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.

Price transparency tools can lower costs

A small study in the Journal of the American Medical Association found that price transparency tools can put a significant dent in medical costs, reports The Washington Post. 

Texas health worker diagnosed with Ebola

The Centers for Disease Control and Prevention has confirmed that a Texas nurse who treated an Ebola-stricken Liberian man has tested positive for Ebola, according to the Washington Post.

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Value-based healthcare is rising, but is it making a difference?

Research shows that value-oriented payment systems are on the rise, with 40 cents of every healthcare dollar now tied in some way to value—up from only 11 cents one year ago, according to Forbes.

Tufts, Harvard Pilgrim top NCQA’s list of best insurance plans

The National Community for Quality Assurance, a private non-profit organization focused on improving healthcare quality, has ranked Tufts Health Plan and Harvard Pilgrim as the top insurers based on their quality measures from three performance subcategories—consumer experience, prevention and treatment—and NCQA accreditation.

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Government’s new QIO contractors are not working out, hospital groups say

Putting hospital staff seeking to file an appeal request on hold for six hours, no secure way to file documentation electronically, lost paperwork, taking 10 days to issue a discharge appeal decision and other serious customer service issues have led the American Hospital Association (AHA) and the Federation of American Hospitals (FAH) to conclude that the transition to the new national Quality Improvement Organization (QIO) program contractors for Beneficiary and Family Centered Care is “not working as it should.”

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Study finds patient satisfaction and care quality don’t correlate

John Hopkins researchers interviewed 177 hospitalized patients on their day of discharge and found that while most described themselves as “very satisfied” with their care, the degree to which they shared understanding with their clinicians of their diagnoses, medication indications and tests/procedures was fairly low.

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CMS suspends data collection of sepsis and septic shock data from hospitals

In a letter sent to hospitals participating in the Hospital Inpatient Quality Reporting (IQR) Program, the Centers for Medicare & Medicaid Services (CMS) says it is suspending data collection for the Severe Sepsis and Septic Shock: Management Bundle measure (NQF #0500) until further notice.

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Massachusetts stats show better safety reporting can make problem seem worse

Quality and safety improvement begins with accurate measurement of the problem, including recording every incident regardless of whether a patient was seriously harmed or not. However, recent data from Massachussetts shows that better measurement can create a drastic increase in the rate of adverse events — in this case an attention grabing jump of 70 percent in one year.

Around the web

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”

FDA Commissioner Robert Califf, MD, said the clinical community needs to combat health misinformation at a grassroots level. He warned that patients are immersed in a "sea of misinformation without a compass."

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