Current Issue

November 2017 – Vol. 36, No. 10

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The Leading Edge

Your membership and value expectations

Do you value your membership in the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) as much as I do? The clinical practice of medicine has become enormously complicated, and we live in an era of constant flux in the provision of healthcare—especially as it relates to regulatory requirements, socioeconomic and reimbursement challenges, and a plethora of other interjected patient care paradigm burdens. These burdens deleteriously impact provision of care and indeed the essence of [...]

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The path to healthcare reform

Last month, I raised the premise that meaningful healthcare reform could not be accomplished without the participation and cooperation of all participants in the debate. In my mind, there are 11 major players: ancillary services, attorneys, Congress, consultants, hospital systems, the insurance industry, medical device and instrument companies, Pharma, physicians, the public, and regulators. These groups produce or utilize essential products and services to advance healthcare services, but unfortunately at a cost we cannot afford. [...]

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At The Forefront

Cecelia E. Schmalbach, MD, MSc, named BOD Coordinator-Elect for Research and Quality

The Board of Directors approved Cecelia E. Schmalbach, MD, MSc, as the Coordinator-Elect for Research and Quality. An active search was led by Cherie-Ann Nathan, MD, and a search committee for a final candidate. The Search Committee and Research and Quality staff participated in meetings via a conference call to discuss several qualified candidates. Interviews took place during the AAO-HNSF 2017 Annual Meeting & OTO Experience in Chicago, IL. Dr. Schmalbach will spend 12 months [...]

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Roger D. Cole, MD, MA, named Chair-Elect, Ethics Committee

The Board of Directors (BOD) appointed Roger D. Cole, MD, MA, to the position of Chair-Elect, Ethics Committee at the AAO-HNSF 2017 Annual Meeting & OTO Experience in Chicago, IL. To fill the role, a search committee, led by Michael D. Seidman, MD, was commissioned to find a final candidate for the non-voting, ex-officio position. The Search Committee nominated Dr. Cole, and the nomination was approved by the BOD. Dr. Cole is chief of Otolaryngology/Head [...]

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Board of Governors

If not you, then who? If not now, then when? Spencer C. Payne, MD Chair, BOG Governance & Society Engagement Committee I have to chuckle a little as I write this with my wife beside me, accusing me of having said “yes” to one more thing. “Why do you do this [to yourself]?” she asks. To an extent, she has a point. I, as well as most of my colleagues, have perhaps overextended myself, signing [...]

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2018 Committee Application Opened November 1

Want to get more involved with your Academy? Apply to become a committee member! The 2018 application cycle will open on November 1, 2017, and close on January 1, 2018. All committee applicants should be in good standing with the Academy and must be a voting fellow, member, resident member, scientific fellow, international fellow, or international member of the Academy to be eligible to serve as a committee member. All current committee members and committee [...]

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CMS listened!

AAO-HNS and IAC comments on IPP System’s public display of accreditation status The Centers for Medicare & Medicaid Services (CMS) decided not to finalize their proposal to require all Medicare advanced diagnostic imaging final accreditation survey reports as well as acceptable plans of correction (POC) in the Fiscal Year 2018 Medicare Hospital Inpatient Prospective Payment System and Long-Term Acute Care Hospital (IPPS) Prospective Payment System Final Rule. The Academy agreed with comments from the Intersocietal [...]

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2018 Quality Payment Program (QPP) proposed rule

On June 20, 2017, the Centers for Medicare & Medicaid Services (CMS) released the 2018 proposed rule for the second year of the Quality Payment Program (QPP). The QPP has two tracks for participation: Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM). In the August 2017 issue of the Bulletin, the Academy discussed CMS’ proposed changes, including: Increasing the low-volume threshold to ≤$90,000 in Part B allowed charges or ≤200 Part B beneficiaries, [...]

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Academy, 3P Workgroup collaborate to review position statements

Position Statements are used to designate a statement, policy, or declaration of the American Academy of Otolaryngology—Head and Neck Surgery and Foundation (AAO-HNS/F) on a particular topic or set of topics. This year, at the September Board of Directors meeting, two Position Statements were revised and approved for use in state and federal regulatory or advocacy efforts, or to clarify the AAO-HNS/F approval or disapproval of certain practices in medicine. The Sleep Disorders Committee and [...]

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Academy receives Best Mobile App award

We are pleased to share the great news that the Academy was awarded “Best Mobile App 2016” for the AAO-HNSF 2016 Annual Meeting & OTO Experience at the Trade Show Executive Gold 100 Awards & Summit presentation on September 28, 2017. The value in this award is that it recognizes the concerted effort to provide attendees the tools to engage, navigate, and optimize their experience at the Annual Meeting & OTO Experience. It also recognizes [...]

