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.

Experts explore data quality in cancer care

The Peer Exchange convened by The American Journal of Managed Care brought together payers and providers to hear their views on the value proposition of quality measures in oncology.

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Joint Commission names 1,224 top hospitals for quality performance

The Joint Commission has recognized 1,224 hospitals as “Top Performer” hospitals which have demonstrated overall quality improvements, according to Becker’s Healthcare.

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.

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.