July 3, The Physician Compare Team Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, MD 21244

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1 July 3, 2013 The Physician Compare Team Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, MD Re: Physician Compare Intelligent Search To Whom it May Concern, The American Society of Hematology appreciates the opportunity to provide comments on the new Intelligent Search functionality on the Physician Compare website. ASH represents approximately 14,000 clinicians and scientists committed to the study and treatment of blood and blood-related diseases, including blood cancers such as leukemia, lymphoma and myeloma, and nonmalignant illnesses such as anemias, thrombosis and bleeding disorders. ASH members include hematologists and hematologist/oncologists who regularly render services to Medicare beneficiaries. ASH tested the search functionality of the site to verify (1) the site includes all key hematology-related terms; and (2) when the key hematology-related terms are entered, hematology is listed in the search ASH is pleased to see that several search terms generated hematology or hematology/oncology in the search results; however, the Society has the following concerns: 1. A number of hematology-related terms are not programmed into the system and when the term is entered into the search field the system generates 0 2. A number of hematology-related terms are programmed into the system, but when the term is entered into the search field, the system does not generate hematology or hematology/oncology in the search 3. The acronym for several hematology-related terms are part of the system and generate search results, but the full version of these hematology-related terms does not always generate Attached, please find a comprehensive list of the hematology-related terms searched and ASH s specific concerns regarding the corresponding search ASH recommends updating the site to ensure that all of the hematology-related terms are incorporated into the search engine and hematology is listed in the results for the noted terms. Thank you again for the opportunity to submit this feedback. If you have any questions or would like additional information, please contact ASH Government Relations and Practice Manager Stephanie Kaplan at skaplan@hematology.org or Sincerely, Suzanne M. Leous, MPA Director, Government Relations, Practice and Scientific Affairs 1

2 American Society of Hematology s (ASH) Recommended Modifications to Physician Compare Search Function Blood Family Practice, General Practice, Geriatric Cardiovascular Disease (Cardiology) Peripheral Vascular Disease Hematopoietic System Family Practice, General Practice, Geriatric Red Blood Cell Disorder Family Practice, General Practice, Geriatric Anemia Family Practice, General Practice, Geriatric Critical Care Gastroenterology Interventional Radiology Registered Dietician/Nutritional Professional Anemia of Chronic Disease No results Add term to search engine. Red Cell Aplasia and Hypoplasia No results Add term to search engine. Sideroblastic Anemias No results Add term to search engine. Red Blood Cell Destruction Disorder No results Add term to search engine. (Hemolytic Anemias) 2

3 Hemoglobinopathy No results Add term to search engine. Thalassemia Family Practice, General Practice, Geriatric No change. Hematology Sickle Cell Anemia Family Practice, General Practice, Geriatric No change. Autoimmune Hemolytic Anemia No results Add term to search engine. Porphyria Family Practice, General Practice, Geriatric Hemochromatosis Family Practice, General Practice, Geriatric Endocrinology Gastroenterology White Blood Cell Disorder Family Practice, General Practice, Geriatric Hematology Infectious Disease No change. 3

4 Granulocytopenia Family Practice, General Practice, Geriatric Allergy/Immunology Lymphopenia No results Add term to search engine. (Lymphocyte) Dysfunction Family Practice, General Practice, Geriatric Allergy/Immunology Hemolytic Anemia No results Add term to search engine. Autoimmune Hemolytic Anemia Family Practice, General Practice, Geriatric Metabolic Enzyme Deficiency Hemolytic Anemia Rheumatology No results Add term to search engine. Paroxysmal Nocturnal Hemoglobinuria Family Practice, General Practice, Geriatric Gastroenterology Microangiopathic Hemolytic Anemias No results Add term to search engine. Hemochromatosis Family Practice, General Practice, Geriatric 4

5 Endocrinology Gastroenterology Granulocytopenia Family Practice, General Practice, Geriatric Allergy/Immunology Lymphopenia Dysfunction Syndrome No results Add term to search engine. (Lymphocyte) Dysfunction Syndrome Family Practice, General Practice, Geriatric Allergy/Immunology Leukocytosis Family Practice, General Practice, Geriatric Platelet Disorder Family Practice, General Practice, Geriatric Megakaryocyte Disorder Family Practice, General Practice, Geriatric Thrombocytopenia Family Practice, General Practice, Geriatric No change. Hematology Thrombocytosis No results Add term to search engine. 5

6 Bone Marrow Family Practice, General Practice, Geriatric Surgical Oncology Aplastic Anemia Family Practice, General Practice, Geriatric Pancytopenia Family Practice, General Practice, Geriatric Hemostasis Family Practice, General Practice, Geriatric General Surgery Bleeding Disorder Family Practice, General Practice, Geriatric Thrombotic Disorder Family Practice, General Practice, Geriatric Hematology No change. HIT Family Practice, General Practice, Geriatric 6

