ONC Cures Act & OpenNotes

How is UCSD moving forward with these required changes?
To address the two major efforts of improving access to results and notes, UCSD will be making the following changes in Epic, starting on November 2, 2020:
* Move to Open Notes and set clinical notes to be shared with MyChart active patients by default. Providers will still have the ability when writing a note to unclick the Share button prior to signing it, should one of the relevant exceptions under the ONC CURES rule apply.
* Expand the types of results made available in MyChart and shorten the time to automatically releasing those results.

For more info, check out the Open Notes website:

Additional Resources!

1) The (free!) Harvard online course on Mechanical Ventilation is a good adjunct to Dr. Papamatheakis’ Grand Rounds. It is just under 3 hours and gives a great overview including physiology, vent settings, waveform analysis, advanced mechanical ventilation and troubleshooting the vent. https://online-learning.harvard.edu/course/mechanical-ventilation-covid-19?delta=0

2) On a non-COVID note, here is a link to the Medscape Physician Business Academy. It offers an excellent introduction to a number of topics related to the Business of Medicine.https://www.medscape.com/academy/business

Friday School: Patient Encounters, Tai Chi, and Billing/Coding Game!

Today our residents and interns had the opportunity to practice revealing a diagnosis of dementia and their goals of care conversations with standardized patients in our professional development center. Thank you to all of our geriatrics, palliative care, primary care, and pulmonary critical care faculty who helped to facilitate the session! You can find the original article outlining the SPIKES framework to help with patient conversations here. Our residents also got a chance to learn and practice tai chi (outside, so they got some vitamin D also!) with tai chi master, Dr. Jesse Tsao. Remember this has been shown to decrease fall risk and chronic pain! They finished off the afternoon with a session on billing & coding with Dr. Deanna Hill – with a game created by our very own Dr. Joe Meserve!

Doctors to rally for Medicare for All and Immigrant Health Care–Fri 11/9/18 5-5:30pm

More than one hundred doctors will gather in front of the office of Immigration and Customs Enforcement (ICE) to rally for a national health plan that includes all U.S. residents WHAT: “Tearing Down Barriers To Care” rally for Medicare-for-All and immigrant care WHO: Physicians for a National Health Program; Women’s March San Diego; Planned Parenthood San Diego; Border Angels WHEN: Friday, Nov. 9 from 5:00-5:30 p.m. WHERE: Neighborhood Park, Corner of F St and Front St (across from the ICE Building) San Diego — Wearing their scrubs and white coats, more than 100 doctors and medical students will rally on Friday to demand a single-payer, Medicare for All national health system. The theme of the rally is “Tearing Down Barriers to Care,” and includes calls to protect care for immigrant families and other underserved populations. Contrary to claims by some elected officials that immigrants are a drain on public services, recent studies show that immigrants use far less health care

read more Doctors to rally for Medicare for All and Immigrant Health Care–Fri 11/9/18 5-5:30pm

Cardiology Friday School Continues!

This week, we had a special appearance from our celebrity Cardiologist, Dr. DeMaria! He taught us echocardiogram basics, reviewing basic views and doppler. He ended his session with interesting cases we may see at our cardiovascular center. Residents practiced identifying AS, MS, HOCM, and bicuspid aortic valves. Dr. Kahn was next up! He reviewed the practicality of CT calcium scoring for risk stratification. We can take the Agatstan Score from the CT and plug it into the MESA Calcium calculator. Many studies have validated this method!! He then went on to discuss cardiac CTA. This can be especially useful given its sensitivity (at least 96%). It may save a patient from a cardiac catheterization! When the interns joined us, Ron Appling with Fidelity ran through retirement cases. Moral of the story: Start saving money now! As employees for UCSD, you can schedule a one on one appointment with him to discuss your specific case. (The link was emailed to you

read more Cardiology Friday School Continues!

Interested in Health Policy?

Dr. Richard Kronick is giving us a talk on his extensive and impressive experience working in health policy. He will be at Friday school on 10/13 from 3-4pm at MET Lower Auditorium and 10/20 from 3-4pm at MET 145. If you are able to attend, please come! Email Ruth at ruhsiao@ucsd.edu with any questions! You don’t want to miss this! Professor Kronick was a Senior Health Policy Adviser in the Clinton Administration in 1993-94, and was the Director of Policy and Reimbursement in the Massachusetts Medicaid program from 1985-87.  From 2010 to 2016 Professor Kronick served in the Obama Administration, on leave from UCSD. From 2010 to 2013, he was Deputy Assistant Secretary for Health Policy in the Office of the Assistant Secretary for Planning and Evaluation (ASPE), where he primarily worked on implementation of the Affordable Care Act, and the design and evaluation of Medicare and Medicaid payment policy. From 2013 to 2016, Professor Kronick was the Director of

read more Interested in Health Policy?