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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

Aging gracefully? Older blood just as effective in transfusions

How long a hospital has been storing blood doesn’t appear to have an effect on mortality, alleviating concerns about whether fresh blood was better for patients who need a transfusion.

CMS star ratings criticized for ignoring socioeconomic factors

CMS’s star rating system is more about the affluence of patients than quality of care, argued Missouri Health Association CEO Herb Kuhn and Vice President of Research and Analytics Mat Reidhead.

CMS funding quality initiatives focused on both local and national improvement

CMS has announced new awards to a dozen regional organizations to create new initiatives or expand existing plans for improving quality for Medicare beneficiaries.

Healthgrades ranks top 50 hospitals based on clinical outcomes

The annual report by Healthgrades listing the top 50 hospitals based solely on clinical outcomes has been released, and 22 states don’t have a single hospital which made the cut.

‘It’s an outrage’: Psychiatric patients face long waits, stays in unprepared EDs

Patients experiencing psychiatric emergencies may wait for up to five days for a bed in an emergency department, according to a survey released by the American College of Emergency Physicians (ACEP).

CMS primary care initiative meeting quality, savings goals

The second year of results from CMS’s Comprehensive Primary Care (CPC) initiative were largely positive, according to the agency, with 95 percent of participating practices meeting quality requirements and generating $57.7 million in gross savings.

Understaffing, outdated technology plague Native American hospitals

Substandard care at hospitals operated by the Indian Health Service isn’t a new issue, but a new report offered some specific reasons why the facilities have such severe deficiencies.

Why 30-day readmissions aren’t an accurate measure of quality

Measuring hospital readmissions within seven days, instead of the typical 30, would more accurately assess the quality of factors the hospital can control, according to a study published in the October issue of Health Affairs.

$13.4 million awarded to test new children’s quality measures

Six grantees will receive a total $13.4 million in federal funding over four years to test and implement new pediatric quality measures.

CMS awards $347 million to hospitals in new safety, quality initiative

CMS has announced 16 organizations receiving a total of $347 million in grants in its new Hospital Improvement and Innovation Networks (HIINs) program.

 

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