Editor's Note The Centers for Medicare & Medicaid Services on April 18 issued its hospital inpatient prospective payment system (PPS) proposed rule for FY 2017. The proposed rule includes: an increase in rates by 0.85% from FY 2016, after accounting for inflation and other adjustments required by law adjustments to…

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Editor's Note Nearly half of patient face-to-face contacts with health care providers, such as checkups, emergency department visits, and hospital admissions, were missing from electronic health records (EHRs) in this study. The problem is caused by the inability of software systems to talk to each other. Because of the 2009 Health…

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Total joint replacements have grown rapidly in recent years, thanks to an aging population and advances in surgical techniques and pain management. As a result, many healthcare facilities have added joint and spine procedures to their service lines. Others would like to know how to do this. What’s involved in…

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Although many healthcare providers are still struggling to implement a value-based payment (VBP) model, everyone knows that the train has left the station and adjustments must be made. Shifting to a VBP system, expanding surgical patient care to “population health,” and developing a new generation of perioperative nurses are among…

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Communication tools such as briefings, debriefings, handoffs, and checklists are considered cornerstones of surgical patient safety, but they’re only effective when used correctly. In many ORs, steps may be skipped that later are linked to adverse events that should not have happened. Greater mindfulness and proper implementation of communication tools…

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Surgeon champions can make or break a perioperative initiative. But it’s not enough to simply identify a single champion. OR leaders must engage a wide range of physicians to improve the organizational structure of the healthcare system. At Intermountain Healthcare, a 22-hospital system based in Salt Lake City, Utah, surgical…

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Editor's Note A new analysis by Avalere Health (Washington, DC) finds that 60% of hospitals participating in Medicare’s Comprehensive Care for Joint Replacement bundled-payment model could face penalties if they don’t reduce their costs. The average total joint costs around $13,000, but the entire episode-of-care costs twice that at $26,000.…

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Editor's Note Most Americans do not think healthcare prices and quality are associated and may avoid low-price care, finds this study. Depending on how the question was framed, 58% to 71% of Americans in a nationally representative survey did not associate healthcare prices and quality. A minority did perceive an…

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Editor's Note How well a hospital performs financially is not associated with improved clinical outcomes, this study finds. Researchers examined the association between financial performance for nearly 280 hospitals against their 30-day mortality and readmission rates for acute myocardial infarction, congestive heart failure, and pneumonia. The findings suggest that hospitals…

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Editor's Note Patients undergoing minimally invasive mitral valve repair or replacement (mini-MVR) have similar outcomes as patients having traditional open procedures and also experience shorter hospital stays and fewer blood transfusions, finds this study. The study included 1,304 patients, including 425 mini-MVRs. Compared with traditional MVR, Mini-MVR patients had similar…

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