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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Patients more likely to die under care from 1st-year hospitalists

An extra year of experience for a physician can make an impact on patient mortality in a hospital, according to a study published in JAMA Internal Medicine that found 30-day and hospital mortality rates were higher for hospitalists in the first year of practice than their second.

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CMS Physician Compare site now includes star ratings, patient experience data

New data has been added to the CMS Physician Compare website, allowing the public to see star ratings based on Physician Quality Reporting System (PQRS) scores and practice information for patient satisfaction scores.

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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.

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.