Newsletter of the American College of Medical Quality

        September 2014   

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In This Issue
Call for Abstracts
Quality Links
ACMQ Student Resident Update
A New Direction for the College
Hospital Accreditation -- Good to have choices
The Electronic Conundrum
Physician/Nurse Bedside Rounding
The Chief Medical Officer: A Critical Success Factor (2014 Update)
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Call for Abstracts

Abstract submission deadline: December 4, 2014.
Click here to access the submission module.

Click here for more information.

Quality Links


Billions of dollars are at risk as hospitals, physicians and other eligible professional now face more vigorous criteria for incentive payments for Stage 2 EHR. Only about 3.1% of hospitals and 1.1% of physicians have met Stage 2 thresholds.


U.S. diabetics live longer as cost of care rise 


The number of diabetics have tripled since 1980 with about 40% of Americans over 20 years of age at risk of developing diabetes over their lifespan. Average medical expenditures are more than twice those without diabetes.


Congress unified in support of VA bill 


The major news on quality this summer was undoubtedly the shocking discovery of secret clinic wait lists at VA facilities. With uncommon but sluggish agreement, Congress proposes nearly unanimous support proposal.   


Pay for performance may not be the answer


Pay for performance is criticized as we can't define 'quality' and studies showing failure are compelling.



Medicare annual spending for screening mammography with newer more-sensitive technologies such as MRI and computer-aided detection increased nearly $300 million without any significant cancer detection rates, according to researchers.

Student and Resident Section Update
Future Leaders in Quality and Safety - December 6th in Philadelphia

The ACMQ Student and Resident Section and the Jefferson School of Population Health (JSPH) are excited to announce the 5th Annual National Workshop on Quality for Medical Education. This year's interprofessional program will bring students in medical, nursing, pharmacy, and related professions together with leaders in the field for a day to learn about the current state of quality and safety. There will be time for networking and brainstorming about how we can all move the field forward as part of a meaningful career. 

The conference is moderated by Dr. David Nash, Founding Dean of JSPH, and features an opening plenary from Dr. Peter Angood, CEO of the American College of Physician Executives, along with many other great speakers.

Look out for an email from ACMQ soon when the registration page goes live. The conference features affordable rates and all those interested are welcome. Please share this tremendous opportunity with those in your networks.  

A New Direction for the College        

Mark Lyles, MD, MBA, FACMQ

Vice-President, ACMQ 


We are excited to announce an important change that will enhance the membership and future direction of the American College of Medical Quality. On May 10, 2014, the College held a membership strategy session in Maryland. The focus of the session was to explore and propose ways to increase membership in the College.


A number of suggestions were made and a formal proposal was sent to the ACMQ Board of Trustees for consideration during the Board's meeting on June 10, 2014. During this meeting, the Board made a momentous decision that will markedly enhance the College's focus and effectiveness: the Board voted unanimously to extend full membership status in the College to healthcare professionals with Master level degrees. This change will enable an enhanced cadre of healthcare professionals to participate on College committees, vote on College issues, serve on the ACMQ Board, and hold executive offices.


 Continue reading. 

Hospital Accreditation -- Good to have choices

Greg Wise, MD

Editor, Focus 

VPMA and CMO, Kettering Medical Center System

Dayton, OH 


As the world seems to be falling apart with tensions in the Ukraine, body bags in Gaza, crumbling government in Libya, the never-ending Syrian conflict, sectarian violence and brutal terrorist atrocities in the news almost daily, why care about quality? Preventing the beheading death of a journalist or the mass murder of hundreds by a surface-to-air missile targeting a civilian airliner require political solutions, not better hygiene or more precise clinical guidelines.


In U.S. hospital administration, far from the war zones, life is more mundane and bracketed by the countless regulatory policies and governmental oversight of quality. Yet, we all want our hospitals to be held to the highest standards and we recognize the necessity for regulation, along with its associated cost in time, personnel and effort in compliance.


 Continue Reading.

