Quality

The focus of quality improvement in healthcare is to bolster performance and processes related to diagnostic and therapeutic procedures. Leaders in this space also ensure the proper selection of imaging exams and procedures, and monitor the safety of services, among other duties. Reimbursement programs such as the Merit-based Incentive Payment System (MIPS) utilize financial incentives to improve quality. This also includes setting and maintaining care quality initiatives, such as the requirements set by the Joint Commission.

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CMS: Quality measure changes coming this year

Providers should expect to see some concrete action taken soon on reducing the burden of quality reporting, according to a CMS presentation on the agency’s “Meaningful Measures” initiative at the HIMSS18 conference in Las Vegas.

10 most common adverse events reviewed by the Joint Commission

Sentinel events are serious adverse incidents that result in a patient dying or suffering a serious physical or psychological injury. Last year, the Joint Commission reviewed reports of 805 such events, 700 of which (87 percent) were voluntarily reported by accredited or certified facility.

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The US today: Best and worst states for healthcare

Hawaii topped the second annual U.S. News and World Report state healthcare rankings, which used measures of access, quality and public health to come up with each state’s health score.

Black patients less likely to be offered or receive knee replacement

The quality of life of black patients with knee osteoarthritis is being impacted by their underutilization of total knee replacement (TKR) surgery, according to a study published in Arthritis Care & Research, with fewer black people being offered the surgery—and when it is offered, they’re less likely than white patients to get the operation.

How hospitals are measuring, addressing social determinants of health

More hospitals are screening patients on health-related social needs as the industry has recognized the importance of factors outside the healthcare system on outcomes. The investments and available funding, however, haven’t been consistent.

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How ‘Grey’s Anatomy’ may give patients the wrong ideas about hospital care

It may be obvious to those working in hospitals—and especially in emergency medicine—that a TV medical drama isn’t quite reality. But for patients who are regular viewers of the long-running “Grey’s Anatomy,” the show could have a real-life impact on how satisfied they are with their care.

MIPS reporting requirements could be eliminated

HHS Secretary Alex Azar said he wants to reduce or possibly eliminate reporting requirements for the Merit-based Incentive Payment System (MIPS), instead using claims data and patient surveys so clinicians won’t have to submit any data themselves.

Aetna under investigation after medical director said he never looked at patient records

The California Department of Insurance is now examining Aetna’s claims denial process after a former medical director for the insurer’s Southern California operations, Jay Ken Iinuma, MD, said under oath that he never looked at a patient’s health record when deciding whether to approve a deny a claim.

Around the web

In the post-COVID era, wages for permanent RNs are rising, and wages for travelers are decreasing. A new report tracked these trends and more. 

Two medical device companies have announced a transaction that could shake up the U.S. electrophysiology market. 

These companies were already part of the Johnson & Johnson family, but they had still retained their previous brand names. Now, each one is officially going by Johnson & Johnson MedTech. 

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