7 Add full term Heparin-induced Thrombocytopenia to search engine. Antiphospholipid Syndrome Family Practice, General Practice, Geriatric Rheumatology Antiphospholipid Antibody Syndrome (APS) Family Practice, General Practice, Geriatric Rheumatology Hematology/Oncology Chronic Myeloid Leukemia and CML Family Practice, General Practice, Geriatric Essential Thrombocythemia Family Practice, General Practice, Geriatric Acute Myeloid Leukemia and AML Family Practice, General Practice, Geriatric Myelodysplastic Syndrome Family Practice, General Practice, Geriatric 7

8 MDS Family Practice, General Practice, Geriatric B-Lymphoblastic Leukemia No results Add term to search engine. Waldenström s Macroglobulinemia No results Add term to search engine. Chronic Lymphocytic Leukemia and CLL Family Practice, General Practice, Geriatric Hairy Cell Leukemia No results Add term to search engine. Plasma Cell Disorder No results Add term to search engine. Multiple Myeloma Family Practice, General Practice, Geriatric Nephrology 8

9 Radiation Oncology Plasmacytoma Family Practice, General Practice, Geriatric Radiation Oncology Amyloidosis Family Practice, General Practice, Geriatric Cardiovascular Disease (Cardiology) Endocrinology Nephrology Neoplasm Family Practice, General Practice, Geriatric Gastroenterology Radiation Oncology Surgical Oncology T-cell Leukemia Family Practice, General Practice, Geriatric T-cell Lymphoma Family Practice, General Practice, Geriatric Dermatology Hematology Add B-cell Lymphoma and T-cell neoplasm as sub-search terms. No change. 9

10 Sezary Syndrome Family Practice, General Practice, Geriatric Dermatology Cutaneous T-cell Lymphoma Family Practice, General Practice, Geriatric Dermatology Surgical Oncology Non-Hodgkin Lymphoma Family Practice, General Practice, Geriatric Mastocytosis Family Practice, General Practice, Geriatric Allergy/Immunology Hematologic Malignancies No results Add term to search engine. Disseminated Intravascular Coagulation Family Practice, General Practice, Geriatric 10

11 Infectious Disease Vascular Surgery Superior Vena Cava Syndrome Family Practice, General Practice, Geriatric Cardiac Surgery Cardiovascular Disease (Cardiology) Thoracic Surgery Vascular Surgery Bone Marrow Transplantation Family Practice, General Practice, Geriatric Surgical Oncology Stem Cell Transplantation Family Practice, General Practice, Geriatric Leukocytopenia No results Add term to search engine. Thrombocytopenia Family Practice, General Practice, Geriatric Hematology No change. 11

12 Coagulation Abnormalities No results Add term to search engine. Lymphadenopathy Family Practice, General Practice, Geriatric Infectious Disease Surgical Oncology Hemachromatosis Family Practice, General Practice, Geriatric Endocrinology Gastroenterology Graft versus Host and GVH No results Add term to search engine. Atherosclerosis Family Practice, General Practice, Geriatric Cardiac Surgery Cardiovascular Disease (Cardiology) Interventional Radiology Peripheral Vascular Disease Thoracic Surgery Vascular Surgery Myelodysplasia Family Practice, General Practice, Geriatric 12

13 Orthopedic Surgery Physical Medicine and Rehabilitation Physical Therapy Sports Medicine Leukemia Family Practice, General Practice, Geriatric Physical Therapy Lymphoproliferative No results Add term to search engine. Myeloproliferative Disorders No Results Add term to search engine. Blood Cancer No results Add term to search engine. Anticoagulant Family Practice, General Practice, Geriatric Cardiovascular Disease (Cardiology) Plastic and Reconstructive Surgery 13

14 Vascular Surgery Lymphocyte Family Practice, General Practice, Geriatric Allergy/Immunology Blood Smear Family Practice, General Practice, Geriatric Infectious Disease Blood Transfusion Family Practice, General Practice, Geriatric Anesthesiology Critical Care (Intensivists) General Surgery Cord Blood Stem Cells No results Add term to search engine. Erythropoietin No results Add term to search engine. Hemophilia Family Practice, General Practice, Geriatric 14

15 Von Willebrand Disease Family Practice, General Practice, Geriatric Hematology Hemoglobin Family Practice, General Practice, Geriatric Endocrinology Lymphoma Family Practice, General Practice, Geriatric Colorectal Surgery (Proctology) Gastroenterology General Surgery Neurosurgery Radiation Oncology Surgical Oncology Myelogenous Family Practice, General Practice, Geriatric Nephrology No change. Add the following as sub-search terms: o B-cell Lymphoma o T-cell Lymphoma o Lymphoplasmacytic Lymphoma o Small Lymphocytic Lymphoma 15

16 Neutropenia Family Practice, General Practice, Geriatric Allergy/Immunology Infectious Disease Plasma No results Add term to search engine. Platelet Family Practice, General Practice, Geriatric 16