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Coding & Compliance Newsletter - April 2008
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Company << News & Events << Newsletters << MED3OOO Clinical Newsletter - April 2008

MED3OOO Clinical Newsletter - April 2008

Newsletter for Physicians and Clinical Staff                                               April 2008 Edition

Cancer Deaths on the Decline

By Paul McLeod, M.D., MED3OOO Chief Medical Executive

Good news! Since 1993, the population of the United States has experienced a steady decline in death rates from cancer. The magnitude of that decline has actually doubled in the last few years. What was once a certain “death sentence” diagnosis is often cured or successfully managed in a way similar to many non-malignant chronic illnesses. This encouraging trend was identified in a report from the November 15, 2007, journal Cancer. Below are some important highlights from the report.
 
Early detection and treatment really work. Some of the leading causes of cancer death – lung, colorectal, breast and prostate tumors – have better outcomes when detected early. Two of these (colorectal and breast cancer) have very good screening tests available to facilitate early detection and improved outcomes. One of the most promising sources of information lies in the patient’s personal genetic make-up. The presence or absence of unique genes can be used to predict the patient’s risk for development of various cancers. More genetic information will guide us through the treatment process by identifying how the cancer will respond to various drugs. We will reach a level of diagnostic and treatment sophistication far beyond what is available today.
 
Advances in cancer treatment have contributed to the decline in mortality. Deaths are dropping faster for colorectal cancer than for any other malignancy – by almost 5% a year among men and 4.5% among women. Several new colon-cancer medicines were introduced from 2002 to 2004, which may help explain why 2002 appears to be a turning point in the fight against cancer.
Improving outcomes through early detection and better treatment are two old ideas with a new wrinkle in the context of genomics and modern information technology. Patient-specific reporting is one of the core values and competencies of MED3OOO. We have been providing our physicians with information about the preventive care and disease-specific needs of their patients for several years. Those in need of cancer screening are identified and our operations staff can design implementation plans to assist providers in recalling patients based on their individual needs. Our MED3OOO data warehouse contains the demographic, claims, pharmacy and laboratory data needed to produce these robust reports. When available, personalized genetic profiles will be added to enhance the depth of information available to both patients and their providers. Our EMR product offerings and patient portal will provide a level of clinical content and information access not even imaginable a few years ago.
 
We at MED3OOO are excited about the possibilities for continuing the recent decline in cancer-related deaths through prevention, early dictation, and innovative treatments. We look forward to the challenges ahead and the opportunities they represent for patients and their physicians.
 
 
 Click here for a printed version: Clinical Newsletter April 2008
 
 
The Clinical Advisory is a clinical publication from MED3OOO dedicated to informing physicians and clinical staff about tools and information to improve the quality of patient care.

Corporate Headquarters: MED3OOO, Inc., 680 Andersen Drive, Foster Plaza 10, Pittsburgh PA 15220. For more information on our clinical initiatives visit www.MED3000.com or contact Geoff Coleman at Geoff_Coleman@MED3000.com or 1-888-811-2411

 

New Study Suggests…
By Paul McLeod, M.D., MED3OOO Chief Medical Executive  

Daily I receive the latest and greatest "medical break-through” via my computer. Sources can vary from the Wall Street Journal, to ABC news, to legitimate evidence based sites like InfoPoems and Medscape. All of the major specialty societies have these resources as well. Usually the news is highlighted with the words: “New Study Suggests That…”. 

 

We have made a major transition from the days when information was scanty and available primarily from the meetings we attended and the few journals we were able to scan each month. Managing this endless electronic flow of information requires some time and expertise to sort out the real “breakthroughs.”  In addition, our patients are deluged with consumer directed “studies” from companies focused on the sale of their products and services. Below are a few of the e-mails I have received and their sources:

 

Honey May Effectively Treat Cough in Childhood Upper Respiratory Tract Infections.  Honey may be a viable option for treating cough associated with upper respiratory tract infections (URIs) in children, according to the results of a randomized study reported in the December 3 issue of the Archives of Pediatrics & Adolescent Medicine.

 

Acupuncture effective for chronic back pain.Acupuncture is an effective treatment for decreasing pain in patients with chronic low back pain.  It doesn't seem to be a placebo effect; acupuncture produces a significantly greater effect on pain than sham acupuncture. There is not enough research to allow a conclusion for the treatment of acute low back pain. Manheimer E, White A, Berman B, Forsys K, Ernst E. Meta-analysis: Acupuncture for low back pain.  Ann Intern Med 2005; 142:651-63.

 

Green tea consumption is associated with reduced mortality. Green tea consumption is associated with reduced cardiovascular and all-cause mortality, but not cancer mortality. Women appear to benefit more than men: Men's mortality was significantly reduced only in those consuming more than 5 cups per day. Furthermore, there appears to be no benefit of green tea consumption in smokers.


Kuriyama S, Shimazu T, Ohmori K, et al. Green tea consumption and mortality due to cardiovascular disease, cancer, and all causes in Japan: the Ohsaki study. JAMA 2006;296:1255-1265.

These examples serve to emphasize our need to manage the quality of information that we and our patients use in clinical decision making. This newsletter contains some excellent online sites that serve as quality clearinghouses for patient education materials. I hope you find them valuable when directing patients in their search for answers to their health-related questions.

Patients are looking at websites for medical information. We, as physicians and other healthcare providers, should direct them to the best information available. The most comprehensive site we have found for educating people on evaluating health information is medlineplus. It contains links to several other documents, including the MedlinePlus Guide to HealthyWeb Surfing and a 16-minute video on Evaluating Internet Health Information: A Tutorial from the National Library of Medicine.

 

An excellent “bibliography” for health-related web sites that we found is the one put together by the Consumer and Patient Health Information Section (CAPHIS) of the Medical Library Association, who publish their “top 10” list at www.caphis.mlnet.org/consumer.  

Since patients are advised to ask their physicians which web sites are worthwhile, it’s a good idea for us to stay well informed, so that we know what to recommend.

 

MLA’s “top 10” list includes the following: Cancer.gov, Centers for Disease Control and Prevention (CDC), familydoctor.org, healthfinder ®,  HIV InSite, Kidshealth®, Mayo Clinic, MEDEM: an information partnership of medical societies, Medline Plus (English | Spanish), and NOAH: New York Online Access to Health.

Patient Recall

Using the M3/IQ™ technology and our M3/Connect technology, we can work with you to identify those patients in your practice who should be recalled for needed services. If you would like to discuss either these reports or an automated patient recall process using M3/Connect technology, please contact Geoff Coleman at: Geoff_Coleman@MED3000.com.

 

 
 
 

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