CMS Weighs in With Meaningful Use Stage 3 Rules

first_imgAs promised, the Centers for Medicare and Medicaid Services have offered up plans for Meaningful Use Stage Three just in time for discussion at the HIMSS Annual Conference. Based on conversations I’ve had with CIOs, there will be a lot to discuss in Chicago.As with the previous incarnations (Stages 1 and 2), there’s a 60-day comment period during which anyone can weigh in on the proposals. Although the previous rules reflected input from groups like HIMSS and CHIME, I heard frequent grumbling from healthcare providers that the regulations elevated political and economic interests over those of physicians, hospitals and most importantly, patients themselves. Perhaps because Stage 3 represents the end of the process, CMS is signaling its intent to finalize a rule that puts patients first, and believes that eligible providers and hospitals can use technology creatively and flexibly to meet the latest requirements.The Basic OverviewTo get a basic overview of the rules, take a look at this infographic produced by my former colleagues over at Healthcare IT News. For a more substantive take, John Halamka, a physician and CIO at  the CareGroup Health System, posted a definitive summary of the proposed rules on his blog.There are eight objectives, and as many as 20 measures of meaningful use for providers and hospitals. Some measures are essentially repeats from earlier rules (although the thresholds are increased), while others represent new and uncharted territory.Despite its length of 300-plus pages, Halamka calls the MU Stage 3 proposal a good first draft.“CMS deserves a lot of credit,” he says, “for streamlining and consolidating… and making the Stage 3 rule coherent and relatively easy to understand.” But he’s not so kind about the the rule’s sibling proposal, also released on March 20 – the Office of the National Coordinator’s 2015 EHR standards.Although meaningful use and EHR certification are generally thought to go hand-in-hand, this time “ONC includes a variety of certification specifications for which there are no corresponding MU requirements from CMS,” Halamka notes. “This has the potential to create market confusion, an overwhelming scope for vendors/developers and a laundry list of requirements that serve narrow interests.”Scott MacLean, Deputy CIO and Director of IS Operations at Partners HealthCare in Boston, agrees that the industry is already suffering from regulation fatigue. It’s not that any single regulation is, by itself, difficult or noxious, but rather it’s the sum of regulations which are often times at odds with each other.Patient EngagementParticularly challenging are the requirements for patient engagement. Twenty-five percent of patients must access their records electronically under the MU Stage 3 proposal, while 35 percent of patients must receive a clinically relevant secure message. Providers must also incorporate data from non-clinical settings for 15 percent of their patients.“Whether its between systems and providers, or between patients and providers, I’m worried about the interoperability requirements,” MacLean notes. “When we’re dependent on other people doing something, it’s cause for concern.”Charles Christian, CIO of St. Francis Hospital in Columbus, Georgia and chair of the CHIME Board of Trustees, agrees. “Providing electronic access to the information is important,” he says. “However, holding the organizations accountable for their patients’ behavior after their encounter is a requirement that many organizations can’t successfully accomplish. I agree that we need to engage our patients; however, there are many that do not want to interact with their healthcare providers electronically.”Overall Christian is confident that the nation’s healthcare CIOs can have an impact on the final Stage 3 rules. “It appears that CMS is working toward the flexibility that they outlined, but I’m sure that some in the industry will wish for more,” he says. “CMS is specifically asking for comments on a large number of items and options. This leads me to believe that they are seeking additional input from the industry and they are listening to the concerns and impacts.  We will need to wait until the final rule to see what impact the comments have had.”What do you think about the Stage 3 proposal? Is it ready for prime time yet? What changes would you seek?Jack Beaudoin co-founded MedTech Media with the launch of Healthcare IT News in 2003 and is a sponsored corresponded for Intel Health & Life Sciences.last_img read more

