From: Su-Z-Q on
In article <see.signature-701158.00385131122009(a)news.qwest.net>,
somnambulist <see.signature(a)uswest.net> wrote:

> In article <see.signature-F2A243.23254828122009(a)news.qwest.net>,
> somnambulist <see.signature(a)uswest.net> wrote:
> ...
> > Portions of the legislation already passed this year relate to
> > electronic records, with payment incentives and penalties relating to
> > their "significant use". The government hasn't clarified which EMRs will
> > qualify or exactly what "significant use" means
> ,,,
>
> In case you're interested, CMS today published the proposed rules, which
> may raise some interesting issues of privacy, etc:
> <http://www.cms.hhs.gov/apps/media/press/factsheet.asp?Counter=3564&intNu
> mPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchDa
> ta=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cb
> oOrder=date>
> (watch the wrap)
>
> An excerpt:
>
> "In 2012, CMS proposes requiring the direct submission of clinical
> quality measures to CMS (or to the states for Medicaid EPs and
> hospitals) through certified EHR technology.� CMS recognizes that for
> clinical quality reporting to become routine, the administrative burden
> of reporting must be reduced. By using certified EHR technology to
> report information on clinical quality measures electronically to a
> health information network, a state, CMS, or a registry, the burden on
> providers that are gathering the data and transmitting them will be
> greatly reduced.� The burden of generating the necessary information for
> the provider to then use the information to improve health care quality,
> efficiency, and patient safety will also be reduced.
> "
> This sounds like automatic (opaque?) excerpting of medical records. The
> goal of improving medical care is laudable. The devil is in the details,
> and the road to Hell is sometimes paved with good intentions.

CMS is NOT going to delve into individual names, I'll wager. They got too full
of a plate to do that. They are basically just interested in numbers, money, and
statistical data. It does not take a name to do that.
What they've been doing so far is have electronic transmission of certain
critical data from med payers. From that they get statistical data. You can
download data from their website showing how much they have paid for certain
surgeries in the past.
--
Facts are stubborn, but statistics are more pliable.
Mark Twain

From: Kurt Ullman on
In article <hhik30$ajq$1(a)news.eternal-september.org>,
Su-Z-Q <reply(a)this.group> wrote:

> CMS is NOT going to delve into individual names, I'll wager. They got too
> full
> of a plate to do that. They are basically just interested in numbers, money,
> and
> statistical data. It does not take a name to do that.

CMS runs MCare and MCaid. In order pay out the claims, they will need
to have the names running around somewhere. Of course that is not any
different from what has been going on for the last 40 years or so, in
that regard.

--
To find that place where the rats don't race
and the phones don't ring at all.
If once, you've slept on an island.
Scott Kirby "If once you've slept on an island"

From: AV3 on
On Dec/31/2009 12:2646 AM, Wes Groleau wrote:
> AV3 wrote:
>> On Dec/30/2009 6:1103 PM, Howard Brazee wrote:
>>> On Wed, 30 Dec 2009 17:39:44 -0500, AV3<arvimide(a)earthlink.net>
>>> wrote:
>>>> John McCain campaigned for some change, and Barak Obama campaigned for
>>>> more substantial change. Obama beat him by a decisive majority and
>>>> should be congratulated for keeping his promise.
>
> Defending or attacking McCain, Bush, or Obama has little connection with
> my complaint about over 500 Congressmen holding things up while each
> gets his or her own little "treat" in there.
>


Obama's promise to fight earmarks was no blanket promise to abandon
everything containing pork. As I said elsewhere, pork is built into our
legislative system, so all parties' promises to avoid the unavoidable
are suspect.


> What little connection there is has to do with Obama's determination to
> sign the thing no matter what is in it--even if fifty percent of it is
> something he promised to oppose.
>


Getting any semblance of health care reform is a commendable
accomplishment. The cost in pork is regrettable but the overall purpose
is paramount. Since I have said this more than once, this is my last
repetition. Happy New Year to all and to all a good night!


--
++====+=====+=====+=====+=====+====+====+=====+=====+=====+=====+====++
||Arnold VICTOR, New York City, i. e., <arvimideQ(a)Wearthlink.net> ||
||Arnoldo VIKTORO, Nov-jorkurbo, t. e., <arvimideQ(a)Wearthlink.net> ||
||Remove capital letters from e-mail address for correct address/ ||
|| Forigu majusklajn literojn el e-poŝta adreso por ĝusta adreso ||
++====+=====+=====+=====+=====+====+====+=====+=====+=====+=====+====++
From: Wes Groleau on
AV3 wrote:
> Getting any semblance of health care reform is a commendable
> accomplishment.

Agreed. My complaint is mainly on all we're getting with it--if
we ever get it at all.

I don't understand your offering "it exists" as a defense
of the broken process. The fact that it exists can hardly
be used to justify its existence.

--
Wes Groleau

An example of how important grammar points are deferred
http://Ideas.Lang-Learn.us/barrett?itemid=1560
From: Kurt Ullman on
In article <hhj452$u74$1(a)news.eternal-september.org>,
Wes Groleau <Groleau+news(a)FreeShell.org> wrote:

> AV3 wrote:
> > Getting any semblance of health care reform is a commendable
> > accomplishment.
>
> Agreed. My complaint is mainly on all we're getting with it--if
> we ever get it at all.
>
> I don't understand your offering "it exists" as a defense
> of the broken process. The fact that it exists can hardly
> be used to justify its existence.

If anything, the pledge to reign in earmarks was made with the
KNOWLEDGE that it existed and couldn't afford to leave it alive. The
pledge was do away with it, not give in just a little less.

--
To find that place where the rats don't race
and the phones don't ring at all.
If once, you've slept on an island.
Scott Kirby "If once you've slept on an island"

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