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93% of eligible clinicians received MIPS payment under QPP last year

Editor's Note New data from the Centers for Medicare & Medicaid Services (CMS) shows that 93% of eligible clinicians who participated in the Merit-Based Incentive Payment System (MIPS) under the Quality Payment Program (QPP) received positive payment adjustments for their performance last year, the November 9 EHR Intelligence reports. Only…

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By: Judy Mathias
November 13, 2018
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New decision support algorithm improves discharge outcomes

Editor's Note In this study from the University of Pennsylvania School of Nursing, researchers developed, validated, and tested an algorithm called, “Discharge Referral Expert System for Care Transitions (DIRECT),” which helped clinicians identify patients most in need of post-acute care (PAC) and lowered readmission rates. The researchers conducted a 4-month…

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By: Judy Mathias
November 8, 2018
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Hospital employment up again in October

Editor's Note US hospitals added 13,000 jobs in October to a seasonally adjusted 5,216,100, the Bureau of Labor Statistics reported on November 2. That is up 106,900 more employees than a year ago. Overall, healthcare employment has increased 322,500 in the past year. The overall unemployment rate is 3.7%, matching…

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By: Judy Mathias
November 6, 2018
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CDC reports decline in hospital infections

Editor's Note The Centers for Disease Control and infection (CDC) on October 31 reported that the risk of hospital patients having healthcare-associated infections was 16% lower in 2015 than in 2011, largely because of declines in surgical site and urinary tract infections. The percentage of patients having surgical site and…

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By: Judy Mathias
November 1, 2018
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ECRI Institute announces new white paper on top value analysis challenges

Editor's Note ECRI Institute on October 30 announced a new white paper--Value Analysis: Addressing Top Challenges by Using the PICOTS Framework--which presents findings from national seminars on the top five challenges value analysis professionals face daily. The challenges are: Antiquated workflow C-suite buy-in Accessibility to data Physician engagement Bandwidth. The…

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By: Judy Mathias
October 31, 2018
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Effect of prehabilitation program on abdominal surgery patients

Editor's Note Colectomy patients participating in a preoperative prehabilitation program had positive physiologic effects and experienced fewer complications, this study finds. The prehabilitation program−Michigan Surgical and Health Optimization Program (MSHOP)−engages patients in four activities before surgery: Physical activity, pulmonary rehabilitation, nutritional optimization, and stress reduction. For the study, patients were…

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By: Judy Mathias
October 30, 2018
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Value stream redesign: The cornerstone of excellent patient care

Many healthcare organizations have adopted Lean processes to save money, improve workflow, and reduce waste. But it’s not just process change that drives success. It’s the individuals—especially those on the front lines—who work together to identify problems and solutions. It’s also ongoing efforts to sustain changes once they have been…

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By: Elizabeth Wood
October 18, 2018
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Early action advised to achieve better OAS CAHPS responses

Mandatory implementation of the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) originally scheduled for 2018 has been delayed, but that does not mean it should be ignored, say ambulatory surgery center (ASC) leaders. The earliest projected date when the survey could become mandatory…

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By: Janet M. Boivin, BSN, BSJ, RN
October 18, 2018
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CMS: 1,299 providers join new bundled payment initiative

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 9 announced that 1,299 healthcare providers are participating in its new Bundled Payments for Care Improvement−Advanced model, which began October 1 and will continue until December 31, 2023. The program includes 32 bundled clinical episodes (29 inpatient, 3…

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By: Judy Mathias
October 11, 2018
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Nurse-to-patient ratios could result in high costs

Editor's Note Massachusetts voters in November will determine whether mandated nurse-to-patient staffing ratios will go into effect January 1, 2019, the October 3 SFGate reports. Implementing the ratios could cost providers $676 million to $949 million per year, according to an analysis by an independent state agency. A union representing…

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By: Judy Mathias
October 5, 2018
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