Delhi Commission for Women calls St. Stephen’s sexual harassment act shameful, demands investigation

first_imgDelhi Commission for Women chief Barkha Shukla Singh on Saturday dubbed the alleged sexual harassment case filed against a professor of Delhi University’s prestigious St Stephen’s College as “shameful” and called for a probe into the matter.”It is such a prestigious college and it is shameful if anything like this has happened. The matter should be investigated and the guilty should face action,” Singh said. “The cutoffs are so high for the college… the alumni are working on important positions across the country. The matter concerns the college’s reputation and should be investigated,” she added.FIR lodgedA PhD student on Friday lodged an FIR against an assistant professor she was working under the guidance of, in the Chemistry department. She has also complained that the college principal, Valson Thampu tried to hush up the matter and shield the accused.Though Thampu confirmed the fact that the victim had raised the matter with him, he denied allegations of trying to protect Kumar. He said the student had willingly insisted in writing that the issue not be treated as one of sexual harassment to ensure that her PhD is completed on time.The FIR has been registered under section 354 (assault or criminal force to woman with intent to outrage her modesty) and other relevant sections of the IPC against St Stephen’s professor Satish Kumar in connection with the complaint.The complaint by the doctorate student had allegedly been pending with the college’s sexual harassment complaints committee for over a year now.advertisementThe victim alleged that the college principal had criminally intimidated her to give a written application to him expressing her consent to close the matter. This was in order to not cause any delay or problems in completion of her PhD. However, Thampu has not been named in the FIR.The college also issued a statement saying: Such a complaint was duly and promptly forwarded by the Principal to the Internal Complaints Committee and an inquiry, following proper procedure, is underway and nearing completion. It is reiterated that St Stephen’s is uncompromisingly committed to the safety and dignity of women on the campus and that no effort will be spared to ensure that justice is done.Delhi University Teachers Association (DUTA) also condemned the incident and demanded that the accused be suspended till the inquiry is completed. He is also the Bursar of the college, which is an important position in the college administration.”He was not asked to step down while investigation was on and it further led to harassment of the victim”, DUTA president Nandita Narain, who is also a professor at St Stephen’s, said.A group of St Stephen’s alumni has demanded the varsity administration to step in and ensure justice in the matter. “We demand Delhi University Vice-Chancellor Dinesh Singh to initiate an inquiry in the case immediately,” Old Stephanians Association, which is not recognised by the college, said in a statement.The association, which has raised several allegations against Thampu in the past, also reiterated its demand of his removal from the office.”Thampu’s tenure as principal is replete with instances of illegalities and misdemeanours. We demand him to immediately step down as principal, failing which the Supreme Council should sack him,” it added.last_img read more

Don’t Gamble with Your Education – Terrelonge

first_img The Minister was speaking at the awards ceremony for RISE Life Management Services’ adolescent gambling prevention all-island jingle competition, held on February 27 at the organisation’s downtown Kingston offices. State Minister for Education, Youth and Information, Hon. Alando Terrelonge, is imploring adolescents to refrain from participating in underage gambling, as this may negatively impact their education. The duo of Jahiem Jackson and Ackeem Johnson from Gaynstead High School in Kingston received the second-place cash prize of $30,000, while grade-nine student of Ferncourt High School in St. Ann, Vernando Bailey, received the third-place prize of $20,000. The jingles will be professionally produced for airplay.Some $176,000 in cash prizes was awarded to shortlisted participants, as well as trophies and medals.The competition was open to school-based youth at the primary and secondary levels, who were asked to make submissions under the theme ‘Underage Gambling Will Lead to Disaster; Focus on Education and Be Your Own Master’.The annual initiative seeks to eliminate underage gambling by creating greater awareness about the consequences among stakeholders. It is illegal for persons under the age of 18 to gamble.RISE Life Management Services operates the only gambling-prevention, treatment research and responsible gaming programme in the Caribbean. “Your education is the best gift that you can give to yourselves not gambling…Your education is the one thing that will last for the rest of your life. So do not gamble with your education. If you do gamble, you are gambling with your education,” he said. center_img State Minister for Education, Youth and Information, Hon. Alando Terrelonge, is imploring adolescents to refrain from participating in underage gambling, as this may negatively impact their education.“Your education is the best gift that you can give to yourselves not gambling…Your education is the one thing that will last for the rest of your life. So do not gamble with your education. If you do gamble, you are gambling with your education,” he said.The Minister was speaking at the awards ceremony for RISE Life Management Services’ adolescent gambling prevention all-island jingle competition, held on February 27 at the organisation’s downtown Kingston offices.He noted that gambling can be a gateway to substance abuse, including alcohol and drugs, delinquency in school as well as other antisocial behaviours.Mr. Terrelonge also appealed to stakeholders in the betting and gaming industry to discourage children from gambling.“Don’t allow the young students to come into your institutions and gamble away their lunch money… . Don’t allow our children to gamble their education away,” he urged.He lauded RISE Life Management Services and its partners for staging the jingle competition, which seeks to create awareness about the dangers of indulging in underage gambling.The entity’s Executive Director, Sonita Abrahams Burrows, said that since 2017, 4,000 youth have been sensitised about the consequences of underage gambling.“This year, we have increased our target to some 16,000 students across Jamaica,” she noted.Grade-five student of Holy Family Primary School in Kingston, Malique Brown copped first place for his jingle, walking away with a cash prize of $50,000.Grade-five student of Holy Family Primary School in Kingston, Malique Brown, performs his winning entry in the RISE Life Management Services’ adolescent gambling-prevention jingle competition, at the awards ceremony held on February 27 at the entity’s downtown Kingston offices. Malique reveived a cash prize of $50,000. Story Highlightslast_img read more

