You are here

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

Hospitals improving on bedsore and injury prevention—but progress is ‘too slow’

A new report from the Leapfrog Group and Castlight Health found hospitals rates of pressure ulcers, or bedsores, and patient injuries steadily decreased over the past four years. However, there remained wide variation between hospitals and the majority haven’t met Leapfrog’s prevention standards on both conditions.

Minorities more likely to receive low-value care

Black and Hispanic patients received more low-value care than whites, according to a study of Medicare data from between 2006 to 2011 published in the June 2017 issue of Health Affairs.

Racial disparities in surgical mortality are shrinking

As mortality rates have improved overall, there have also been improvements in previously-seen racial disparities between the surgical mortality of black and white patients, with reductions occurring primarily within hospitals, rather than between hospitals.

HIEs reduce redundant therapeutic services

Participating in a health information exchange (HIE) “significantly” reduced repetition of therapeutic procedures by providers in western New York, according to research conducted by the State University of New York (SUNY) at Buffalo and the Brookings Institution. 

Metrics changing for U.S. News rankings on children’s hospitals

The methodology for ranking the country’s best children’s hospitals in U.S. News and World Report will contain “several noteworthy changes” affecting the top 10 overall list and the rankings for pediatric cardiology and heart surgery.

Prescribing more opioids won’t affect HCAHPS scores

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.  

Joint Commission: No social media posts about nursing home residents

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: More than 800,000 clinicians will be exempt from MIPS

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.

Higher priced practices don’t necessarily deliver higher value care

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.

FAH’s Chip Kahn: We need uniform quality measures when possible

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. 

Pages