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Quality

 

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.

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.

Saint Anthony Hospital in Chicago has alleged the Leapfrog Group knowingly used incorrect information in awarding the facility a “C” grade in its fall 2017 safety grade report. But Leapfrog’s response to the suit said Saint Anthony had ample time to review its grade and said nothing about a suspected error in data the hospital itself had submitted until six days before grades were to be published.

The mortality rate for patients hospitalized for opioid-related conditions more than quadrupled between 2000 and 2014, with increases in admissions related to opioids among whites, people aged 50 to 64, Medicare beneficiaries with disabilities and people from lower-income areas.

Emergency management, physical environment and life safety codes were the most frequently cited areas for deficiencies at healthcare facilities surveyed by the Healthcare Facilities Accreditation Program (HFAP) in 2016, according to the organization’s latest quality report.

 

Recent Headlines

Navigating Volume to Value: A Formula to Improve Patient Health, Provider Finances

In today’s transaction-based service model, patients make their own appointments, the care they get varies depending on the provider’s memory and skill level, and it is up to patients to coordinate and manage their own follow-up.

From Good to Great: How Advocate Good Samaritan Hospital Achieved Excellence

Nearly a decade ago, when David Fox assumed the role of president and CEO of Advocate Good Samaritan Hospital, Downers Grove, Illinois, the Malcolm Baldrige National Quality Award-winning hospital held a somewhat moderate quality ranking. Employee satisfaction ranked in the 46th percentile and its physician hospital organization (PHO) was paying

Change for the Better: Cleveland Clinic Improves the Patient Experience

After Delos “Toby” Cosgrove, MD, CEO of Cleveland Clinic in Cleveland, Ohio, made a presentation about the hospital’s record of operational excellence at Harvard Business School in Cambridge, Massachusetts, several years ago, a student asked him what the hospital was doing about teaching its physicians empathy.

Benchmarking Physician Performance: Methods and Metrics

Physician employment is back—and this time, it may be here to stay, says Nick Fabrizio, PhD, a principal with the Medical Group Management Association (MGMA) Health Care Consulting Group. "I see the employment trend continuing," he says. "Not only because of declining reimbursement, but because of increases in operating expenses every year. Add in

Streamlining Utilization: HCA North Texas

Nine-hospital health system HCA North Texas, based in Irving, is like most health care organizations in the United States: faced with a challenging financial environment, it needs to find innovative ways to do more with less. Explains Michael Hayes, director of asset management for the health system, "We have to streamline processes that

The New Hospital-Physician Alignment: Preparing for a Value-Based Future

Challenges to the traditional structure of physician economics were already creating a trend toward increased hospital-physician alignment when health care reform added a strong incentive in the form of support for accountable care organizations (ACOs).1 Greg Scrine, managing principal in GE Healthcare's Performance Solutions Integrated Healthcare

Virtua Voorhees Hospital: Patient-Centric Design for Smarter Care

When the team at Virtua, a non-profit health care system headquartered in Marlton, NJ, began planning its new Voorhees hospital location in 2002, it was agreed that the design of the new facility would be governed by patient care. “The goal we had in mind was to spend our money around the patient,” says Virtua CEO Richard Miller. “When we visited

PSO Transforms Smallest State Into Patient Safety Giant

Like their counterparts in other states, hospitals in Rhode Island have experienced their share of tragic outcomes based on medical errors, from mix-ups in medication administration to wrong-site surgeries. However, change is afoot in the state as data pertaining to events are more freely reported by hospital staff, aggregated, and shared by the

Improving the Patient Experience: From Ideal to Imperative

Improving the patient experience has long been a goal of health care providers. However, health care reform is making the patient experience more than just a marketing consideration: the Centers for Medicaid and Medicare Services (CMS) have structured value-based purchasing to link 1% of Medicare reimbursement to a hospital’s performance in quality

Borgess Health: Aligning Physicians to Optimize P4P

Patrick Dyson, executive vice president of strategy and corporative services for Borgess Health (Kalamazoo, Michigan), traces his organization’s “pay for quality” physician alignment strategy back to the Institute of Medicine’s November 1999 report “To Err Is Human.” Following the publication of the report, which shocked many with its statistics on

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