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July 16, 2015

ICD-10: The Boy Who Cried Wolf
Authors: Pam McClintock, Dr. Fadi Bsat (on behalf of the SMFM Coding Committee)

Do you remember Aesop's Fables story of "The Boy Who Cried Wolf"?  Many times, the boy tells the villagers that a wolf is attacking his flock.  He tells them so many times that one day when the wolf really is attacking, no one believes him. Does this sound a little like the government and ICD-10?  It should! Our representatives in Congress, from both sides of the isle, from multiple committees, have flip-flopped so many times, why should we believe them now?  We should believe them because they are now aligned on the same side and agree that there are no more excuses.  ICD-10 must move forward.  


 

So, no more excuses, it's time to get ready.  But what does that really mean?  According to Medical Economics, "the transition to the International Classification of Diseases - 10th Revision, Clinical Management coding system is more than a compliance exercise - it is a transformational event".  ICD-10 is all about specificity.  We are about to go from roughly 13,000 diagnosis codes to more than 68,000.  So how do you begin to prepare?


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Cell-free Fetal DNA Screening Calculator

 

The calculator will allow a clinician to estimate Positive Predictive Value (PPV) and Negative Predictive Value (NPV) of cell free DNA screening (cfDNA) based on estimates of population prevalence or by entering individual prevalence numbers.  Helpful definitions, resources, and references are included. 

 

The calculator was created in collaboration with Sound Information Services, LLCQuestions about the calculator may be directed to the Perinatal Quality Foundation.

 

AMFMM Annual Business Meeting

The 7th Annual AMFMM meeting for practice management will be held on October 8-9 th, 2015.  The meeting is an ideal situation for practice managers and managing physicians in universities, hospital systems or privately owned practices.  This year, the focus will be on ICD-10 implementation and manager leadership.  Other important subjects include new modes of contracting, updates on advanced practitioner utilization in MFM, and techniques on performance and practice improvement.
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Understanding our Society:  Fellowship Affairs Committee 
The SMFM Fellowship Affairs Committee strives to serve Maternal-Fetal Medicine Fellows in training. Our mission is to provide MFM fellows with helpful resources that facilitate their education, research and clinical opportunities.

Centerpiece activities for the Fellowship Affairs Committee include the first year fellow's retreat and the web-based SMFM Fellow Lecture series.  This year, the retreat is moving to the Eaglewood Resort near Chicago.  We look forward to a beautiful venue and hope that the central location facilitates travel for participants.  

 

SMFM Communities Feature:  Clinical Obstetrics

Authors: Drs. Torri Metz and Heather Anaya


Have you read an interesting article lately that may change your practice?  Are you wondering if other centers have protocols for various clinical obstetric procedures that you can adapt for your center?  There is a forum for discussion of all of these topics and more in the Clinical Obstetrics SMFM Community.  


 

The SMFM Communities are web-based forums for Maternal-Fetal Medicine specialists and fellows to converse electronically about areas of topical interest. Logging in to the SMFM Communities is easy at http://smfmcommunities.ning.com. Joining the Clinical Obstetrics group will allow you to contribute to an ongoing dialogue with MFMs across the United States about pertinent topics that we encounter in our clinical practices on a daily basis.  We invite you to join today!


 

Patient Education Supplements

You have likely read many of the excellent articles the Publications committee has created. Did you know, though, that the Education committee has created patient education pieces for many of these publications? These companion pieces are available on the SMFM website as downloadable and printable PDF documentsList includes articles such as "Activity Restriction in Pregnancy" and "Bariatric Surgery". Be sure to take advantage of this valuable resource! You can find the page here

Ongoing Surveys
AMFMM Survey
Dr. Brian Iriye and Dr. Blake Porter of the Association for Maternal Fetal Medicine Management (AMFMM) are conducting an anonymous survey study to assess knowledge and opinions of currently practicing MFM Fellows on business and practice management. You should have been emailed the survey. The survey is very brief and should take no more than 5-10 minutes of your time.  Thanks for helping the AMFMM better serve you and the field of Maternal Fetal Medicine. If you have specific questions about the survey study, please feel free to email Dr. Blake Porter.

Trisomy 18: A Survey of Opinions, Attitudes, and Practices of Maternal-Fetal Medicine Specialists, Neonatologists and Geneticists
You are invited to participate in this brief survey regarding your thoughts on T18 and survival and what you feel should be offered to expectant parents. Please complete and submit the survey online. If you have any questions about the survey please contact the investigators at apjacobs@uab.edu or (205) 393-5069.

Fellow's Corner

MFM Fellow Lecture and App Surveys

Please take a few minutes to give us feedback on the following surveys: The SMFM Fellow lecture series and the SMFM Mobile App Survey. Since 2008 the lecture series has been presented twice a month with more than 120 lectures completed to date. Your input is key to continuing this success. If you have specific questions or suggestions, feel free to email Dr. Bill Goodnight.

 

Fellow Tip of the Week

Antiplatelet antibodies are not helpful in diagnosing ITP.  During pregnancy the percent of false positive testing increases; also, a negative result does not exclude a diagnosis of ITP.    

- Contributor: Anonymous    
      

 

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