press - October 20, 2009

Audio Conferences/Webcasts
November 17, 2009: Service Lines Strategies Workshop 2009: Stroke Care
November 10, 2009: RAC Strategy: Preserve Margin, Prevent Take-backs, Promote Alignment
October 29, 2009: Flexible Medical Staff Models of the Future

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From HealthLeaders Magazine
Care Team Architecture
HealthLeaders October 2009
Creativity and flexibility count, sure. But underlying the successful care team design is a foundation of essential and lasting values. [Read More]
Service Line Management
State of Emergency
The nation's emergency departments are feeling the effects of the economic downturn, but innovations in patient throughput and other strategies offer hope for a beleaguered system. [Read More]
PhysicianLeaders Forum

International Medical Graduates Key to Solving the Physician Shortage: Contributor Carl Shusterman argues that it is time to consider opening U.S. medical practice to physicians who have trained elsewhere if we want to solve the physician shortage. [Read More]
Audio Feature

Physicians, Patients, and PHRs: Larry Garber, MD, medical director of informatics at Fallon Clinic in Worcester, MA, talks about his experiences implementing a personal health record system and how it has affected physician-patient relationships. [Listen Now]
Sponsor PhysicianLeaders

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Resources From HealthLeaders Media

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