Study: EHRs leads to physician burnout, job dissatisfaction
Editor's Note This study finds that physicians who use electronic health records (EHRs) have higher rates of burnout and are more likely to be dissatisfied with their jobs because of the amount of time spent completing computerized medical forms. The findings, based on a survey of 6,375 physicians, found that…
Study: Complexity of quality measures impeding adoption
Editor's Note Nearly three-quarters of physicians and health plan executives say quality measures are too complex, making it difficult for physicians to achieve them in a survey by Quest Diagnostics and Inovalon. Other findings include: 65% of physicians don’t have all the patient information they need 64% of physicians don’t…
Healthcare providers struggling to transition to VBP
Editor's Note Moving to information systems and data requirements of the new value-based payment (VBP) reimbursement system is proving to be a daunting challenge for healthcare providers, the June 13 Health Data Management reports. A survey of healthcare executives from 190 hospitals shows that only 3% of respondents provide more…
NYC hospital downsizing in response to changes in care models
Editor's Note New York City’s (NYC’s) 825-bed Mount Sinai Beth Israel hospital will close in 4 years and be replaced by a much smaller 70-bed facility while expanding outpatient surgery, primary care, and behavioral health services, the May 25 New York Times reports. Officials blame the high cost of health…
Vulnerable hospitals and unintended consequences of the Affordable Care Act
Editor's Note Vulnerable status of hospitals is linked to higher readmission rates after major cancer surgery, this study finds. Of 355 hospitals analyzed, safety net hospitals and high Medicaid hospitals had higher 30-day, 90-day, and repeated readmissions. The findings reinforce the need to account for socioeconomic variables in risk adjustments…
VBP program rewards 231 low-quality hospitals
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…
Teaching hospitals penalized for aggressive screening
Editor's Note Nearly half of US academic medical centers are being penalized by Medicare because their aggressive screening of patients leads to identification of more infections and other complications that trigger penalties, the April 20 Kaiser Health News reports. The Centers for Medicare & Medicaid Services (CMS) maintains that the…
Editorial
Healthcare, business, and political leaders convened at the World Healthcare Congress in Washington, DC, in April to discuss payment, regulatory reforms, new technology, and evolving models of patient care. During the Nurse Leadership Summit portion of the conference, a session on population health management was noteworthy. Panel members discussed transitional…
Some 60% of hospitals could face penalties under new joint replacement rule
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.…
Scripps Health eliminates 100 management jobs
Editor's Note San Diego-based Scripps Health announced March 21 that it will restructure its management and eliminate about 100 jobs, mostly from management and administration, in an effort to reduce operating expenses, Modern Healthcare reports. A memo to Scripps employees noted that although Scripps has enjoyed healthy operating margins and…
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