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.

‘Everybody out': Hospital evacuates in 3 hours as California wildfire spreads

Staff at the Kaiser Permanente hospital in Santa Rosa, California, used whatever was at their disposal—including their own cars—to help patients quickly evacuate when massive wildfires quickly spread close to the hospital. At the same time she was helping those patients, nurse Julayne Smithson’s new home was burning down.

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'Sorry' doesn’t mean they’ll sue: How hospitals avoided lawsuits after adverse events

Communication-and-resolution programs (CRP) at four Massachusetts hospitals led to lower medical liability costs and improvements in patient safety after adverse events, countering concerns that telling patients about errors would motivate more to file lawsuits.

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MGMA17: Reducing readmissions may be as simple as a phone call, booking a follow-up appointment

Sacramento, California-based Sutter Physician Services found success in helping to reduce readmissions at its affiliated Sutter Health hospitals by coordinating follow-up appointments and check-in calls with recently discharged patients, but communication and C-suite engagement have been critical to making the effort work.

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Prepared or not, providers face deadline for MIPS positive payment adjustment

Oct. 2 is the deadline for clinicians to start collecting performance data for the new Merit-based Incentive Payment System (MIPS) and still be eligible for a positive payment adjustment in 2019. With multiple sources showing clinicians and healthcare finance professionals feel unprepared for the first year of the new payment track, some eligible providers may settle for simply avoiding a negative adjustment.

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CMS delays hospital star ratings update

Overall star ratings on the CMS Hospital Compare website will not be updated in October as previously scheduled, according to the American Hospital Association (AHA).

The financial benefits of addressing physician burnout

A healthcare organization which employs 450 physicians could realize a 12.5 percent return on a $1 million investment to tackle physician burnout, according to a study published in JAMA Internal Medicine.

'The answer is money': Value-based care butting heads with prevailing culture in medicine

Saying “no” to procedures and treatments, even when they’ve been shown not to be helpful to patients, is easier said than done for physicians, threatening efforts like the Choosing Wisely initiative begun by the American Board of Internal Medicine.

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MGMA17: Payment, scheduling options could help practices attract patients

Beyond making practices more efficient and reducing administrative costs, offering new options for making payments and scheduling appointments may be the key for medical practices to attract new patients and keep them satisfied, according to a survey released at the 2017 Medical Group Management Association (MGMA) conference.

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.