City auctioning off impounded vehicles next week

first_imgFORT ST. JOHN, B.C. — The City of Fort St. John will be auctioning off vehicles that have been impounded in the last year next week.The City’s Bylaw Enforcement Department is holding its annual impounded vehicle auction at lunchtime next Tuesday at an impound lot on the city’s southwest side. A total of seven vehicles are currently up for public auction, including cars, vans, SUV’s, trucks, and even a motocross bike.Bylaw Enforcement Officer Bonnie Isenberg said that the City has taken possession of the impounded vehicles after they were towed for various bylaw infractions and whose owners never claimed them. While the City has taken possession and ensured that there are no liens against the vehicles, it doesn’t have information on the vehicle’s histories, nor does it usually have a set of ignition keys, so successful bidders will have to arrange for transportation their new vehicle. The City also says that no refunds will be provided on any of the vehicles up for auction, which are to be sold as-is.Would-be buyers can show up at the Grounds Building at 9312 111th St. in Fort St. John to register and grab a bidder card at 12:00 p.m. and take a few moments to view the vehicles before bidding starts at 12:30 p.m.Bidders need to bring photo I.D., and any successful bidders will need to make their payments via cash, debit or credit card at City Hall immediately after the auction.The list of impounded vehicles on the auction block can be found below.2012 Red Hyundai Accent Hatchback2000 Black Mitsubishi Eclipse 2 Door Coupe2006 Yellow Ford Focus Hatchback2001 Black Kia Sport 4 Door Station wagon style2008 Tan Dodge Caravan2006 Silver Dodge Ram 1500 Crew Cab2010 Blue and White Yamaha TT-R 110 Dirt BikeFor more information, contact Bonnie Isenberg at the Bylaw Enforcement Department at 250-787-8150.last_img read more

Oil manufacturers lobby urges Senate to kill off environmental assessment bill

first_imgThe legislation overhauls Canada’s assessment of major national project proposals for their environmental, economic, health and social impacts.The Senate now has to decide whether to pass the bill without all of its proposed amendments or kill it off entirely, leaving it to the next Parliament to fix the environmental assessment process.That vote is expected later this week; on Tuesday, the federal cabinet will decide whether the Trans Mountain pipeline expansion will be approved for a second time. OTTAWA, O.N. – A coalition of oil and gas industry groups, chambers of commerce and manufacturers associations say there is no room to fix the government’s environmental assessment legislation.The Save Canadian Jobs coalition is changing their slogan from “Fix Bill C-69” to “Stop Bill C-69” after the government rejected most of the changes proposed last week by the Senate.Environment Minister Catherine McKenna said she would accept 99 Senate amendments but rejected those which she says would have made it optional to take into account the impact of projects on Indigenous rights and climate change.last_img read more

