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Quality

 

University of Michigan researchers found no association between prescribing more opioid painkillers to postoperative patients and higher pain management scores on patient satisfaction surveys, undercutting physicians’ perceptions that they’ve been incentivized to prescribe the potentially addictive drugs.  

Posting about nursing home residents on Facebook, Snapchat or other forms of social media “violates more codes than you could ever imagine,” according to the Joint Commission, which advised facilities to draft their own social media policies.

CMS had expected more than half of Medicare providers to be exempt from the new Merit-based Incentive Payment System (MIPS) in its first year. That ended up being a low estimate, as CMS said 65 percent have been notified they won’t be participating in MIPS for 2017.

The claims that larger, higher priced providers outperform lower-priced practices on quality and efficiency of care don’t hold up, according to a new study from Harvard Medical School researchers.

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. 

 

Recent Headlines

Hospital quality may trump patient socioeconomic status in predicting survival

A research study aimed at uncovering why poorer patients tend to have worse treatment outcomes finds that the quality of the hospitals serving poor communities may be a bigger factor than socioeconomic status in determining mortality risk after cancer surgery.

Lancet Study Links Increased Hospital Nurse Workload to Increased Mortality Risk

How many patients per R.N. is ideal is a complicated hospital management question with conflicting research support. A new European study may further muddy the waters.

Beyond Turnaround Time: The Business Case for Quality in Radiology

With cost containment driving many health-care decisions, the temptation exists for hospital executives to judge a service line on speed and efficiency (and to overlook quality). In a service line such as radiology—for which accuracy is not easily assessed and quality measurements are not consistently reported—the inclination might be even stronger.

Martin’s Point HealthCare: Using a Registry to Improve Quality and Manage Costs

A carefully managed electronic data warehouse is a key component of improved patient care in any health-care practice and is surprisingly easy to build on and improve, once you begin the implementation process. Those were the key points of “Use of Registry Tools to Improve Care,” presented by David Howes, MD, in San Diego, California, on October 7, 2013, at the annual conference of the Medical Group Management Association. Howes is president and CEO of Martin's Point® HealthCare (Portland, Maine), a nonprofit health-care organization.

Navigating Volume to Value: A Formula to Improve Patient Health, Provider Finances

In today’s transaction-based service model, patients make their own appointments, the care they get varies depending on the provider’s memory and skill level, and it is up to patients to coordinate and manage their own follow-up.

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

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