IHA Daily Briefing: Jan. 23

Monday, January 23, 2023
CMS Provides New Info on REH Application Process
SGIM: Tests, Procedures Physicians Should Question
Spring Session Upcoming Deadlines
Health News Illinois: Feb. 15 Legislator Roundtable
Illinois COVID-19 Data
Briefly Noted


CMS Provides New Info on REH Application Process
The Centers for Medicare & Medicaid Services (CMS) recently provided updated information for eligible providers on the application process to convert to a Rural Emergency Hospital (REH). Click here to access CMS’ resource document, which offers guidance on eligibility criteria, the application and enrollment process, and information on identifying your Medicare Administrative Contractor (MAC). MACs process all Medicare enrollment applications for Part A and B providers and suppliers, and serve as the primary avenue of communication between healthcare providers and the CMS Medicare Private Fee-For-Service program.


SGIM: Tests, Procedures Physicians Should Question
The Society of General Internal Medicine (SGIM) released a guidance document for physicians, identifying commonly ordered tests and procedures that current evidence suggests may not be necessary in general internal medicine. The update was issued as part of the American Board of Internal Medicine’s Choosing Wisely campaign, an initiative to help patients choose necessary, evidence-supported healthcare.  
 
The list identifies five targeted, evidence-based recommendations that can support conversations between patients and physicians about what care is really necessary, including:

  • Don’t recommend daily home glucose monitoring in patients with Type 2 diabetes mellitus not using insulin.

  • Don’t perform routine annual checkups unless patients are likely to benefit; the frequency of checkups should be based on individual risk factors and preferences. During checkups, don’t conduct comprehensive physical exams or routine lab testing.

  • Don’t perform routine pre-operative testing before low-risk surgical procedures.

  • Don’t recommend cancer screening in adults with life expectancy of less than 10 years.

  • Don't place, or leave in place, peripherally inserted central catheters for patient or provider convenience.


Spring Session Upcoming Deadlines
The Illinois Senate will return tomorrow, Jan. 24, as part of its scheduled spring legislative session, and the Illinois House will return Tuesday, Jan. 31. Notable upcoming General Assembly deadlines include a Jan. 27 deadline to have the Legislative Reference Bureau (LRB) draft Senate legislation; the House has a Feb. 3 LRB drafting deadline. The Senate deadline to introduce substantive Senate Bills is Feb. 10, and the House deadline is Feb. 17.

Click here to view the Senate session calendar for 2023. Click here to view the House 2023 calendar. 


Health News Illinois: Feb. 15 Legislator Roundtable
State legislative leaders will preview what they believe will be the top health issues this spring session at a Health News Illinois breakfast panel in Springfield on Feb. 15 from 7:30-9 a.m.

Panelists include Sen. Julie Morrison, D-Lake Forest; Sen. Dave Syverson, R-Rockford; Rep. Camille Lilly, D-Chicago; and Rep. Norine Hammond, R-Macomb. Click here to register for the event, which will take place at Arlington’s, 210 Broadway, in Springfield. Opening with registration, networking and buffet breakfast at 7:30 a.m., the legislative panel discussion will begin at 8 a.m.


Illinois COVID-19 Data
The Illinois Dept. of Public Health (IDPH) recently announced that it will follow the lead of the Centers for Disease Control and Prevention and shift from daily reporting of new COVID-19 cases and deaths to weekly reporting. As of Jan. 1, daily case and death data are no longer being reported. IDPH will reports weekly data on Wednesday of each week for the previous week ending Sunday. IDPH will continue daily reporting of ICU bed availability and hospital admission data.


Briefly Noted
Becker’s Hospital Review reports that, “Physicians' happiness fell amid the pandemic and is not rebounding easily.” Citing Medscape’s 2023 Physician Lifestyle and Happiness Report, 59% of physicians report they were “somewhat” or “very happy,” down from 84% pre-pandemic. Becker’s noted, “The percentage of physicians who are happy at work, specifically, fell from 75 percent before the pandemic to 48 percent today.”

New research suggests that cancer patients have an associated risk of suicide that is 26% higher compared with the general population. A statement issued by the American Cancer Society said that while “elevated suicide risk was observed across all sociodemographic groups,” risk was higher “among Hispanics, Medicaid-insured, Medicare-insured aged under 64 years old, or uninsured.” Additionally, suicide risk was highest during the first six months following a cancer diagnosis, “with the rate more than seven times higher than the general population.”