EB board members decide against participating in Super Cup

first_imgKolkata: East Bengal board members on Thursday decided not to participate in the Super Cup main round which begins in Bhubaneswar, holding firm to the alliance of eight revolting I-League clubs.Terming it ‘unethical’ to pull out of the alliance, East Bengal said in a statement: “The East Bengal nominees on the Board suggested that since an alliance of Clubs have already been formed, it would be unethical for us to come out of the Alliance.”The first board meeting of the club since Quess Corp became the club’s investors in July also agreed to bid for the Indian Super League. Also Read – Puducherry on top after 8-wkt win over ChandigarhThe board meeting was held in Bengaluru. “The Board also agreed to bid for ISL if the terms are financially acceptable. The East Bengal nominees mentioned that they would convey the decision to Executive Committee of the club and discuss further,” it added.East Bengal, which had finished runners-up in the I-League, were to play against ISL side Delhi Dynamos in their Round of 16 match on March 30.A section of club officials of East Bengal wanted to take part in the Super Cup but the investors, Quess Corp, who took the call, were firm against it. Also Read – Vijender’s next fight on Nov 22, opponent to be announced laterTheir difference of opinion had reached to such a level that some club officials were even mulling at one point of time to field a separate team in the name of President’s XI.The Super Cup is the premier knockout club tournament of the AIFF, competed among I-League and ISL teams.But eight I-League clubs, including Mohun Bagan and new champions Chennai City FC, had formed an alliance and decided to withdraw from the competition citing AIFF’s “unfair treatment”.last_img read more

Tunisia rapper jailed for four months at retrial

first_imgHAMMAMET, Tunisia – A Tunisian rapper who went on the run after receiving a 21-month jail sentence in absentia in August for songs deemed insulting to police was jailed for four months at a retrial Thursday.Weld El 15, whose real name is Alaa Yacoubi, had surrendered to the authorities at the courthouse for the hearing.The court found him guilty of affront to public decency and insulting behaviour towards public servants in his songs, and ordered him taken straight to the cells to serve his sentence. The hearing took place at a court in the town of Hammamet, east of Tunis, where Weld El 15 and fellow rapper Klay BBJ were originally convicted without even being notified of the trial.Klay BBJ has since been retried twice and was finally acquitted in October, while Weld El 15 had been on the run until Thursday.“I’m ready for anything, I hope that Tunisia has a justice system and not an injustice system,” the rapper told AFP after turning himself in.“The revolution took place in the name of freedom of expression,” he said, referring to the popular uprising that ousted veteran strongman Zine El Abidine Ben in January 2011.“I handed myself in because I can’t spend my life on the run, but I’m not ready to go back to prison.”Weld El 15 and Klay BBJ were tried for songs they performed together at a concert in Hammamet.Since an Islamist-led government took power after Tunisia’s 2011 revolution, trials of musicians and journalists have multiplied, sparking charges from human rights groups that the authorities are stifling freedom of expression.Attempts to reform the Tunisian judiciary and the security forces since the Ben Ali regime fell have largely stalled.last_img read more

