Surgery at critical access hospitals safe, less expensive
Editor's Note In this study, Medicare patients having common surgical procedures at critical access hospitals had no significant difference in 30-day mortality than those at noncritical access hospitals (5.4% vs 5.6%), and they had lower rates of serious complications (6% vs 14%) and lower expenditures ($14,450 vs $15, 845). The…
Make it your business to grow a healthy bottom line
In this challenging healthcare environment, OR leaders have a fiscal responsibility to help hospitals meet financial goals that contribute to a healthy bottom line. There is no more expensive procedure you can have in the hospital than to spend time in the OR,” says Keith Siddel, PhDc, JD, MBA, CHC.…
Public reporting measures don’t indicate hospital safety
Editor's Note Common measures used to rate hospital safety, such as the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and the Centers for Medicare & Medicaid Services (CMS) Hospital-acquired Conditions, do not accurately capture the quality of care provided, this study finds. Only one measure out of…
CMS approves IMQ as new ASC accrediting agency
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on April 29 approved the San Francisco-based Institute for Medical Quality (IMQ) as a national accrediting organization for Ambulatory Surgery Centers (ASCs) that participate in the Medicare or Medicaid programs (known as deemed status), the May ASC Focus reports. IMQ…
Medicare releases ASC quality data
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on May 4 released comprehensive ambulatory surgery center (ASC) quality data reports compiled through its Ambulatory Surgery Center Quality Reporting (ASCQR) program. Among the data reported are: Quality data code-based measures, such as wrong site, side, patient, procedure, implant Safe…
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…
AHA asks CMS to suspend VBP pain questions
Editor's Note The American Hospital Association (AHA) on April 29 asked the Centers for Medicare & Medicaid Services (CMS) to suspend their pain-related questions in the Value-Based Purchasing (VBP) Program until concerns are addressed that the questions may contribute to the opioid epidemic, AHA News Now reports. The AHA says…
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…
CMS delays release of new hospital quality ratings
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on April 20 announced that it will delay until July the release of hospital quality “star ratings” on its Hospital Compare website, the April 20 Modern Healthcare reports. The ratings were scheduled to be released April 21. The delay stems…
CMS issues hospital inpatient PPS proposed rule for FY 2017
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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