Editor's Note Medicare’s value-based purchasing (VBP) program revealed superior performance associated with physician owned surgical hospitals in this study. Researchers analyzed 3,089 hospitals that included physician-owned surgical, University HealthSystem Consortium, US News & World Report Honor Roll, Kaiser Permanente, and Accountable Care Organization hospitals. Estimated mean total performance scores were…

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Editor's Note The growth in US healthcare spending from 2015 to 2025 is projected to average 5.8%--1.3% faster than growth in the gross domestic product, finds this study. Healthcare will represent 20.1% of the total economy by 2025. With the initial impact of the Affordable Care Act fading, growth in…

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Editor's Note Improving processes for ordering, transporting, and storing blood at Vanderbilt University Medical Center, Nashville, Tennessee, resulted in $2 million in savings and a 30% reduction in blood utilization in a study presented as a poster presentation at the 2016 American College of Surgeons National Surgical Quality Improvement Program…

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Editor's Note A surgical comanagement hospitalist program reduced complications, length of stay, 30-day readmissions, number of consultants, and cost of care in this study. There was no significant changed in patient satisfaction and the average savings was $2,642 to $4,303 per patient. This retrospective study by researchers from Stanford University…

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Editor's Note Hospital readmission app could save billions An award-winning app developed by graduate students at Binghamton University, State University of New York, could help reduce readmission rates and save the healthcare industry billions. The Android-based mobile app called “Post Discharge Treatment and Readmission Predictor,” creates a special messaging service…

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Editor's Note Hospitals with better nursing work environments and above-average staffing levels were associated with better value (ie, lower mortality with similar costs), especially for higher risk patients, this study finds. The study included 25,752 elderly Medicare general surgery patients treated at 35 focal hospitals (mean nurse-to-bed ratio, 1.51) and…

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Editor's Note Septicemia was the most expensive condition treated in US hospitals in 2013, according to the Agency for Healthcare Research and Quality. Others in the top 20 most expensive were: osteoarthritis, 2nd complications of device, implant, or graft, 4th complications of surgical procedures or medical care, 13th hip fracture,…

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Editor's Note In this study from Johns Hopkins, Baltimore, payments for colectomy under Medicare’s Bundled Payments for Care Improvement Initiative were lower than a fee-for-service payment model, and the proportion of patients contributing to a net negative margin increased. Net negative margins were calculated as the difference between total hospital…

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Type 1 natural rubber latex allergic reactions are avoidable in the OR. Typically, surgical gloves are the last products remaining in the OR that contain natural rubber latex (NRL). Higher-cost, clinically acceptable synthetic latex surgical gloves are readily available. However, OR leaders can encounter significant resistance from hospital administrators when…

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Editor's Note Through its Value Based Purchasing (VBP) program, the  Centers for Medicare and Medicaid Services (CMS) paid bonuses to 231 hospitals with lower quality because their patients were less expensive, this study finds. CMS began measuring both spending and quality in FY 2015 to encourage hospitals to provide more…

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