The Vikings Are Running Like Its 1972

Cousins, of course, is no rookie. He’s 31 and in his eighth season. Yet he’s being treated like a game manager by his head coach, Mike Zimmer, who fired pass-happy offensive coordinator John DeFilippo last December after DeFilippo dialed up pass plays at a rate of 67.0 percent overall and 57.3 percent in wins. DeFilippo also reportedly ignored repeated instructions from Zimmer to run more. That message was received by new offensive coordinator Kevin Stefanski:1Stefanski served on an interim basis last year after DiFilippo’s firing and took over the job officially this year. In Minnesota’s three wins (in four games) since the firing, the Vikings have looked to throw just 37.6 percent of the time,2Including dropbacks on which the quarterback was sacked. including just 22.4 percent versus the Falcons this week.This is a radical departure in today’s game. From the start of the 2018 season through Week 1 of the 2019 season, winning NFL teams pass a majority of the time: 52.6 percent, according to ESPN Stats & Info.Don’t expect Zimmer’s Vikings to change their approach anytime soon. “I did not foresee us throwing the ball 10 times, but I’m happy we did,” Zimmer said after the game.Cousins doesn’t seem to mind.“Throwing 10 times is really unique,” the quarterback said. “Probably haven’t had a game with that few attempts since literally Pop Warner. I probably threw 10 times or more in most high school games, too. It was what the game called for, and I have no problem with being conservative. As long as we win the football game, that’s all that matters to me.”The Vikings and Stefanski adopted what is ostensibly a Mike Shanahan-inspired offense, bringing in former Shanahan disciple Gary Kubiak as an assistant head coach. But in reality, Zimmer may be looking even further back for inspiration, to the NFL’s last undefeated team3In the regular season and playoffs. — the 1972 Dolphins. Miami that year passed only 32.3 percent of the time. But the NFL then was all about establishing the run, running to win and then running to beat the clock — the Bears that year called pass plays just 17.5 percent of the time in their wins. The leaguewide passing average in 1972 was 37.2 percent, or almost identical to what Zimmer’s squad has averaged since jettisoning DeFilippo.This is a shocking turnaround for a team that went all in on Cousins in free agency, connecting him with a pair of elite receivers, Adam Thielen and Stefon Diggs. The receivers each posted 100-catch seasons with Cousins in 2018, but they were targeted only a combined six times on Sunday. Minnesota’s relatively low number of total plays (49) and slow pace (the Vikings controlled the ball for just under half the game) certainly helped keep the number of pass attempts down, but the share of passes should still worry the receiving tandem. In the four games since the coaching change, Diggs is catching balls at a pace of 64 per 16 games, and Thielen’s pace is even lower, at just 52. That would put them on track for just 116 combined catches for the duo, while Thielen by himself caught 113 last year — 103 of them in the 13 games where DeFilippo was calling plays.The Vikings may keep winning by making Cousins mostly a middleman in getting the ball from the center to the running back. And that would make Zimmer a hero to fans of a forgotten NFL, when teams were built to win in the trenches and defense and the running game were the stars of the show. But in 1972, most top quarterbacks made only about 10 times the league’s minimum salary. Zimmer’s Vikings are paying Cousins about 55 times the league minimum today — a lot of money to simply hand off the ball.Check out our latest NFL predictions. The Minnesota Vikings said this offseason that they were going to get Kirk Cousins, their $84 million quarterback, “to that next level to do the things he does best.” Based on the game plans the team has run since overhauling its offense December — especially in Sunday’s 28-12 victory over the Falcons — the thing he does best is apparently handing the ball off to a running back.Cousins threw only 10 passes all game, completing eight, good for 98 yards and a touchdown. That’s the fewest passes a Vikings quarterback has attempted in a regular-season win since 1977, in a game at Green Bay where the wind chill made it feel like it was minus 3 degrees. But Sunday’s game was played indoors. Since 2001, according to ESPN’s Stats & Information Group, only one winning team has attempted fewer passes while playing indoors — the visiting Carolina Panthers at the Atlanta Falcons in a 10-3 victory in 2006. The Atlanta Falcons had the next fewest passes in an indoor home win, throwing 13 times in a 34-21 victory in 2008 — Matt Ryan’s first game his rookie season. read more

Paper Sergio Busquets to sign new Barca deal

first_imgBarcelona midfielder Sergio Busquets will reportedly sign a new and improved contract at the club before the end of this monthThe Spain international’s current deal at the Camp Nou will expire in June 2021.Busquets has a release clause set at €200m.Now Mundo Deportivo claims that the 30-year-old’s agent, Josep Maria Orobitg, has begun negotiations with Barcelona over a new contract.An announcement is expected to be made within the next few weeks.Sergio Ramos, Real MadridZidane reveals Sergio Ramos injury concern for Real Madrid Andrew Smyth – September 14, 2019 Zinedine Zidane has put Sergio Ramos’ availability for Real Madrid’s trip to Sevilla next weekend in doubt after withdrawing him against Levante.Busquets will apparently get a new bumper pay rise as part of the package with the contract itself set to keep him at Barcelona until 2023.In addition to that, Busquets’ release clause will rise to a figure between €200 to €500m.Busquets rose through the youth ranks at Barcelona and has now made nearly 500 appearances in all competitions for the Catalan giants.Due to this, the midfielder will also receive a loyalty bonus for when he finally decides to leave Barcelona.Busquets is currently with the Spanish national team for former Barcelona boss Luis Enrique’s first game in charge against England in Saturday’s UEFA Nations League clash.last_img read more

