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The DOJ investigation: Lessons from Colleagues April 13, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Health Policy.
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I read with great interest a special article in the Journal of the American College of Cardiology by two electrophysiologists involved in a Department of Justice (DOJ) civil investigation. The investigation is related to implantable cardioverter-defibrillator (ICD) implant procedures performed on Medicare beneficiaries that appeared to fall outside of the approved indications outlined in a Centers for Medicare and Medicaid Services’ (CMS) National Coverage Determination (NCD). (more…)

Maximizing Teamwork in the EP Lab April 9, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Allied Health Professionals, Cardiac Rhythm Management, EP Physicians, Scientific Sessions.
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On Thursday, May 10, during Heart Rhythm 2012, Drs. Lucian Leape, Saul Weingart and Jeffery Cooper will present a first-of-its kind (for HRS) interactive symposium about team performance and challenges in the electrophysiology lab. As giants in the patient safety movement, they will analyze a case of radiation safety during Afib ablation based on a situation that could happen in any lab, and will demonstrate how team performance determines patient outcomes. (more…)

Bill Requiring Unique Device Identifier Introduced in Senate April 1, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Cardiac Rhythm Management, Health Policy.
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On Friday, March 16, bill S. 2193, “Ensuring Safe Medical Devices for Patients,” was introduced in the Senate by Senator Jeff Merkley (D-OR) with Senators Chuck Grassley (R-IA), Michael Bennet (D-CO) and Herb Kohl (D-WI).

S.2193 is a bipartisan initiative that aims to strengthen and improve the oversight of medical devices. The bill requires the U.S. Food and Drug Administration (FDA) to issue a Unique Device Identifier (UDI) final rule by the end of the year. This rule is long overdue. (more…)

The Independent Payment Advisory Board — What Next? March 21, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Health Policy.
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Last week, David Penson, MD, representing the American Urological Association (AUA), testified before the House Committee on Ways and Means Health Subcommittee, and called on Congress to repeal the Independent Payment Advisory Board (IPAB).

The Heart Rhythm Society (HRS), as a member of the Alliance of Specialty Medicine alongside AUA, has opposed the creation of the IPAB since it was first suggested, and has advocated for its repeal since the enactment of the health care reform law. The Society recently joined the IPAB Coalition in order to work with more organizations calling for the same action. (more…)

Promoting a Culture of Safety Featured Symposium at Heart Rhythm 2012 March 12, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Cardiac Rhythm Management, Scientific Sessions.
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At Heart Rhythm 2012 in Boston, Bruce L. Wilkoff, MD, FHRS, CCDS and Paul Varosy, MD, FHRS will host a featured symposium on the fundamentals of transforming intraprocedural heart rhythm care to a culture that promotes patient safety(more…)

Cardiac Science Corporation Voluntarily Recalls AEDs March 7, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Allied Health Professionals, EP Physicians, Industry.
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On February 27, 2012, Cardiac Science Corporation notified customers of a recall of several models of automated external defibrillators (AEDs) manufactured between July 1, 2011 and December 30, 2011. (more…)

Support HRS’ Advocacy Efforts- Participate in the Virtual Fly-in February 23, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Atrial Fibrillation (AF), Health Policy.
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The Heart Rhythm Society, in collaboration with other stakeholders, is educating Members of Congress, their staff and the public about heart rhythm disorders. During the American Heart Month, HRS is organizing a virtual fly-in on February 23.  We ask HRS members and non-members to email their House Representatives and urge them to co-sponsor the AF Resolution (H. Res. 295). (more…)

Courage May Be The Solution February 18, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Health Policy.
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Last week, the Ways and Means Committee of the House of the Representatives held a congressional hearing to examine programs that reward physicians for delivering high quality and efficient care. Health insurers and physicians spoke about their individual efforts to improve quality and efficiency: insurers through new payment models and financial incentives, and physicians through practice transformations. (more…)

GAO Report Finds Lack of Transparency in Implantable Medical Device Prices February 14, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Health Policy, Industry.
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In response to a request from Max Baucus (D-MT), Chairman of the powerful U.S. Senate Finance Committee, on February 3 the Government Accountability Office (GAO) released a report outlining the difference in prices that hospitals pay for implantable medical devices (e.g. defibrillators and hip replacements). (more…)

FDA User Fee Bills: Why You Should Care February 13, 2012

Posted by Kathleen Blake, MD, MPH, FHRS in Health Policy.
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The U.S. Food and Drug Administration (FDA) relies upon user fees from manufacturers in order to perform product reviews in a timely fashion. The statutes that authorize collection of these fees are reauthorized every five years. The Medical Device User Fee Act (MDUFA) is up for reauthorization no later than September 30, 2012. The FDA has been actively engaged in discussions with manufacturers in anticipation of renewal. An article this week suggests that an agreement has been reached between the FDA and the device manufacturers that will increase the total fees paid over five years to FDA from $295M to an estimated $595M. The fees collected will allow the FDA to hire more evaluation staff during the term of the renewal. Although Members of Congress seem to agree on very little of late, renewal is expected by all parties because the FDA and the manufacturers both depend on the fees allowed by the Act to get products reviewed and approved. (more…)

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