The Centers for Medicare & Medicaid Services (CMS) finalized, this week, proposed Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Quality Standards for custom fabricated and therapeutic inserts with one minor change. The revisions, effective Jan. 9, 2018, occur in the Custom Fabricated and Therapeutic Inserts section in Appendix C of the DMEPOS Quality Standards. […]
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Tag Archives: Standards
Joint Commission updates EM standards to match CMS
In response to CMS’ final emergency preparedness rule issued earlier this month, The Joint Commission announced revisions to its Emergency Management (EM) standards. CMS is expected to approve the updated standards before they go into effect November 15.
Joint Commission’s top-cited standards list gives hospitals plenty to work on
In what is likely a result of a new survey matrix, new or revised Life Safety and Environment of Care requirements, and increased pressure from CMS, hospitals scored much worse across the board on The Joint Commission’s list of most challenging standards for the first half of 2017, compared to the same period last year.
Q&A: Changes to Joint Commission maintenance standards and AEMs
The following is an edited Q&A from the Association for the Advancement of Medical Instrumentation’s (AAMI) webinar, “Clarifying the Changes to Joint Commission and CMS Standards.” The webinar talked about the changes to The Joint Commission’s maintenance standards, which no longer differentiate between inspecting high-risk and non-high-risk devices for an alternative equipment management (AEM) program. The speakers for the event were George Mills, MBA, FASHE, CEM, CHFM, CHSP, Joint Commission director of engineering, and Stephen Grimes, FACCE, FAIMBE, FHIMSS, managing partner and principal consultant for Strategic Healthcare Technology Associations, LLC.
Xinhua Medical: Medical Electron Accelerators Up To International Standards – Medical Electronics,
Disinfection is the largest Sterilization equipment Research and production base, disinfection and sterilization equipment and radiation therapy equipment, has occupied the first domestic firm stable position, with the hospital and pharmaceutical use with the sterilizer sterilizer two production lines, including high-pressure sterilization cabinet for more than 70% market share.
Advanced technology to dominate the domestic
Xinhua Medical (600,587) ahead of the domestic industry, the key is strong technical strength, the growth of the company’s performance has laid a difficult enterprise with industry and related businesses advantage. Currently, most products Xinhua medical technology has been close to or reached the international advanced level, while the price difference between imported products in general 3-8 times, with high performance and low cost. The company has five national key new products, state-level new products, two state-level Torch Program projects, 21 patents, access to technology progress award number; cleaning and disinfection device project filled a gap on the automatic cleaning , highly competitive advantage.
As the technology leader in the domestic competition and the strength is far difficult enterprise, the company’s dominant domestic market share is very strong domestic position of the first. Xinhua is the largest medical sterilization equipment manufacturer, is also the only Chinese brand in this field, the market share of nearly 40% in high-pressure sterilization cabinet for more than 70% market share. In the three additional items of medical Xinhua put into production, this market share will be rewritten.
Additional financing in May last year, construction of three major projects, the progress of the current status of the project is to cleaning sterilizer actual investment 70,261,900 yuan, the project schedule was 92.45%; non-PVC soft bag infusion automatic production line of actual investment 67,827,300 yuan, progress of the project is 92.91%; blood irradiation device project actual investment 40,389,100 yuan, the project schedule was 49.86%. Three projects, the first two projects have been started in the second half will have a good scale, a third project will be completed in the third quarter, fourth quarter will also create new benefits. Xinhua three projects will further enhance the market share of health care is expected to increase to 60%, to become king of the area, future growth potential is enormous, investors may wish to focus.
Medical Electronics Linear accelerator boost performance
Xinhua developed XHA600D medical linear accelerator has passed expert appraisal. Because of this medical linear accelerator and treatment beds using advanced design, implementation of the fast and accurate digital control of the beam and to identify experts agree that the success of the product, increase the level of domestic medical accelerator technology, adapted precision radiotherapy, so that our country of such products in the high dose rate, fast out the beam, digital control technology, the new structure of the treatment bed technology, and reached the international advanced level. The product is a medical
Xinhua core competencies to improve business and products developed for grades. It consists of the console, host, treatment of bed three main components, including the host, including the rack, the treatment head, and by the magnetron, microwave transmission systems and high-performance speed control system composed of the accelerator. Accelerating tube of the product by optimizing the cavity design to improve host performance microwave systems due to the use of the phase adjustment techniques, thus increasing the maximum dose rate (up to 400cGy/min) transport efficiency, achieving a fast and accurate the beam. The product’s control system uses computer control technology, the components and communication protocols to connect through the console to realize the digital control. The new structure of the treatment bed space due to the use of the non-braking valve technology to achieve a zero gap locked position, thus achieving a high strength, high-ray transmission.