Mourinhos boys beat Watford and win the fans over

first_imgTough visit for Jose Mourinho’s Manchester United at Watford. Lukaku and Smalling scored the first half goals, Gray gave it a little drama for the Hornets in the end.It was a crucial match for Jose Mourinho’s Manchester United, they desperately needed an important win and surprising Watford was the best way in which the Portuguese manager could finally breathe some fresh air. The match at Vicarage Road Stadium was arguably the biggest challenge of a very busy next month for the Red Devils, the Hornets came to this game still undefeated and after offering a pleasant version of themselves but winning this match was very important for them in order to keep their confidence. Javi Gracia’s squad had become the underdog of this competition so far, but today they faced a very well-organized United side that proved they are back on track towards a good season with a reinforced defensive capacity despite their shortage of players. Today every single element of Mourinho understood the importance of today’s match, they were almost always on point defensively and managed to get the result they were expecting in one hell of a scenario given the circumstances.A finish any striker would be proud of ?Sum up that @ChrisSmalling goal in one word, #MUFC fans… pic.twitter.com/ylsvHivBjG— Manchester United (@ManUtd) September 15, 2018Romelu Lukaku scored the first with his gut in a set piece, Watford’s whole match can be compressed into that moment where the Belgian striker got United ahead. The Hornets suffered from a three-minute distraction that ended up costing them the result of the match, not too soon after the first came the second from Chris Smallin, which was also from a set-piece delivered by Fellaini. This was all Mourinho needed in order to control the game as he wanted from that moment forward, the Red Devils held the result until half-time but they knew the job wasn’t done yet. Javi Gracia’s squad was still playing at home and they had most of the stadium rooting for them against Manchester United, they did dominate more during the first half than the second half in their own turf. In the second half came the presence of David de Gea, who saved a few important chances for the Red Devils during crucial opportunities. Gray did pull one back for Watford when 20 minutes od the second half had already passed, he received an assist from French midfielder Doucoure who played a great match in midfield.Pile on! ? pic.twitter.com/5zWIp4tPIe— Manchester United (@ManUtd) September 15, 2018Cristiano Ronaldo, Nemanja Vidic, Manchester UnitedVidic: “Ronaldo is the most professional footballer I’ve seen” Andrew Smyth – September 14, 2019 Nemanja Vidic opened up on how a 21-year-old Cristiano Ronaldo’s professionalism left him stunned at Manchester United.But the Red Devils know how to handle matches in which they get the early advantage, Jose Mourinho knows how to keep every one of his payers involved during the rest of the match. United attempted to keep the ball during most of the second half, an odd tactic that is not very characteristic of Jose Mourinho’s squads but a good surprise nonetheless. Every single player starting with the front men, understood they needed to do a bigger sacrifice in defense when the squad didn’t have the ball. In a curious moment of the game, we saw French winger Anthony Martial get 20 minutes of playing time for the Red Devils and he made an important effort but proved that is is very out of shape at the moment. The France international seemed a bit slower than usual and also a tad overweight compared to other seasons when we’ve seen him in better shape, this might be a result of the summer with no activity he had after getting snubbed from the World Cup in Russia. David de Gea was the hero of the match because he made a couple of his trademark saves near the end of the match, Watford offered a great response during the whole second half but United was able to defend the result quite well. Nemanja Matic got a second yellow card near the end after committing a necessary foul, he got sent-off and should miss the next match.Heads up, lads!25 minutes to go – it’s Watford 1 #MUFC 2. #WATMUN pic.twitter.com/JiEqVDUH6o— Manchester United (@ManUtd) September 15, 2018What do you think about Jose Mourinho’s win at Watford with Manchester United? Please share your opinion in the comment section down below.last_img read more