Nonhierarchical vs hierarchical modeling to measure hospital performance
Editor's Note In this study, nonhierarchical modeling to measure hospital performance frequently misclassified average-quality hospitals as low quality, and hierarchical modeling misclassified low-quality hospitals as average. At low hospital case volumes, hierarchical modeling missed 90.6% of low-quality hospitals, and nonhierarchical modeling missed 65.3%. However, 38.9% of hospitals classified as low-quality…
Study: Hospital readmissions sometimes save lives
Editor's Note Analyzing data on nearly 4,500 acute-care facilities, Johns Hopkins researchers found that the hospitals with the highest rates of readmissions were more likely to show better mortality scores. Data on mortality and hospital readmissions used by the Centers for Medicare & Medicaid Services (CMS) sometime fail to tell…
Bariatric surgery outcomes in accredited vs nonaccredited centers
Editor's Note In this study, the preponderance of medical evidence supports Center of Excellence accreditation for bariatric surgery centers. This meta-analysis analyzed 13 studies that included more than 1.5 million patients. Among the benefits of accreditation: 10 studies found a substantial benefit for risk-adjusted outcomes 6 studies reported a considerable…
Physician-owned surgical hospitals performed better in VBP program
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…
Bariatric surgery outcomes in accredited vs nonaccredited centers
Editor's Note Patients who have bariatric surgery at nonaccredited bariatric surgical centers are 1.4 times likelier to have serious complications and more than twice as likely to die after the procedure compared to those who have surgery in accredited centers, this study finds. In this review of more than 1.5…
Reminder: July 1 is deadline to apply for 'meaningful use' hardship exception
Editor's Note Eligible hospitals, critical access hospitals, and professionals who did not achieve "meaningful use" in the Medicare Electronic Health Record Incentive Program for the 2015 reporting period have until July 1 to apply for a hardship exception from the 2017 payment adjustment. The streamlined hardship applications reduce the…
Hospitals with high readmission rates penalized for the patients they serve
Clinical and social characteristics not included in Medicare’s current risk-adjustment methods explained much of the difference in readmission risk between patients admitted to hospitals with higher versus lower readmission rates, a study finds. The Medicare Hospital Readmissions Reduction Program penalizes hospitals with higher than expected 30-day readmission rates by reducing…
Infection prevention tops list of readmission 'action items'
Although most patients spend a brief time in the OR, what happens there significantly impacts a hospital’s 30-day readmission rate. According to a 2015 study in JAMA, complications related to the surgical procedure are the most common cause of readmission after surgery. The researchers analyzed data from the American College…
Medicare penalizes more than half of hospitals for readmissions
Editor's Note Nearly 2,600 hospitals will be penalized for missing readmission targets under Medicare, with a loss of $420 million, Kaiser Health News reports. The average Medicare payment reduction is 0.61% per patient stay; 38 hospitals will receive the maximum cut of 3%. The reductions are based on readmissions of…
More physicians, nurses needed as Medicare turns 50
Editor's Note More physicians and nurses are needed as Medicare and Medicaid reach their 50th anniversary, Healthcare Finance News reports. Medicare and Medicaid paid $15 billion toward residency training programs in 2012, and the Association of American Medical Colleges has predicted a shortage of between 46,000 and 90,000 physicians by…
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