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.

‘Questionable lab activity’ at rural hospitals being scrutinized

Management consultant Jorge Perez has purchased nearly 20 rural hospitals in Missouri, Kansas, Oklahoma, Florida and other states and managed to save them from closing. His secret, however, appears to involve billing insurance companies for laboratory work not performed at those hospitals.

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The hospitals getting failing grades and straight As from Leapfrog

A “C” grade was the most common for hospitals analyzed in the fall edition of the Leapfrog Group’s hospital safety grades report, the first to include results for Maryland hospitals.

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CMS announces new push to reduce process-focused quality measures

CMS Administrator Seema Verma, MPH, said the agency is launching a new initiative called “Meaningful Measures” aimed at focusing quality reporting on outcome-based measures, rather than processes.

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Nearly 2,300 nursing homes earn high marks from U.S. News

U.S. News and World Report evaluated more than 15,000 nursing homes for its 2017-18 Best Nursing Home list. Some 2,285 of them—15 percent of all of those evaluated—made the list by earning a rating of 4.5 or higher on a 5-point scale.

Expanded readmissions penalties would hurt safety-net hospitals

Hospitals which serve more low-income patients could be penalized an additional $198,000 per year if the Hospital Readmissions Reduction Program (HRRP) is adjusted to include more conditions, according to a study published in The New England Journal of Medicine.

Ankle replacement gaining acceptance

Some orthopedic surgeons are performing total ankle replacements, a procedure once disparaged as “borderline quackery,” according to the Washington Post, but is now being touted as a legitimate option for relieving arthritic pain.

Freestanding EDs want Google to ID bad reviewers

The operators of two freestanding emergency departments (EDs) in Dallas—Highland Park Emergency Room and Preston Hollow Emergency Room—have gone to court demanding Google share the identities of those who posted 22 negative reviews of their facilities.

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Hospital mergers can take more than 2 years to realize cost, quality benefits

Operating revenue fell faster than operating expenses for two years at hospitals which had been merged into or acquired by a new system, with no evidence of improvement on quality measures, according to a report released by the Deloitte Center for Health Solutions and Healthcare Financial Management Association (HFMA).

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.