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Quality

 

Chip Kahn, president and CEO of the Federation of American Hospitals, gave a harsh assessment of current quality measurement processes at a Health Affairs forum in Washington, D.C. 

Hospitals in South Carolina that implemented a 19-point checklist for surgeons and the operating room team saw a 22 percent reduction in post-surgical deaths, according to a study due to be published in the August issue of Annals of Surgery.

Located more than 1,400 pages into the regulation, the provision means CMS would require the private health care accreditors it approves, such as the Joint Commission, to publicly detail problems they find during what have been confidential inspections of hospitals and other medical facilities, as well as the corrective actions taken afterward. 

A new optional certification is being developed by the Joint Commission for hospitals which “have the capability of providing high-quality endovascular thrombectomy for patients with ischemic stroke.”

Only 10 hospitals were given failing grades in the spring 2017 edition of the Leapfrog Hospital Safety Grade report, though “C” grades remained the most common and four states had no hospitals earning top marks. 

 

Recent Headlines

D.C. hospital first to receive Joint Commission/AABB blood transfusion certification

The Joint Commission and the AABB (formerly the American Association of Blood Banks) has awarded its first Patient Blood Management Certification to MedStar-Georgetown University Hospital in Washington, D.C.

Joint Commission proposes changes to patient suicide risk policies

The Joint Commission has begun accepting comments on proposed revisions to National Patient Safety Goal (NPSG) requirements to “better identify and care” for patients who may be at risk of attempting suicide.

Mortality improves during surprise Joint Commission inspections

When Joint Commission inspectors are conducting hospital surveys, 30-day mortality rates “significantly” improve, according to a new study published in JAMA Internal Medicine.

IHI, National Patient Safety Foundation to merge

The Institute for Healthcare Improvement (IHI) and the National Patient Safety Foundation (NPSF) have announced plans to merge into a single organization to “help reset and reenergize the patient safety agenda.”

Bigger practices may not mean better care for high-needs patients

A larger practice doesn’t translate to better care for patients with multiple conditions, but having greater experience treating high-needs patients just might, according to a study published in the March issue of Health Affairs.

'Promising results’ for CMS initiative on reducing hospitalizations among nursing home residents

In 2012, CMS launched the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents in 143 long-term care (LTC) facilities across seven states. According to a study published in the March 2017 issue of Health Affairs, the approach appears to have been effective.

Joint Commission releases 11 tenets of safety culture in new alert

A new sentinel event alert has been released by the Joint Commission, urging leaders in healthcare to develop an “effective safety culture” at their organizations to cut down on adverse events like delays in treatment and wrong-site surgery.

HIMSS 2017: Patient-reported outcomes can boost value-based care—with the right design

Outcomes reported by the patient can bring actionable data to a provider and save money in the long run. Collecting that data, however, requires technology that patients can easily access and use.

HIMSS 2017: Embracing antimicrobial stewardship can lead to savings

Utilizing a multi-faceted antimicrobial stewardship (AMS) programs can not only help a facility combat antibiotic-resistant infections, but it can also lead to cost savings even when it’s not a focal point of those efforts.

‘Passive’ FDA reporting system to blame for dangerous surgical tool staying in use

A Government Accountability Office (GAO) report says physicians and hospitals failed to tell the Food and Drug Administration (FDA) of safety issues related to power morcellators spreading undiagnosed cancer cells in women. Those devices aim to make tissue removal easier through small incisions and are most often used during hysterectomies or to remove benign uterine tumors. 

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