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CAP Home > STATLINE – April 26, 2012
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STATLINE
April 26, 2012  •  Volume 28, Number 9
Next Issue: May 10, 2012
© 2012 College of American Pathologists
 

2012 CAP Policy MeetingIn This Issue:

2011 Practice Characteristics Survey Now Available to CAP Members

The College of American Pathologists today released the results of its 2011 Practice Characteristics Survey. The College conducts a survey periodically to track and report on changes occurring in the practice of pathology among CAP members. The last survey was published in 2008.

The 2011 survey provides information on pathology practice sizes, settings, and services. It reports on mergers and acquisitions, as well as pathologists’ compensation and areas of sub-specialization. This year’s survey included new questions on the adoption and access to electronic health records and participation in accountable and coordinated care delivery systems.

The survey was conducted in 2010, and collected responses from 1,399 CAP members. It is the only pathology-specific survey to capture demographics, practice related issues, income and benefits and other pathology workforce data. Most respondents, 68%, work in a single practice setting, with nearly two-thirds working in practices with one to10 full time pathologists. The majority work in community hospitals or academic medical centers.

Among the key take aways from the survey, CAP found:

  • nearly 80% of respondents regularly practice in more than one subspecialty, and on average provide professional services in seven subspecialties;
  • 75% said they have the same level of access to patient clinical records as clinical physicians, with only 15% limited to only viewing the electronic medical record;
  • 20.2% of respondents are participating in an ACO, while nearly 70% are not or did not know.
  • Initiated in 1994, the proprietary report is an exclusive CAP member benefit, and only CAP members are able to download it from the CAP.org website.


    AMA Immediate Past President Wilson to Address Payment Challenges at Policy Meeting

    Cecil B. Wilson, MDAMA Immediate Past President Cecil B. Wilson, MD, will join Jonathan L. Myles, MD, FCAP, Chair of CAP’s Economic Affairs Committee, for a discussion of payment challenges facing physicians at the upcoming CAP Policy Meeting in Washington, DC, on May 7-9, 2012.

    The meeting’s keynote speakers will be Rep. Tom Price, MD (R-GA), a member of the House Ways and Means and Budget Committees, and former White House Special Advisor for Health Policy Ezekiel J. Emanuel, MD, PhD. CAP leaders, including President Stanley J. Robboy, MD, FCAP, Richard C. Friedberg, MD, PhD, FCAP, and Paul N. Valenstein, MD, FCAP, will also be addressing attendees.

    A members-only event, the CAP Policy Meeting offers a rare opportunity to join CAP leaders, health care policy decision makers, and colleagues in discussions on key health policy issues impacting the specialty. The CAP will provide up to 7.5 hours of continuing medical education for physicians participating in this event. Stay tuned to Statline for further updates; visit the meeting website to register and for more details.


    CAP Joins AMA, Physician Groups in Questioning CMS’s Proposed Overpayment Rule

    CMS’s proposed rule regarding physician overpayments is prompting concern from the CAP, the AMA, and other physician groups, particularly related to the physician’s responsibility to identify a potential overpayment, as well as the proposed 60-day reporting period and 10-year look back period.

    CMS Proposed Rule, Reporting and Returning Overpayments (CMS-6037-P), can be found online.

    The proposed rule imposes an undue burden on physicians by requiring them to proactively search for an overpayment, even absent a reason that one may exist, wrote the groups in an Apr. 16 letter to CMS Acting Administrator Marilyn B. Tavenner.

    CMS is also proposing a 60-day reporting period, although the beginning date of this period is unclear. To clarify, reporting should begin on the day when an error-specific inquiry has concluded, explained the letter.

    The groups are also adamantly opposed to a proposed 10-year look back period. Rather, a three-year look back period would be consistent with other CMS overpayment initiatives.


    CAP Teams With CDC to Enhance Tumor Biomarker Reporting to Cancer Registries

    At the request of the Centers for Disease Control and Prevention (CDC), the College is helping to improve biomarker and genetic test reporting included in state cancer registries funded through the agency’s comparative effectiveness research (CER) initiatives.

    Specifically, the CAP would work with other cancer specialty and health informatics oriented organizations, including ASCO, AMP, and NAACCR, to identify data elements related to laboratory tests that these registries need to capture to have comparable and analyzable data transmitted electronically from laboratory systems. This structured data could be related to chromosomes tested, translocations, as well as methods and probes used in testing.

    The project, which will be funded through expanding an existing CDC grant for the CAP electronic Cancer Checklists (eCC), supports the College’s position on focusing CER funding on cancer treatments, as well as building infrastructures that utilize laboratory data.


    Arizona Scope-of-Practice Legislation Signed Into Law

    Arizona Governor Jan Brewer has signed into law scope of practice legislation (SB 1362) for Certified Registered Nurse Anesthetists (CRNAs) that was amended by CAP and the Arizona Society of Pathologists (ASP). CAP collaborated with the ASP and Arizona Medical Association to reach an agreement with state CRNAs to amend the legislative proposal. The agreed upon amendment replaced the CRNA’s authority to “interpret” tests with “evaluating” test results. The agreement also limited a CRNA’s testing authority to point-of-care testing and made explicit that their activity is only conducted in conjunction with a surgical procedure.


    Keep Up with the Latest CAP Advocacy News on Twitter

    CAP Advocacy is now on Twitter. Follow CAP Advocacy’s daily “tweets” to keep pace with regulatory and legislative news affecting pathology. For the latest health care news, be sure to check out what we are following on Twitter.


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