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Physician: 'I almost killed a patient' due to advance directive
HealthLeaders Media
According to the author Philip Betbeze: While advance medical directives can be a benefit to patients, families and health care costs, misinterpretation of these documents by clinicians is common, says a prominent emergency medicine physician. This can lead to irreversible medical errors. I recently wrote about the idea of making advance directives a condition of obtaining Medicare benefits. Such a move, one major healthcare CEO told me, would be a great way to help reduce the cost of care for patients at the end of life, where so much expensive treatment with dubious results takes place.
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Happy Nurses' Week!
May 6-12 is Nurses' Week, and this year's theme is "Nurses Leading the Way." We hope that you use this time to celebrate with colleagues and friends and recognize the difference that nurses make at your organization. For more information on Nurses' Week, visit the American Nurses Association website.
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HHS updates ICD-10 requirements
As a result of the enactment of the Protecting Access to Medicare Act of 2014, the Department of Health and Human Services (HHS) expects to release an interim final rule soon that requires the use of ICD-10 starting Oct. 1, 2015. All HIPAA-covered facilities will still be expected to use ICD-9-CM through Sept. 20, 2015.

Additionally, the ICD-10 end-to-end testing scheduled for July by the Centers for Medicare and Medicaid Services (CMS) has been canceled.

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Calling all innovators:
Share your experiences, models and successes

ACMA is now accepting presentation proposals for the 2015 ACMA National Conference, April 26-29, 2015, in Phoenix, and we are searching for practitioners with innovative solutions, which have been tested in daily practice.

What makes a valuable presentation?
  • Best practices
  • Successful initiatives or models
  • Effective tools or interventions
  • Programs that have demonstrated successful outcomes
  • Evidence-based research
  • New information on key topics in hospital case management.
Speakers receive a 50 percent discount on main conference pricing.

Do you fit the bill? Then submit your presentation today — click here. Presentations must be submitted by June 2.

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Spend the day with us in Indianapolis and earn CEs
Registration for Indianapolis is open.

We can't wait to see you at the Indianapolis Advancement Forum on May 8. Already case managers in Los Angeles, Dallas, Seattle and Mobile, Ala., have enjoyed the informative sessions. ACMA members pay only $299, which includes the one-day conference, a follow-up webinar and hard-copy materials.

This event offers a unique learning experience for current and prospective leaders in case management and transitions of care to advance within their field and further develop skills and competencies within this dynamic practice. With stops in five cities nationwide, this comprehensive professional advancement program will be accessible in a city near you.

The Advancement Forum is a three-part educational package designed to provide participants with education and training in core competencies and trends in case management.

Brochure and Online Registration Now Available
To download the e-brochure, click here.

For online registration, go to Be sure to register early. Space is limited!

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Save the date: 2014 Leadership Conference and Medical Director Forum
Mark your calendar and make plans to join us for the 2014 ACMA Leadership Conference and Medical Director forum in Orlando, Florida. These events will be held at the Orlando World Center Marriott, Nov. 19-22.

Leadership Conference: Nov. 19 and 20 The ACMA Leadership Conference is a two-day event designed specifically for health care delivery system case management and transitions of care professionals in leadership positions. A faculty comprised of practice leaders and health care experts will address pertinent issues impacting case management and care delivery.

Medical Director Forum: Nov. 22 Initially planned for April 10, in Chicago, this intensive workshop has been rescheduled to occur in conjunction with the 2014 ACMA Leadership Conference on Nov. 22 in Orlando.

During this full-day event, experienced physician advisors, medical directors and case management leaders will discuss timely topics impacting the unique role of physicians in the case management model.

More information and online registration will soon be available. Watch and ACMA email notifications for updates and announcements.

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CMS releases 2015 IPPS Proposed Rule
The 2015 Medicare Inpatient Prospective Payment System (IPPS) Proposed Rule includes several decreases in Medicare payments to acute-care hospitals effective Oct. 1, 2014, if approved. A recent article published by Becker's Hospital Review outlines 10 important points regarding the proposed IPPS for FY 2015.