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Defining Quality in Otolaryngology with New Measures

The American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO-HNSF) is dedicated to the development and implementation of clinically valid performance measures, which contribute to success in quality of care for otolaryngologist-head and neck surgeons. With this goal in mind, the Foundation has been working around the clock to develop meaningful and relevant quality measures available to AAO-HNS members through Reg-entSM, the Academy’s qualified clinical data registry. These measures in development will expand the number [...]

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Clinical Consensus Statement: BDS update

Spencer C. Payne, MD Assistant Chair, CCS Development Panel In keeping with the AAO-HNSF’s longstanding tradition of evidence-based reviews to aid physicians in providing safe and efficacious care for their patients, a Clinical Consensus Statement: Balloon Dilation of the Sinuses (BDS) was previewed at our recent Annual Meeting in Chicago, IL. An expert panel, representing stakeholders from within the organization and relevant specialty societies, reviewed available published evidence using a standard protocol. Consensus was achieved [...]

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New bundled sinus codes don’t account for additional resources

On September 6, the AAO-HNS submitted comments on the CY 2018 Medicare Program: Hospital Outpatient Prospective Payment (OPPS) and Ambulatory Surgical Center (ASC) Payment Systems and Quality Reporting Programs proposed rule. The main issue that could impact AAO-HNS members is the proposed payment for new bundled sinus codes in the ASC. The Academy noted concerns regarding the Centers for Medicare & Medicaid Services (CMS) proposal to pay the same amount for a single endoscopy code [...]

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Features

CY 2018 Medicare physician fee schedule (MPFS): What does it mean for you?

On July 13, 2017, the Centers for Medicare & Medicaid Services (CMS) posted the proposed rule for payments in the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2018. The Academy submitted comments to CMS on the proposed rule on September 1, 2017. Some key provisions members should be aware of from the proposed rule include: Conversion factor CMS estimates a CY 2018 conversion factor of $35.9903, which reflects the 0.5 percent update specified [...]

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Annual Meeting highlights

The AAO-HNSF 2017 Annual Meeting & OTO Experience offered an array of new and well-regarded opportunities to join colleagues in the premier education and specialty event of the year. It delivered new options for attendees to access more sessions with more program variety. When asked about the take-away value from this year’s meeting, participant Velling Tsai, MD, JD, from Alhambra, CA, said, “Listening to how other clinicians do things in other areas of the country [...]

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ENTConnect: Crowdsourced problem-solving, a real member benefit

ENTConnect, the Academy’s member-only social networking site, provides you the opportunity to join other physicians worldwide, collaborate with colleagues, and stay up-to-date with what’s new and exciting in the Academy, and within the specialty. Here are a few reasons why our members log on to ENTConnect: “ENTConnect allowed me to “pretend” that I belonged to a large ENT group practice even though I have been the only ENT for most of my career in the [...]

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Committee rosters

Academy Committees Airway and Swallowing Committee Michael J. Pitman, MD, Chair, 18 Boris L. Bentsianov, MD, Member, 18 Jonathan M. Bock, MD, Member, 18 Brianna K. Crawley, MD, Member, 18 Gregory A. Grillone, MD, Member, 19 Rebecca J. Howell, MD, Member, 19 Chandra M. Ivey, MD, Member, 18 Priya D. Krishna, MD, Member, 19 Maggie A. Kuhn, MD, Member, 18 Richard K. McHugh, MD, PhD, Member, 19 Michele P. Morrison, DO, Member, 18 Julina Ongkasuwan, [...]

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Call for 2018 AAO-HNS candidates

The Nominating Committee of the Academy is calling for recommendations of individuals to be considered for an AAO-HNS elective office. Academy member(s) must be in good standing and recommend having held membership the last three consecutive years, have proven leadership qualities, be active in the Academy, be familiar with the strategic direction of the Academy, and be able to dedicate the necessary time to serve. Please complete the application packet of materials and submit to [...]

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Value 4U

AAO-HNS offers value-added benefits and enhanced resources that help you achieve excellence and provide the best ear, nose, and throat care to your patients. While you have been busy caring for your patients, we have been busy caring for you. Together, we have accomplished a lot, including: Two new and three updated Clinical Practice Guidelines. Reg-entSM CMS Qualified Clinical Data Registry and Qualified Registry Designations for both 2016 and 2017. Reg-ent will support Quality Performance, [...]

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