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Quality

 

More hospitals are screening patients on health-related social needs as the industry has recognized the importance of factors outside the healthcare system on outcomes. The investments and available funding, however, haven’t been consistent.

It may be obvious to those working in hospitals—and especially in emergency medicine—that a TV medical drama isn’t quite reality. But for patients who are regular viewers of the long-running “Grey’s Anatomy,” the show could have a real-life impact on how satisfied they are with their care.

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.

 

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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