Included in the proposed IPPS is:
  • A 1.3 percent increase in Medicare operating rates for acute-care hospitals that report quality data and are also meaningful users of electronic health records
  • A 1.1 percent reduction in disproportionate share hospitals (DSH) payments for FY 2015
  • No substantive change to the two-midnight rule.

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What is the 'Since You Asked Committee' and why is it important to you?
The "Since You Asked" Committee has convened for 2014-15 with the goal of drafting short articles that answer common issues faced by case managers. The articles have consisted of regulatory issues, how to have a crucial conversation, what is an LCD versus an NCD, MAC pre-payment review, and last but not least, the 13 items required for the conditions of participation for discharge planning for Medicare patients. To see the "Since You Asked" archives, click here.

Our purpose is to have you, the reader, pose a question to the committee. Then, the committee does the research to get the best information on the subject and writes an article on the findings. The articles are researched and the information is referenced to allow the reader to seek out more information from the research.

To get your question answered, submit suggestions to Nancy Loeffler, the committee chair, via email at She and the committee will then consider the request and how best to approach the subject.

Committee members are:
  • Angela Hanley, LMSW, ACM
  • Livia Henderson, RN, BSN, MS, MBA, ACM
  • Heather Jeffers, BSW, ACM
  • Paula Lenhart, RNC, MSN, CNS, ACM, FABC
  • Nancy Loeffler, RN, BSN, ACM, CCM
  • Jennifer Zirkle, RN, MSN, CCRN, NE-BC, ACM

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Late referral to palliative care consultation service: length of stay, in-hospital mortality outcomes
The Oncology Report
Palliative care services in the United States are increasing in their prevalence but continue to vary in their implementation, with different referral policies and timing of patient access to services.
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Payment reform landscape: Payment for non-visit functions, medical home
Health Affairs
According to the author Suzanne Delbanco: As I've been discussing in Health Affairs Blog each month, payment reforms can pose a spectrum of financial risk for providers, with financial upside only — such as pay-for-performance programs — on one end, and downside-only models — such as nonpayment for care that shouldn't happen — on the other. In March, we examined pay-for-performance, an-upside only model. Now we look at another upside-only model, typically used to support care coordination and patient centered medical homes.
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Is your organization ready for the EHR replacement process?
EHR Intelligence
According to the author Jerri Cowper: The decision to change electronic health record vendors is not an easy one. Any organization faces difficult questions. Are our EHR team and end users able to take on yet another change? Are we ready to go through the vendor selection once again? Can we handle the expense of going through yet another implementation?
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Date Event Location More Info
May 8 Indianapolis Advancement Forum Indianapolis Details
May 8 Minnesota Chapter Conference Bloomington, Minn. Details
June 30 Northern California Chapter Conference Napa, Calif. Details
July 19 Georgia Chapter Conference Atlanta Details
July 31-Aug. 1 Florida Chapter Conference ChampionsGate, Fla. Details
Aug. 23 MO/IL Gateway Chapter Conference St. Louis Details
Sept. 6 Kentucky/Tennessee Chapter Conference Nashville, Tenn. Details
Sept. 11-12 South Carolina Chapter Conference Columbia, S.C. Details
Sept. 26 North Carolina Chapter Conference Winston-Salem, N.C. Details
Sept. 27 Maryland Chapter Conference Baltimore Details
Oct. 11 Virginia Chapter Conference Richmond, Va. Details
Oct. 14 Wisconsin Chapter Conference Waukesha, Wis. Details
Oct. 25 Connecticut Chapter Conference Uncasville, Conn. Details
Oct. 28 Illinois Chapter Conference Rosemont, Ill. Details

  For the full ACMA event map, click here.



Laura Chambers, ACMA Communications Coordinator, 501.907.2262
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Colby Horton, Vice President of Publishing, 469.420.2601

Ryan Clark, Content Editor, 202.684.7160  
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