The Electronic Conundrum 
(Or Why I Bet You Wish You Didn't Have To Use Electronic Medical Records) 
Independent family medicine
Dayton, OH

A few years ago I wrote an article in Dayton Medicine about how I was still using paper records in my office. Believe it or not, I am writing on my trusty paper charts and practicing with the same efficiency of past years, and am still getting paid by the insurance companies. I have run into colleagues who are shocked that I am "on paper", then I detect a hint of envy that they cannot do the same.


I want to explain why I am back in the 20th century. I am not a Luddite. In fact I have typed this article on a computer and would never go back to handwriting my articles. I can navigate the Internet well and often use medical websites to stay current. My office uses a computerized software billing program and electronically files claims. I also use electronic prescribing because it is efficient for my nurses, saves time, and I found a free Allscripts program on the Internet.


I think that the purpose of any EMR program is to be very low cost, efficient, intuitive, and able to help doctors deliver care better than they do it with paper charts. Those of you who have an EMR know how problematic those goals really are.


 Physician/Nurse Bedside Rounding


Cleveland Clinic Heart and Vascular Institute

Curtis Rimmerman, MD, MBA

Josalyn Meyer, RN, BSN


Now more than ever, bedside patient and healthcare team communication is imperative in order to ensure a safe and effective plan of care is delivered by all members of the healthcare team. In April 2011, the Cleveland Clinic Heart and Vascular Institute implemented daily bedside physician / nurse rounding, piloting the process on three nursing units. Prior to the implementation of the bedside rounding program, these nursing units had combined HCAHPS scores of 81.6% for Nurse Communication and 81.3% for Doctor Communication. As this initiative has become integrated in our culture of positive communication, the three nursing units have demonstrated a steady increase in HCAHPS scores with year to date 2014 scores reflecting a 6.1% increase (87.7%) for Nurse Communication and a 3.2% increase (84.5%) for Doctor Communication.


Given the tremendous success of this initiative, in January 2013, this program was introduced to the remaining Heart and Vascular Institute step down units totaling 12 specialty units. Combined HCAHPS scores including all nursing units in January 2013 for Nurse Communication were 79.2% and Doctor Communication, 82.1%. Year to date scores for 2014 demonstrated an 8.7% increase (87.9%) for Nurse Communication and 7.3% increase (89.4%) for Doctor Communication. 


Continue Reading. 

The Chief Medical Officer: A Critical Success Factor (2014 Update)


William K. Cors, MD, MMM, FACPE, CMSL

Chief Medical Officer

Pocono Health System (Pennsylvania)


An article in the September/October 2009 issue of the Physician Executive Journal addressed the state of the Chief Medical Officer. It began with the observation that, "A physician executive model, anchored by an experienced Chief Medical Officer (CMO) with the 'right temperament' is helping multiple organizations to implement the changes needed to succeed in this new and challenging health care environment."It is fair to say that since those words were printed, the pace of change, if anything, has accelerated with explosive movement from pay-for-volume to pay-for value reimbursement systems. Accompanying this are exponential demands for transparency in all aspects of health care delivery including quality outcomes, safety measure implementation and actual financial costs. Terms like accountable care, medical homes, value based purchasing, bundled payments, population health and integrated delivery systems were more "back of mind"as opposed to the relentless headlines of today. Finally, five years ago, the need to develop, train and educate physician leaders was felt to be important for organization success. Today it is both critical and no longer an option!


Continue Reading. 

Upcoming Quality Events and Resources       


AHRQ Childhood Obesity Prevention 
New, free, continuing-education resource added to available clinician materials on childhood obesity preventions.

AHRQ Child Exposure to Trauma

Free, Continuing-Education Video Compares Interventions for Maltreated Children.


AHRQ Continuing-Education Video Addresses Children Exposed to Trauma: Interventions for Maltreatment


AHRQ Continuing-Education Video Compares Interventions for Maltreated Children


AHRQ Hep C Screening

New, FREE Continuing Education Resources Added to Available Clinician Materials on Effects of Targeted Screening Strategies for Hepatitis C Infection in Adults



Support the AJMQ!      




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