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TRG Updates

1/6/2012: New Report Shows Hospital Incident Reporting Systems Don’t Show Most Patient Harm

A new report has just been released by the office of the Inspector General for HHS entitled “Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.” The report, available as a PDF download (external link), showed that while the systems were relied upon heavily by administration

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12/27/2011: Happy Holidays and a New Meeting

We hope everyone had, and are having, safe and enjoyable holidays. We wish you all the best in the upcoming year. In the new year, we recommend that you consider attending the 9th Annual Joint Conference of the Southeastern Safety and Security Healthcare Council and North Carolina

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12/7/2011: Toolkit to Reduce Medication Error

The Agency for Healthcare Research and Quality just put out a new toolkit to reduce medication errors in hospital environments. The kit takes the form of a detailed checklist that covers from obtaining management / leadership buy-in through how to implement the improved hand-off program, to evaluating

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10/20/2011: CMS Issues Final Rule Establishing ACOs

CMS has released the final rule today establishing Accountable Care Organizations. The Rule is effective in 60 days. The entire rule is available online (external link, PDF). The summary from CMS reads as follows: This final rule implements section 3022 of the Affordable Care Act which contains

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10/18/2011: CMS Removes 30-minute Med. Administration Window

In a change to the Interpretive Guidelines for Hospitals, CMS now says hospitals must adopt medication administration policies and procedures that are based on accepted standards of practice. Click here to view CMS’ updated guideline (external link, PDF).

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9/16/2011: Medicaid RAC Rule Published by CMS

The new Medicaid RAC Rule has been published by CMS. Implementing section 6411 of the Patient Protection and Affordable Care Act, the 37-page final rule sets out the requirements for the Medicaid Recovery Audit Contractors (Medicaid RACs) program. The rule takes effect January 1, 2012. Click here

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9/13/2011: Credentialing by Proxy in California

Although CMS is allowing credentialing based on information provided by the remote hospital, the Department of Public Health is reminding California hospitals (external link – PDF) that “Physicians using telemedicine technologies to provide care to patients located in California must be licensed in California.” and “CDPH will

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9/12/2011: CMS Proposes Greater Patient Access to Their Lab Reports

CMS is proposing changes to CLIA and HIPAA that would give patients greater direct access to their lab reports. Currently, there are exceptions in HIPAA for labs that are CLIA exempt and CLIA certified. For more information on the proposed changes, please visit the CMS website (external

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8/7/2011: Cyber-attacking insulin pumps and glucometers

With the DEFCON hacker conference this past weekend, a number of clever exploits have been getting a lot of press, and a number of these have potential healthcare security implications: Unlocking thousands of cars remotely via text message (see CNN – external link). A similar attack could

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7/26/2011: FSMB Issues Policy on Physician Impairment

The Federation of State Medical Boards has posted on its website a 69-page policy on handling physician impairment.  The document includes a “Model Physician Health Program” and other useful information.  To see the document please visit the FSMB site (external link, PDF).

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