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Quality

 

New data has been added to the CMS Physician Compare website, allowing the public to see star ratings based on Physician Quality Reporting System (PQRS) scores and practice information for patient satisfaction scores.

Reporting for the Merit-based Incentive Payment System (MIPS) is particularly vulnerable to fraud, OIG said, because it relies on clinicians on submitting their own data—and allows them to resubmit data to change their score.

Saint Anthony Hospital in Chicago has alleged the Leapfrog Group knowingly used incorrect information in awarding the facility a “C” grade in its fall 2017 safety grade report. But Leapfrog’s response to the suit said Saint Anthony had ample time to review its grade and said nothing about a suspected error in data the hospital itself had submitted until six days before grades were to be published.

The mortality rate for patients hospitalized for opioid-related conditions more than quadrupled between 2000 and 2014, with increases in admissions related to opioids among whites, people aged 50 to 64, Medicare beneficiaries with disabilities and people from lower-income areas.

Emergency management, physical environment and life safety codes were the most frequently cited areas for deficiencies at healthcare facilities surveyed by the Healthcare Facilities Accreditation Program (HFAP) in 2016, according to the organization’s latest quality report.

 

Recent Headlines

Kentucky clinic CEO convicted in $16M Medicare fraud, drug trafficking scheme

A husband and wife team at a Hazard, Ky.-based medical clinic have been found guilty of more than 180 charges, ranging from illegal drug distribution to healthcare fraud. 

Primary care doctors struggle with discussing long-term prognosis with patients

Despite clinical guidelines to incorporate long-term prognosis into decision making, several factors may lead primary care physicians to avoid following through on those recommendations.

Higher CMS star rating associated with lower patient mortality and readmissions.

A study of more than 3,000 hospitals found patient ratings, based on quality scores from the Centers for Medicare and Medicaid Services (CMS) 5-star hospital rating system, had an association with the rate of patient mortality and readmissions.

Report identifies 6 practices to improve healthcare for disadvantaged populations

A new report issued by the National Academies of Sciences, Engineering, and Medicine identifies six promising practices to improve healthcare for individuals in disadvantaged populations.

2 Utah hospitals take home patient safety awards

Two hospitals in Utah are among the facilities that received a 2016 Women’s Choice Award for patient safety. Jordan Valley Medical Center in West Jordan, Utah, and Jordan Valley Medical Center-West Valley Campus in West Valley Campus, Utah, announced earning the awards earlier today.

CDC recognizes leaders in VTE prevention

The Centers for Disease Control and Prevention (CDC) has recognized eight hospitals and healthcare systems as Healthcare-Associated Venous Thromboembolism (HA-VTE) Prevention Champions for their success in implementing innovative and effective ways to prevent venous thromboembolism in healthcare settings.

Value-based payment modifier results: Less than 1% of groups earn bonuses

CMS has posted results from its implementation of the ACA’s value-based payment modifier program, and out of more than 13,800 eligible physician groups, just 128 groups—less than one percent—will receive “upward adjustments,” or bonuses, for strong performances. The rate for those adjustments is quoted as 15.92 percent, or 31.84 percent for some groups that treated high-risk beneficiaries.

Skip the surgery and pop the placebo, writes cheeky surgeon-author

Any surgery carries risk, which is why decisions to put patients under the knife should be carefully considered. However, one surgeon is calling attention to the fact that some common procedures end up being about as effective as a placebo procedure would have been—and the placebo would have cost a lot less while doing the patient zero harm.

Healthgrades announces 2016 Best Hospital lists, shares new infographic

Healthgrades has released both its America’s 50 and 100 Best Hospitals list for 2016 and a new infographic that details the importance of researching hospitals before sickness makes finding one an urgent necessity.

Infographic: Medical malpractice by the numbers

It's an unfortunate and unescapable fact: medical malpractice happens. And when it does, it affects not only the patients and doctors involved, but also the healthcare community as a whole. Get an inside look at medical malpractice in this exclusive infographic.

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