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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OIG: MACRA reporting may be too easy to abuse

Reporting for the Merit-based Incentive Payment System (MIPS) is particularly vulnerable to fraud, OIG said, because it relies on clinicians on submitting their own data—and allows them to resubmit data to change their score.

The Leapfrog Group Announces 2017 Top Hospital Recipients

In recognition of the nation’s highest quality hospitals, The Leapfrog Group, an independent nonprofit hospital watchdog organization, announced today the recipients of its 2017 Top Hospitals award. This year, New Jersey, California, Florida and Massachusetts had strong showings, with 10 or more hospitals in each of those states receiving the elite distinction.

Physicians alarmed by data showing readmissions program increased mortality

The Hospital Readmissions Reduction Program (HRRP) introduced by the Affordable Care Act (ACA) hasn’t been beloved by hospitals who have been penalized by it, but now new studies have given physicians and administrators new reasons to oppose it: It may be jeopardizing patient care.

McKesson sued for lax opioid oversight

McKesson’s board failed to audit the company’s methods to detect suspicious shipments of opioid painkillers, even after agreeing to do so in a court settlement, according to board minutes unsealed as part of a shareholder lawsuit.

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Leapfrog responds to hospital lawsuit: ‘11th hour gambit’ to change safety grade

Saint Anthony Hospital in Chicago has alleged the Leapfrog Group knowingly used incorrect information in awarding the facility a “C” grade in its fall 2017 safety grade report. But Leapfrog’s response to the suit said Saint Anthony had ample time to review its grade and said nothing about a suspected error in data the hospital itself had submitted until six days before grades were to be published.

Double-booked surgeries increase risk of complications

A study of more than 90,000 hip operations at hospitals in Ontario found when surgeons were overseeing two operations at once, patients were nearly twice as likely to experience serious complications, with a longer overlap increasing the risk.

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Opioid deaths in hospitals quadrupled between 2000 and 2014

The mortality rate for patients hospitalized for opioid-related conditions more than quadrupled between 2000 and 2014, with increases in admissions related to opioids among whites, people aged 50 to 64, Medicare beneficiaries with disabilities and people from lower-income areas.

VA hired docs with history of poor care

A USA Today investigation found the U.S. Department of Veterans Affairs (VA) knowingly hired physicians with past malpractice claims, poor disciplinary records or who had even had their license revoked—with some going on to be sanctioned by the VA for the same infractions outlined on their applications.

Around the web

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”

FDA Commissioner Robert Califf, MD, said the clinical community needs to combat health misinformation at a grassroots level. He warned that patients are immersed in a "sea of misinformation without a compass."

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