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.

Seattle Times investigates hospital for pushing high-volume model

A wide-reaching Seattle Times probe into Providence Health’s Swedish Cherry Hill Hospital alleges administrators pushed a “high volume approach” on surgeons, lied to patients about which surgeons would perform their procedure and performed dangerous surgeries when less invasive alternatives were available.

21st Century Cures Act changes readmissions penalties at safety-net hospitals

Accelerating drug approvals and funding the cancer “moonshot” were the more widely-covered aspects of the 21st Century Cures Act signed into law last year. Yet it also contained a new path for safety-net hospitals to avoid readmissions penalties.

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‘Passive’ FDA reporting system to blame for dangerous surgical tool staying in use

A Government Accountability Office (GAO) report says physicians and hospitals failed to tell the Food and Drug Administration (FDA) of safety issues related to power morcellators spreading undiagnosed cancer cells in women. Those devices aim to make tissue removal easier through small incisions and are most often used during hysterectomies or to remove benign uterine tumors. 

Bundled payments didn’t increase volumes for joint replacement

Participation in CMS’s Bundled Payment for Care Improvement Program (BPCI) didn’t lead to more lower extremity joint replacement procedures being performed, according to a study conducted by the Altarum Institute’s Center for Payment Innovation.

Residents may lie about long hours

There are guidelines about how many hours interns and more senior residents can work in a day or week. Many, however, go past those limits and lie about it.

Hospitals with lower admissions have higher 7-day mortality rates

Lower inpatient admission rates at hospitals seemed to correlate to higher rates of unexpected deaths within seven days of discharge from an emergency department, according to a new study published in BMJ.

Mold found in NIH pharmacy

Safety issues have again popped up in pharmaceutical units at the National Institutes of Health (NIH), with the problem this time being “environmental mold” found in a sucrose solution.

Moldy bed linens linked to Pennsylvania deaths used by hundreds of healthcare facilities

A report commissioned by the University of Pittsburgh Medical Center has found the bed linens it and hundreds of other facilities used carried fungus that has been connected to five mold-related deaths.

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.