Editor's Note The Leapfrog Group on October 31 released it’s biannual hospital safety report card. Of 2,812 facilities graded, 844 received an A grade, 658 received a B, 954 received a C, 157 received a D, and 20 received an F. According to Leapfrog, the measures used by Leapfrog, Medicare,…

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Editor's Note Patient level factors dominated the increased readmission risks after colorectal surgery at minority-serving hospitals, while hospital factors were less contributory, this study finds. Patient factors accounted for 65% of the increase in odds for readmission, and hospital-level factors accounted for 40%. Inpatient mortality was significantly greater at minority-serving…

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Editor's Note On-pump and off-pump coronary artery bypass grafting (CABG) are equally safe and effective, this study finds. At 5 years there was no significant difference between on-pump and off-pump CABG in combined rates of death, stroke, myocardial infarction, renal failure, or subsequent revascularization procedures (23.6% vs 23.1%). There also…

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Editor's Note In this study, bariatric surgery for obese adolescents was shown to be cost-effective if assessed over a time period of 5 years, but not in shorter time frames. The incremental cost-effectiveness ratio of bariatric surgery vs no surgery was $155,000 per quality-adjusted life year (QALY) when assessed over…

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Trends such as bundled payment models, adding service lines, and increased competition among providers are just some of the challenges facing today’s OR business leaders. Year over year growth of the annual OR Business Management Conference attests to the need for expert advice on the increasingly complex world of budgets,…

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Recent developments, including the push to outpatient services, increased consumer engagement, and a focus on outcomes, have made ambulatory surgery centers (ASCs) well positioned in the healthcare marketplace. But as with any marketplace, it takes bold thinking and thoughtful strategy to ensure an ASC stands out to consumers, physicians, and…

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Editor's Note A study presented at the 2016 American Orthopaedic Foot and Ankle Surgeons Annual Meeting found that total ankle replacements performed in ambulatory surgical centers (ASCs) were about $4,000 less than those performed in inpatient facilities, the October Orthopedics Today reports. The 4-year study included 574 total ankle replacements…

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Editor's Note More transparency and validation are needed for consumer-based benchmarking methods, this study finds. Researchers evaluated differences between Centers for Medicare & Medicaid Services measured rates of safety events for Rush University Medical Center, Chicago, and the US News & World Report determined patient safety scores. Discrepancies were found…

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Editor's Note A Deloitte survey of physicians found that three out of four believe electronic health records (EHRs) increase practice costs, which outweigh any efficiency savings, and seven out of 10 say EHRs reduce their productivity, the October 3 Healthcare Informatics reports. Nearly two-thirds (62%) of respondents want EHRs to…

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Editor's Note In this study, substantial variation was observed across hospitals in Medicare episode payments for patients rescued from surgical complications, and higher payments were not associated with improved clinical performance. Medicare payments for patients rescued at the highest-cost hospitals were two- to threefold higher than the lowest-cost hospitals for…

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