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Quality

 

The establishment of a primary care-led regional health improvement collaboration in the Cleveland area reduced hospitalizations attributed to conditions like heart failure and bacterial pneumonia, saving nearly $40 million, according to a study published in the February 2017 issue of Health Affairs.

In a single year, more than 600,000 patients in Washington state received services that would be considered low value or wasteful, resulting in $282 million in unnecessary healthcare spending.

A five-star rating on CMS’s Nursing Home Compare website may not equate to “five-star service,” according to a Florida Atlantic University (FAU) study that found nursing homes’ scores may be artificially inflated.

A study from the Medicare Payment Advisory Commission (MedPAC) found the Hospital Readmissions Reduction Program (HRRP) has largely achieved its goals—and contrary to the findings of an earlier study, it didn’t increase mortality rates.

Hospitals accredited by the Joint Commission which offer services for labor and delivery will have three new documentation elements of performance (EPs) beginning on July 1.

 

Recent Headlines

Disney, Union Pacific executives discuss company wellness programs

WASHINGTON, D.C.--As companies aim to keep employees healthy and cut healthcare costs, wellness programs are becoming more popular.

Race and social class bias in surgical clinicians

A recent study found there was no correlation between acute care surgical clinicians’ unconscious race and/or social class biases and their patient management decisions.

Health plan member satisfaction improving

Members of 134 commercial health plans in 18 regions of the U.S. were more satisfied than in recent years with their coverage, according to a J.D. Power survey released on March 9.

Quality of care for patients with brain tumors differs depending on insurance status

Patients with brain tumors have an increased length of stay in hospitals, worse discharge outcomes and increased in-hospital mortality if they have Medicaid or no insurance compared with if they have private insurance.

Thanks to redundancies, system glitches present minor interruptions to radiologist workflow

Radiology IT system hiccups that result in downtimes are generally mild and only modestly impact radiologist workflows.

Website contains pricing data for more than 40 commercially insured individuals

A website launched this week hopes to bring more transparency to healthcare prices. The website, called Guroo, contains data derived from three billion claims from more than 40 million individuals with private commercial insurance.

Study reveals physicians should include patients in decisions about cancer care

Patients with cancer were more likely to report they received better quality of care if they had a role in their treatment decisions, according to a recent survey.

Readmission rates following surgeries in U.S. hospitals

Nearly 6 percent of people who underwent surgery were readmitted within 30 days, according to an analysis of U.S. hospitals.

Tufts, Harvard Pilgrim top NCQA’s list of best insurance plans

The National Community for Quality Assurance, a private non-profit organization focused on improving healthcare quality, has ranked Tufts Health Plan and Harvard Pilgrim as the top insurers based on their quality measures from three performance subcategories—consumer experience, prevention and treatment—and NCQA accreditation.

Government’s new QIO contractors are not working out, hospital groups say

Putting hospital staff seeking to file an appeal request on hold for six hours, no secure way to file documentation electronically, lost paperwork, taking 10 days to issue a discharge appeal decision and other serious customer service issues have led the American Hospital Association (AHA) and the Federation of American Hospitals (FAH) to conclude that the transition to the new national Quality Improvement Organization (QIO) program contractors for Beneficiary and Family Centered Care is “not working as it should.”

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