The background and implication of the ESRD PPS, are
as follows:
· In August
2012, CMS released an analysis of patient claims in the new ESRD prospective
payment system, which showed that this payment system has had no negative
effects on patients’ health.
· The ESRD
PPS, first implemented in 2011, expands renal dialysis services included in the
single bundled payment to the dialysis facilities and provides for patient
case-mix adjustments, facility level adjustments, and outlier payments. It is intended to improve efficiency.
· CY 2013 will
be the third year of a four-year transition to the new payment system. The overall impact of the CY 2013 changes is
projected to be a 3.0 percent increase in payments. Hospital-based ESRD
facilities have an estimated 3.6 percent increase in payments compared with
freestanding facilities with an estimated 2.9 percent increase. Urban
facilities are expected to receive an estimated payment increase of 3.0 percent
compared to an estimated 2.9 percent increase for rural facilities.
·The ESRD QIP
aims to promote continued improvement in the quality of care provided to
patients with ESRD. The final rule focuses on clinical measures and has added
the following QIP reporting measures to cover a broader range of patients who
receive dialysis care:
o To evaluate anemia
management
Anemia Management, a reporting measure.
o To evaluate
dialysis adequacy
- A clinical Kt/V measure for adult hemodialysis patients.
- A clinical Kt/V measure for adult peritoneal dialysis patients.
- A clinical Kt/V measure for pediatric in-center hemodialysis patients.
· The
estimated payment reduction will continue to incentivize facilities to provide
higher quality care to beneficiaries. The reporting measures that result in
costs associated with the collection of information are critical to better
understanding the quality of care beneficiaries receive, particularly a
patient's experience of care, and will be used to incentivize improvements in
the quality of care provided.
Keep Your Independence Day Safe
Three-quarters of Americans plan to enjoy the outdoor
cookout experience to celebrate the Fourth of July Holiday. With all that fun, come some obvious and not
so obvious dangers. Read on to see tips
on keeping everyone happy and healthy in the backyard or at the park.
Do this to reduce your risk:
1.Marinade
meats for 30 minutes prior to grilling to reduce Hetercyclic Amines (HCA’s)
2. Cook meat
properly. Burnt meat contains HCA’s
causes gene damageConsumption of HCA’s can cause damage to
genes. This can often be related to
increased cancer risk.
3.Eat only 4-6
oz. of red meat per meal (18 oz. per week) or instead eat chicken, fish, fruits
and veggies made on the grill.
causes gene damageRed meat increases the risk of colon
cancer.
mosquito borne illness]
Ants are famous for crashing the picnic, but the mosquito is
much more harmful. Keep everyone
comfortable and disease free by reviewing this information on those pesky,
flying pests.
causes gene damage Mosquitoes spread dangerous diseases like
West Nile Virus, Dengue and Malaria.
Mosquitoes infect nearly 225 million people annually with Malaria
resulting in approximately 781,000 deaths.
1.Mosquitoes
are attracted by dark colors, body heat and smells from body chemicals like
carbon dioxide and lactic acid. Dress in
lightly colored protective clothing and use repellent containing DEET.
2.Eliminate
breeding areas by draining all standing water where they lay their eggs.
3.Avoid peak
mosquito hours: early morning and evening.
heat stress
We all wish for a bright sunny day for our holiday
activities, but be cautious of the effects that summer time heat can have on
your body.
1.Drink plenty
of fluids, avoiding sugar sweetened drinks.
2.Protect your
skin with sunscreen and wear loose-fitting, lightweight and light colored
clothing.
3.Be aware of
symptoms of heat-related illnesses like heat stroke and heat exhaustion.
You can go to the CDC website to see a full
guide on heat stress illnesses.
causes gene damage Excessive heat above 80 degrees with 40%
or more humidity can have even more serious consequences for those people with
diabetes. Diabetics should:
Check medication and test strips packaging and their glucose
meter regarding effects of exposure to high temperatures. Take the necessary precautions to protect
them and insulin pumps from the heat.
Keep insulin cool, preferably in a cooler without direct
contact with ice or frozen gel packs.
For those on a restricted liquid intake, they should discuss
with their doctor how best to adjust to their intake during times of high heat.
National HIV Testing Day
millions of people in the United States alone. The CDC estimates more than 1.1 million people in the United States are living with HIV infection currently and about 50,000 new cases are diagnosed each year.
The CDC also reports that almost 1 in 5 (18.1%) of infected individuals are unaware of their infection. As with any disease, the ideal way to fight the spread of HIV is with early detection. It allows those who are diagnosed to initiate treatment as soon as possible, increasing survival chances and quality of life. This also helps to eliminate the chance of unknowingly spreading the disease to others.
Healthcare professionals should take this opportunity to encourage high risk individuals to be screened for HIV. Information on testing that is geared to provider education is provided on the aids.gov website.
For patients, a screening location finder can be found on the CDC website by clicking here or also at http://aids.gov/.
The table below lists basic on the Medicare coverage for HIV Screening. Please consult the CMS Preventive Services website for complete detailed information.
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