Whitney Palmer

Healthcare. Politics. Family.

Meaningful Use Stage 2 Rule Offers Radiologists Some Clarity

Published on the Sept. 6, 2012 DiagnosticImaging.com website

By Whitney L.J. Howell

The final rule for Stage 2 of the Meaningful Use (MU) program, released last month, clarifies a few sticking points for the radiology industry, but some questions remain, say industry experts who are still digging through the specifics of the rule.

Still considered to be a move toward standards-based health information exchanges, the final rules for Stage 2 — released by CMS and the Office of the National Coordinator (ONC) set to take effect in 2014 —provide some additional clarity for how radiologists and hospitals should approach MU. But they’re little changed from the proposed versions. The similarities, some said, are surprising.

“It’s interesting that CMS’ final rule resembled the proposed rule as much as it did,” said Michael Peters, legislative and regulatory affairs director for the American College of Radiology (ACR), noting the short time between the publication of the proposed and final rules. “This was probably the result of an extremely quick rule-making that spent less time addressing stakeholders’ concerns.”

Individual providers and practices shouldn’t change their daily workflow and activities just yet, Peters said. The final rule, its requirements, and menu items, have not yet been completely analyzed.

However, it’s clear so far that the final rules offered additional guidance in three main areas: imaging accessibility, computerized physician order entry (CPOE), and hardship exemptions for meeting MU requirements. These areas have also been points of concern for the ACR.

According to Keith Dreyer, DO, chair of the ACR IT and Informatics Committee-Government Relations Subcommittee and radiology vice chair at Massachusetts General Hospital, the final rule guidance should make MU compliance easier for practicing radiologists. It combines certification criteria for eligible hospitals and eligible providers (EPs) in hospital settings with certified electronic health record (EHR) technology. The rule also impacts clinical quality measures.

“The clinical quality measures are better aligned with other quality incentive programs, making the overall process simple to achieve,” he said.

Fortunately, the final rule doesn’t require providers to store imaging results in an EHR with the ONC abandoning its proposal that images be available for download and transfer to third parties. Instead, they can offer a link to study results. In addition, CMS is only requiring 10 percent of images to be accessible this way instead of the 40 percent suggested in the proposed rule.

This change is a double-edge sword, Dreyer said. While it does relieve some of the pressure EPs felt regarding image accessibility, it also affects patients.

“It was disappointing to see the removal of the portion of the proposed MU objective requiring the ability for patients to view, download, and transmit their medical image data,” he said. “This was a common request of patients.”

To read the remainder of the article at its original location: http://www.diagnosticimaging.com/meaningful-use/content/article/113619/2101122

September 10, 2012 Posted by | Healthcare, Politics | , , , , , , , , , , , , , , , , , , , , | Leave a comment

Public Service A Lifestyle for Knoxville Mayor Rogero

Published in the Summer 2012 Furman University Alumni Magazine

By Whitney L.J Howell

TAKE A LOOK around Furman’s campus and it’s clear there’s no “typical Furman student.” The student body is a mish-mash of ages, interests, ethnicities, accomplishments and goals.

But even among such a diversified group, Madeline Rogero was unique as a senior in 1979.

“I was a bit of an older student. I had one child already, and one was on the way,” she says. “My second child was just about
three weeks old when I graduated.”

That wasn’t the only thing that made Rogero stand out. She had transferred to Furman after a year at Temple University and two years as a political science major at Ohio State. Before her senior year, however, she felt called to help California’s farm aides — which led to a four-year hiatus from higher education, during which she worked with Cesar Chavez to help farm workers improve their living and working conditions.

Today, as mayor of Knoxville — the first woman to serve as mayor of any of Tennessee’s four largest cities (including Memphis, Nashville and Chattanooga) — Rogero says those kinds of experiences shaped her view not only of public service, but of what it means to be a contributing member of a community. She jumped head-first into improving Knoxville as soon as she moved there more than 30 years ago.

“I got my start in politics as a county commissioner. I cared about neighborhood issues,” she says. “I ran for mayor because I wanted to continue the work that I had been doing — dealing with blighted properties, strengthening our communities, and actively supporting sustainability issues.”

During the past three decades Rogero has served on numerous boards, including the Knoxville Transportation Authority, Partnership for Neighborhood Improvement, and the Mental Health Association of Knox County. Her efforts have earned her many accolades, including the 2003 Knoxvillian of the Year award.

Rogero has a long history of working to revitalize areas that have fallen into disrepair. After losing a close mayoral race in 2003 to Bill Haslam — now the state’s governor — Rogero joined his administration as community development director. The Office of Neighborhoods, launched under her leadership, was instrumental in completing a $25.6 million program that helped secure tax credits, grants and bonds for businesses in economically depressed parts of the city.

Rogero and her staff also spent countless hours on commercial redevelopment, historic preservation, property redemption, and services that enhanced the community’s economy. She spearheaded a five-county collaboration that garnered a $4.3 million grant to support sustainable community planning.

Even before taking the job with the city, though, Rogero pushed to improve her community. Among other responsibilities, she consulted with Capital One Financial Corporation’s community affairs office and was executive director of Knoxville’s Promise, an organization devoted to giving youths the resources they need to become successful adults.

As mayor, Rogero is focused on redeveloping Knoxville’s south waterfront and working with a local foundation to support 10 city parks, as well as hiking and biking trails.

Although she spent only a year at Furman, she credits her time there with helping her learn to translate her real-world, outside-the-box experiences into effective civic endeavors. She points to classes with professors Jim Guth and Don Aiesi as forums where she came to understand the value of her work with Chavez.

“I remember they would often call on me during political science and constitutional law discussions because I had a lot of real and practical experience to bring to those conversations,” she said. “They knew I had a different point of view.”

From a young age, Rogero says, she felt she would become involved in causes greater than herself.

“The nuns and priests [in her Catholic schools] challenged us to be involved,” she says. “A lot of different things were happening in the ’60s — the civil rights movement, the Vietnam War. That education opened my mind beyond my personal experiences and really
instilled in me a sense of working for the world to be more equitable, inclusive and diverse.”

Rogero also learned firsthand the importance of helping others during her childhood in Florida. At any given time, foster children or other family members lived in her house. Seeing her parents open their lives to those in need taught her to reach out to others whenever she could.

That time with family also nurtured Rogero’s love of nature. Her father, she says, loved to hunt and fish, and they spent a great deal of time at the beach or on the river.

Her affinity for the outdoors has never faded. Rogero and her husband, Gene Monaco, often bike around Knoxville’s greenways or use their flatwater kayaks to paddle down the Tennessee River. Her greatest outdoor adventure, however, is being a beekeeper.

“As a family, we suit up in the gear with the veil and the gloves, and we share the honey the bees make with friends and family,” says Rogero, a mother and grandmother of two and stepmother of three. “It’s a really amazing thing to get into when you realize that
one-third of the things we eat depend on honeybees for pollination. It’s really helped me to learn about and appreciate the ecosystem we live in.”

To read the article online at its original location (p. 33): http://www2.furman.edu/sites/fumag/Documents/FM12%20SUMMER%20low%20res%20spreads.pdf

September 10, 2012 Posted by | Education, Politics, Profiles | , , , , , , , , , , , , , , , , | Leave a comment


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