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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Racial disparity in surgical readmissions greater among Medicare Advantage patients

Black surgical patients in both traditional Medicare and Medicare Advantage (MA) were more likely than white patients to be readmitted to the hospital within 30 days, but for MA beneficiaries, the racial disparity was much greater.

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HFMA 2017: How Yale New Haven Health found ‘improved quality means improved margin’

The shift from volume to value isn’t an easy transition for healthcare, but data can make all the difference, especially for a large system which often takes in complex patients from other facilities, which was the case for Yale New Haven Health System.

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Hospitals improving on bedsore and injury prevention—but progress is ‘too slow’

A new report from the Leapfrog Group and Castlight Health found hospitals rates of pressure ulcers, or bedsores, and patient injuries steadily decreased over the past four years. However, there remained wide variation between hospitals and the majority haven’t met Leapfrog’s prevention standards on both conditions.

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Minorities more likely to receive low-value care

Black and Hispanic patients received more low-value care than whites, according to a study of Medicare data from between 2006 to 2011 published in the June 2017 issue of Health Affairs.

Racial disparities in surgical mortality are shrinking

As mortality rates have improved overall, there have also been improvements in previously-seen racial disparities between the surgical mortality of black and white patients, with reductions occurring primarily within hospitals, rather than between hospitals.

HIEs reduce redundant therapeutic services

Participating in a health information exchange (HIE) “significantly” reduced repetition of therapeutic procedures by providers in western New York, according to research conducted by the State University of New York (SUNY) at Buffalo and the Brookings Institution. 

Swedish Health neurosurgeons double-booked surgeries without patients’ consent

Patients who thought their procedures at Seattle’s Swedish Neuroscience Institute (SNI) were being performed by top surgeons, but in reality, the surgeons were often running multiple operating rooms at once without telling the patients beforehand.

Metrics changing for U.S. News rankings on children’s hospitals

The methodology for ranking the country’s best children’s hospitals in U.S. News and World Report will contain “several noteworthy changes” affecting the top 10 overall list and the rankings for pediatric cardiology and heart surgery.

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.