Medical linear accelerator, successfully developed, will allow the medical high-tech products Xinhua Adds strength, further widening the gap with similar enterprises, future growth prospects are very gratifying, and investors concerned about the long term.
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HCC Productivity Standards
My primary care group is in the process of creating their own ACO and building a dedicated risk adjustment department from the ground up. The administration is looking for input on productivity standards for HCC coders but I’m having difficulty finding specific data for this niche of coding. Does anyone have any information on a standardized average productivity for this type of coding?
Productivity Standards
Hello I am looking for productivity standards for family practice coders. Do you hold your coders to productivity? Do you know of a website that is up to date for productivity standards?
Thank you
Robin
High- and low-risk devices are all the same to surveyors; New maintenance standards could prove costly for hospitals:
Many were shocked by The Joint Commission’s newest standards and elements of performance (EP) on medical device maintenance. The accreditor will no longer distinguish between “high-risk” and “non-high-risk” equipment when surveying maintenance and inspection compliance. Instead, facilities are expected to achieve 100% inspection compliance for both types of devices.
Coding standards and guidelines
Good software development organizations usually develop their own coding standards and guidelines depending on what best suits their organization and the type of products they develop.
The following are some representative coding standards.
Rules for limiting the use of global: These rules list what types of data can be declared global and what cannot.
Contents of the headers preceding codes for different modules: The information contained in the headers of different modules should be standard for an organization. The exact format in which the header information is organized in the header can also be specified. The following are some standard header data:
⢠Name of the module.
⢠Date on which the module was created.
⢠Author’s name.
⢠Modification history.
⢠Synopsis of the module.
⢠Different functions supported, along with their input/output parameters.
⢠Global variables accessed/modified by the module.
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Naming conventions for global variables, local variables, and constant identifiers: A possible naming convention can be that global variable names always start with a capital letter, local variable names are made of small letters, and constant names are always capital letters.
Error return conventions and exception handling mechanisms: The way error conditions are reported by different functions in a program are handled should be standard within an organization. For example, different functions while encountering an error condition should either return a 0 or 1 consistently.
The following are some representative coding guidelines recommended by many software development organizations.
Do not use a coding style that is too clever or too difficult to understand: Code should be easy to understand. Many inexperienced engineers actually take pride in writing cryptic and incomprehensible code. Clever coding can obscure meaning of the code and hamper understanding. It also makes maintenance difficult.
Avoid obscure side effects: The side effects of a function call include modification of parameters passed by reference, modification of global variables, and I/O operations. An obscure side effect is one that is not obvious from a casual examination of the code. Obscure side effects make it difficult to understand a piece of code. For example, if a global variable is changed obscurely in a called module or some file I/O is performed which is difficult to infer from the function’s name and header information, it becomes difficult for anybody trying to understand the code.
Do not use an identifier for multiple purposes: Programmers often use the same identifier to denote several temporary entities. For example, some programmers use a temporary loop variable for computing and a storing the final result. The rationale that is usually given by these programmers for such multiple uses of variables is memory efficiency, e.g. three variables use up three memory locations, whereas the same variable used in three different ways uses just one memory location. However, there are several things wrong with this approach and hence should be avoided. Some of the problems caused by use of variables for multiple purposes as follows:
⢠Each variable should be given a descriptive name indicating its purpose. This is not possible if an identifier is used for multiple purposes. Use of a variable for multiple purposes can lead to confusion and make it difficult for somebody trying to read and understand the code.
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⢠Use of variables for multiple purposes usually makes future enhancements more difficult.
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The code should be well-documented: As a rule of thumb, there must be at least one comment line on the average for every three-source line.
The length of any function should not exceed 10 source lines: A function that is very lengthy is usually very difficult to understand as it probably carries out many different functions. For the same reason, lengthy functions are likely to have disproportionately larger number of bugs.
Do not use goto statements: Use of goto statements makes a program unstructured and makes it very difficult to understand.
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ONC Final Rule Updates Health IT Standards to Improve Security, Accountability
The U.S. Department of Health and Human Services (HHS) has released its Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification Program: Enhanced Oversight and Accountability 2017 Final Rule. The ONC Health IT Certification Program is a voluntary program to provide for the certification of health IT standards, and “to provide assurance […]
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