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Waiver Extension Application Draft at statewide public meetings during July. TMA submitted comments in favor


Visit the HHSC website, www.hhsc.state .tx.us/waiver- renewal.shtml, to view the 1115 Waiver Extension Application Draft, attachments, and public notice.


of renewing or extending the waiver, the funding from which is critical to Texas’ health care safety net. At the same time, TMA believes the trans- formation envisioned by the waiver remains elusive because of the lack of meaningful and ongoing input from community-based physicians. TMA says CMS and HHSC must make changes to the waiver to rectify a lack of true collaboration among facilities and physicians. Texas also must in- crease Medicaid payments to physi- cians to sustain any delivery system changes achieved by the waiver.


Posters depict patient care successes


PHYSICIANS SHOWCASED their successes and breakthroughs in im- proving patient care at TMA’s third annual Quality Poster Session at Tex- Med 2015 in Austin. Sponsored by TMF Health Quality Institute, the poster session gave participants an opportunity to report on their quality improvement methods and best prac- tices while gaining inspiration from


their colleagues’ approaches to pro- viding quality patient care. To view the 2015 poster submis- sion abstracts, visit www.texmed


.org/2015Abstracts. Participants creatively depicted


their projects demonstrating one or more aspect of quality care as defined by the Institute of Medicine:


• Safe: avoids injuries to patients from care that is intended to help them.


• Timely: reduces waits and delays for both those who receive care and those who give care.


• Effective: based on scientific knowledge, extended to all likely to benefit while avoiding underuse and overuse.


• Equitable: provides consistent quality, without regard to personal characteristics such as gender, eth- nicity, geographic location, and so- cioeconomic status.


• Efficient: avoids waste, including waste of equipment, supplies, ideas, and energy.


• Patient-centered: respects and re- sponds to individual patient prefer- ences, needs, and values, ensuring that patient values guide all clinical decisions.


Kimberly Cress, MD, makes her TMA Quality Poster Session presentation, “Treatment of Major Depressive Disorder With Transcranial Magnetic Stimulation,” at TexMed 2015 in Austin.


18 TEXAS MEDICINE September 2015


PHOTO BY JERRY HUGHES


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