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Quality

 

The establishment of a primary care-led regional health improvement collaboration in the Cleveland area reduced hospitalizations attributed to conditions like heart failure and bacterial pneumonia, saving nearly $40 million, according to a study published in the February 2017 issue of Health Affairs.

In a single year, more than 600,000 patients in Washington state received services that would be considered low value or wasteful, resulting in $282 million in unnecessary healthcare spending.

A five-star rating on CMS’s Nursing Home Compare website may not equate to “five-star service,” according to a Florida Atlantic University (FAU) study that found nursing homes’ scores may be artificially inflated.

A study from the Medicare Payment Advisory Commission (MedPAC) found the Hospital Readmissions Reduction Program (HRRP) has largely achieved its goals—and contrary to the findings of an earlier study, it didn’t increase mortality rates.

Hospitals accredited by the Joint Commission which offer services for labor and delivery will have three new documentation elements of performance (EPs) beginning on July 1.

 

Recent Headlines

Hospitalizations reduced by regional collaboration in Ohio

The establishment of a primary care-led regional health improvement collaboration in the Cleveland area reduced hospitalizations attributed to conditions like heart failure and bacterial pneumonia, saving nearly $40 million, according to a study published in the February 2017 issue of Health Affairs.

Wasteful healthcare spending totaled $282M in Washington state

In a single year, more than 600,000 patients in Washington state received services that would be considered low value or wasteful, resulting in $282 million in unnecessary healthcare spending.

How nursing homes may be gaming Medicare star ratings

A five-star rating on CMS’s Nursing Home Compare website may not equate to “five-star service,” according to a Florida Atlantic University (FAU) study that found nursing homes’ scores may be artificially inflated.

Readmissions penalties don't increase mortality rates

A study from the Medicare Payment Advisory Commission (MedPAC) found the Hospital Readmissions Reduction Program (HRRP) has largely achieved its goals—and contrary to the findings of an earlier study, it didn’t increase mortality rates.

Joint Commission announces new requirements on obstetrics

Hospitals accredited by the Joint Commission which offer services for labor and delivery will have three new documentation elements of performance (EPs) beginning on July 1.

CMS opens data submission site for 2017 MACRA reporting

Clinicians who participated in the Quality Payment Program (QPP) established by Medicare Access and CHIP Reauthorization Act (MACRA) can now submit their 2017 performance data through an online system—and not to multiple websites as with past CMS programs.

Joint Commission: Individual failure to wash hands will be cited as deficiency

The Joint Commission has adopted a stricter standard on hand hygiene for all its accreditation programs as of Jan. 1, warning healthcare organizations if surveyors observe one worker failing to wash their hands in the process of direct patient care, it will be cited as a deficiency.

Patients more likely to die under care from 1st-year hospitalists

An extra year of experience for a physician can make an impact on patient mortality in a hospital, according to a study published in JAMA Internal Medicine that found 30-day and hospital mortality rates were higher for hospitalists in the first year of practice than their second.

CMS Physician Compare site now includes star ratings, patient experience data

New data has been added to the CMS Physician Compare website, allowing the public to see star ratings based on Physician Quality Reporting System (PQRS) scores and practice information for patient satisfaction scores.

OIG: MACRA reporting may be too easy to abuse

Reporting for the Merit-based Incentive Payment System (MIPS) is particularly vulnerable to fraud, OIG said, because it relies on clinicians on submitting their own data—and allows them to resubmit data to change their score.

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