User Friendly Specialty Definitions
NewYork-Presbyterian System SelectHealth offers members educational handouts that provide user friendly definitions of the various specialties available through its provider network.
This document is a modified version of one offered courtesy of the Swedish Medical Center, WA Copyright 2007.
English Version pdf
Understanding Specialists English
Spanish Version pdf
AMIA Posters Related To NYPS SelectHealth’s CCD Project
American Informatics Association (AMIA) Annual Meeting
November 14-18, 2009
Posters related to NewYork-Presbyterian System SelectHealth‘s Continuity of Care Document (CCD) HRSA Special Projects of National Significance.
AMIA-0021-A2009.R1. Urban PLWH’s Willingness to Share Personal Health Information. P. Teixeira; S. Bakken; E. Camhi; P. Gordon
AMIA-0056-A2009. Barriers and Facilitators to Use of a Continuity of Care
Document (CCD) in HIV/AIDS Care: Persons Living With HIV/AIDS (PLWH) and Health Care Provider Perspectives. D. Wantland; M. Odlum; R. Schnall; P. Teixeira; P. Gordon; E. Camhi; S. Bakken
AMIA-0088-A2009. Cognitive Evaluation of Case Managers’ Use of a Continuity of Care Document for Persons Living with HIV. R. Schnall; D. Kaufman; S. Hyun; S. Bakken
NYC Health: Primary Care Information Project (PCIP)
If your clinic or practice hasn’t implemented an Electronic Health Record (EHR) the New York City Department of Health and Mental Hygiene has a program that you might consider. The Primary Care Information Project (PCIP) (http://www.nyc.gov/pcip) has been in existence since 2005 and has completed 1,500 EHR implementations in NYC. It currently offers: subsidized licensing of eClinicalWorks (http://www.eclinicalworks.com), support for installing and implementation, assistance in practice redesign, privacy and security, meaningful use, pay for performance and biosurveillance. I have attached the Program Application including a description of the Program Eligibility and Program Benefits. PCIP Application
You can also apply online at: http://www.nyc.gov/html/doh/html/pcip/pcip-ehr-app.shtml#7
While PCIP has included a subsidy for the eClinicalWorks license this
support is running out and it is uncertain if it will continue in 2010.
Practices considering participation should contact PCIP (pcip@health.nyc.gov) as soon as possible.
The PCIP project has applied for funding as a Federal Health Information Technology Regional Extension Center (http://healthit.hhs.gov/extensionprogram) which would permit continuing support for EHR-enabled primary care.
Sqworl: Shared Links by Subject
How often do you want to share a link to a web page with a family member, friend or colleague? What if you have a series of links to share? What if you want to share these links often? Of course you could email each one each time, but a new free web site makes it easier. sqworl allows you to place any number of links on a web page with a single web address which you can forward to anyone.
Here’s a sqworl link to a web page I set up to share with grantee’s to whom I provide technical assistance for Ryan White:
Ryan White Technical Assistance References
Each link is shown with a mini view of its opening page. The link is open to anyone so it can be shared freely.
In the upper left corner of the screen is a search box to allow sqworl visitors to search all sqworl pages by name. On the lower left corner of the screen is my user name. If you click on it you will see all the sqworl pages I have created.
sqworl pages can be updated or deleted by their creator at any time.
To create a page you must have a user account (which is free). Once logged in you name the page and then enter or paste each url you want to include. Hopefully in some future version you will be able to automate this by is dragging urls to the page or posting them by email.
Lots of possible uses. Consider creating pages that collect links for a particular topic or subject. Highly recommended.
To view a video introduction of the concept posted by the founder Caleb Brown:
Governor Kitzhaber Keynote Speaker at IHI
Readers interested in healthcare reform are encouraged to view this remarkable video which summarizes in a compelling way the challenges we must face to reform the US healthcare delivery system. Kitzhaber gives a clear and unique description of the problem and points us to a possible solution. While this IHI Keynote was delivered in March 31, 2008, this is the same presentation Kitzhaber gave to over 6,000 present and 17,000 viewing at the National IHI Conference on December 10th 2008. The Governor is introduced by Donald Berwick, President and CEO of the Institute for Healthcare Improvement.
Know where we are, where we are going, and what we can do about it.
Be sure to post your feedback below. And forward this link to those who might value it.
Eli Camhi
Keynote: Governor Kitzhaber,
Baby Boom Generation and Health Care for the 21st Century
9th Annual Office Practice Summit, Dallas, Texas, March 31, 2008 [50:07]
Frequently Asked Questions: APGs
Bill Kelly of Treo Solutions offers these FAQs on Ambulatory Patient Groups.
Comparing APG to 7 Tier
As of December 1, 2008 fee for service Medicaid reimbursement to Designated AIDS Centers will be based on Ambulatory Patient Groups (APG) rates. Except for Therapeutic Visits for case management, 7 Tier rates will no longer be available for fee for service Medicaid outpatient care.
In this first year of APGs the formula for reimbursement is 25% of the State regional (Downstate or Upstate) outpatient APG rate and 75% of the hospital blended clinic rate plus hospital capital. The State published APG regional rates for outpatient care are: $276.38 Downstate and $219.69 Upstate. The rates are posted here on the State’s web site. I have posted a spreadsheet example of a 7 Tier Routine visit for an AIDS patient using APG rates for NewYork-Presbyterian Hospital.
Click here for the spreadsheet example >>> 7tier-example
Note that the blended rate and capital allowance are selected from the State published hospital rate list here.
I offer this document for illustrative purposes only. Please verify the financial assumptions with your fiscal advisors to ensure validity.
Designated AIDS Centers (DACs)
The NYSDOH AIDS Institute established the Designated AIDS Center model about 20 years ago. It essentially provided enhanced reimbursement for outpatient HIV Primary and per diem rates for inpatient care. Hospitals contracted with the State to receive these rates and were required to meet staffing levels and quality standards for the multidisciplinary care of those living with HIV and AIDS. While predominately a Medicaid model, many DACs provide services for the uninsured population through ADAP and are also contracting with HIV Special Needs Plans. Outpatient reimbursement for DACs will change in December 2008 when the State converts to a new payment methodology called Ambulatory Patient Groups (APGs).
There are currently 44 DACs operating in New York State. You can see a list here.
Portable Apps
Want a low cost alternative to traveling with a laptop? Purchase a $35 4g USB drive and install free portable apps which run independently on any PC you find on the road. Just plug the USB drive into the PC and launch the starter application. You can browse the web, read and send email and create and or read standard documents. Use public access computers but maintain your privacy by running the apps off the drive, leaving no personal information on the public computer. For the ultimate flexibility use the free web browser to remotely control your desktop computer with gotomypc or logmein.
Learn about it here:
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