Health-Care-Reform-Principles

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Health Care Reform Legislation Impact on Anesthesia Care Preamble The American Society of Anesthesiologists (ASA) and its physician anesthesiologist members are committed to providing safe, high quality and efficient care for patients undergoing anesthesia and surgery, and for patients requiring care in the intensive care unit, pain management, and palliative care. To accomplish these goals, the ASA is also committed to advancing patient health and clinical care through research designed to improve the health of our patients, identify new and improved ways to care for patients and to provide value based care that best meets the needs of each patient. The ASA has established a list of key principles that should be ensured in any legislative changes proposed by Congress to refine the Affordable Care Act and achieve the goals outlined by the Administration. The following is a summary of the key provisions that ASA believes must be included in any legislative reforms considered by Congress. Key Health Care Reform Provisions . Maintain access to affordable health care services for all Americans by building on the best features of public and private coverage - including maintaining a robust employer-sponsored insurance system and access to preventive and health maintenance services as well as insurance coverage for catastrophic illnesses. Preserve current levels of coverage and benefits for the individuals and families who gained access to insurance coverage under the ACA-implemented exchanges. Assure access to anesthesia and pain services by preserving coverage of essential benefits, including coverage for physician and hospital services, maternity care, and prescription medications. Continued insurance coverage should be provided for all patients with preexisting conditions. Recognition of the value of physician-directed care and the integral role physicians play in delivering high quality, cost-efficient patient care based on their advanced education, skills and experience. Assure choice of physician, insurer, and type of health plan, including health savings accounts as well as to access to physician-led care regardless of the geographic location. Ensure adequate funding for Medicaid and children’s health services. .

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Handheld Devices and Informatics in Anesthesia Prasanna Vadhanan,MD1, Adinarayanan S., DNB2
COMMENTRY Handheld devices and informatics in anesthesia Prasanna Vadhanan,MD1, Adinarayanan S., DNB2 1Associate Professor, Department of Anaesthesiology, Vinayaka Missions Medical College & Hospital, Keezhakasakudimedu, Kottucherry Post, Karaikal, Puducherry 609609, (India) 2Associate Professor, Department of Anaesthesiology & Critical Care. The Jawaharlal Institute of Postgraduate Medical Education & Research, Dhanvantri Nagar, Gorimedu, Puducherry, 605006, (India) Correspondence: Dr. Prasanna Vadhanan, MD, No. 6, P&T Nagar, Mayiladuthurai 609001 (India); Phone: +919486489690; E-mail: [email protected] Received: 02 April 2016; Reviewed: 2 May 2016; Corrected: 02 June 2016; Accepted: 10 June 2016 ABSTRACT Handheld devices like smartphones, once viewed as a diversion and interference in the operating room have become an integral part of healthcare. In the era of evidence based medicine, the need to remain up to date with current practices is felt more than ever before. Medical informatics helps us by analysing complex data in making clinical decisions and knowing recent advances at the point of patient care. Handheld devices help in delivering such information at the point of care; however, too much reliance upon technology might be hazardous especially in an emergency situation. With the recent approval of robots to administer anesthesia, the question of whether technology can replace anesthesiologists from the operating room looms ahead. The anesthesia and critical care related applications of handheld devices and informatics
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