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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

From Good to Great: How Advocate Good Samaritan Hospital Achieved Excellence

Nearly a decade ago, when David Fox assumed the role of president and CEO of Advocate Good Samaritan Hospital, Downers Grove, Illinois, the Malcolm Baldrige National Quality Award-winning hospital held a somewhat moderate quality ranking. Employee satisfaction ranked in the 46th percentile and its physician hospital organization (PHO) was paying

Change for the Better: Cleveland Clinic Improves the Patient Experience

After Delos “Toby” Cosgrove, MD, CEO of Cleveland Clinic in Cleveland, Ohio, made a presentation about the hospital’s record of operational excellence at Harvard Business School in Cambridge, Massachusetts, several years ago, a student asked him what the hospital was doing about teaching its physicians empathy.

Benchmarking Physician Performance: Methods and Metrics

Physician employment is back—and this time, it may be here to stay, says Nick Fabrizio, PhD, a principal with the Medical Group Management Association (MGMA) Health Care Consulting Group. "I see the employment trend continuing," he says. "Not only because of declining reimbursement, but because of increases in operating expenses every year. Add in

Streamlining Utilization: HCA North Texas

Nine-hospital health system HCA North Texas, based in Irving, is like most health care organizations in the United States: faced with a challenging financial environment, it needs to find innovative ways to do more with less. Explains Michael Hayes, director of asset management for the health system, "We have to streamline processes that

The New Hospital-Physician Alignment: Preparing for a Value-Based Future

Challenges to the traditional structure of physician economics were already creating a trend toward increased hospital-physician alignment when health care reform added a strong incentive in the form of support for accountable care organizations (ACOs).1 Greg Scrine, managing principal in GE Healthcare's Performance Solutions Integrated Healthcare

Virtua Voorhees Hospital: Patient-Centric Design for Smarter Care

When the team at Virtua, a non-profit health care system headquartered in Marlton, NJ, began planning its new Voorhees hospital location in 2002, it was agreed that the design of the new facility would be governed by patient care. “The goal we had in mind was to spend our money around the patient,” says Virtua CEO Richard Miller. “When we visited

PSO Transforms Smallest State Into Patient Safety Giant

Like their counterparts in other states, hospitals in Rhode Island have experienced their share of tragic outcomes based on medical errors, from mix-ups in medication administration to wrong-site surgeries. However, change is afoot in the state as data pertaining to events are more freely reported by hospital staff, aggregated, and shared by the

Improving the Patient Experience: From Ideal to Imperative

Improving the patient experience has long been a goal of health care providers. However, health care reform is making the patient experience more than just a marketing consideration: the Centers for Medicaid and Medicare Services (CMS) have structured value-based purchasing to link 1% of Medicare reimbursement to a hospital’s performance in quality

Borgess Health: Aligning Physicians to Optimize P4P

Patrick Dyson, executive vice president of strategy and corporative services for Borgess Health (Kalamazoo, Michigan), traces his organization’s “pay for quality” physician alignment strategy back to the Institute of Medicine’s November 1999 report “To Err Is Human.” Following the publication of the report, which shocked many with its statistics on

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