Administrator of the Centers for Medicaid and Medicare Services.

The College is pleased that the building blocks of care under this payment model also, as reflected in the proposed rule, is primary care. There is substantial research evidence derived from both domestic and international settings that a strong primary care foundation may be the essence of a highly effective and efficient health care system. We are concerned, though, that the current requirements proposed for acceptance as an ACO by Medicare under the program sets too much of a bar for participation by many inner medicine physicians, especially inner medicine specialists in primary and comprehensive care of adults who practice in smaller, independent physician practices. The required administrative, infrastructure, provider delivery, and financial resources and the necessity to accept risk will successfully limit participation to those few large entities already arranged under an ACO-like structure; that have ready usage of capital already, substantial infrastructure development, and encounter operating under an integrative assistance/payment model .Educational offerings include sessions on the yet-to-be-released WOCN Pressure and Ostomy Ulcer Guidelines, transcultural nursing, evaluation of fecal incontinence, CMS improvements and several other sessions of curiosity to nurses practicing in the areas of wound, ostomy and continence throughout the global world. Registration is now open. Related StoriesARN announces availability of comprehensive guidebook for rehabilitation nursing practiceMary Naylor called recipient of GSA's Doris Schwartz Gerontological Nursing Research AwardNew study can lead to effective treatment to avoid common chemotherapy unwanted effects in cancers patientsAn International Perspective Whether your professional concentrate is local, regional, national or international, the principles and methods particular to WOC nursing specialty are influenced by events and developments that are occurring worldwide.