Tag: Performance Improvement

HHS forms group to streamline quality programs

Editor's Note The Department of Health and Human Services (HHS) announced on July 9 that it has formed a summit of key industry stakeholders and government leaders to provide insight as the Trump administration seeks to streamline, improve, and align measures used across federal healthcare quality programs. The Quality Summit,…

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By: Judy Mathias
July 11, 2019
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Applications, limitations of AI for fracture detection, classification

Editor's Note Preliminary experience in the automated detection and classification of fractures using artificial intelligence (AI) shows promise, and AI may enhance processing and communicating probabilistic tasks in orthopedic surgery, this study finds. For fracture detection, researchers compared the human findings in 10 studies with AI findings. In two studies,…

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By: Judy Mathias
July 9, 2019
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Preop opioid, benzodiazepine use linked to postop mortality, opioid consumption

Editor's Note Use of opioids and benzodiazepines 6 months before surgery was associated with increased short- and long-term mortality and an increased rate of persistent postoperative opioid consumption, this study finds. In this analysis of 41,170 noncardiac surgical cases in 27,787 patients in Iceland, preoperative prescriptions for opioids only were…

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By: Judy Mathias
June 27, 2019
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Outpatient surgery occupies big stage at OR Manager Conference

Editor's Note Ambulatory surgery center (ASC) administrators and managers trying to keep pace with the rapid growth in their facilities will not want to miss the robust outpatient surgery education offered at the 2019 OR Manager Conference. On Tuesday, September 17, Beverly Kirchner, BSN, RN, CNOR, CASC, chief compliance officer…

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By: Elizabeth Wood
June 27, 2019
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Study: EHR data limited in capture of patient outcomes, risk factors needed for risk adjustment

Editor's Note Retooling paper-based measures to electronic format for reporting performance measures can help reduce hospitals’ reporting burden. However, in this study by Joint Commission and State University of New York researchers, a simplified risk model using electronic health record (EHR) elements could not capture most risk factors in the…

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By: Judy Mathias
June 26, 2019
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Study: Value found in physician-patient outcome assessment process

Editor's Note A new scoring system reveals a strong agreement between patient-reported and physician-reported outcomes after surgery, the Mayo Clinic reports. The study enrolled 100 patients who had elbow or shoulder surgery. The average time between surgery and follow-up was 31 months. In the categorical ratings, patients and physicians agreed…

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By: Judy Mathias
June 24, 2019
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CMS selects ECRI Institute for NQIIC designation

Editor's Note The ECRI Institute on June 20 announced that the Centers for Medicare & Medicaid Services (CMS) had awarded it with the Network of Quality Improvement and Innovation Contractors (NQIIC) designation. With this designation and partnering with other quality improvement contractors under the new CMS Indefinite Delivery/Indefinite Quanity (IDIQ)…

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By: Judy Mathias
June 24, 2019
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Effect of visible-light CED on microbial contamination, SSIs

Editor's Note A visible-light continuous environmental disinfection (CED) system, used with manual cleaning, resulted in a significant reduction in microbial surface contamination and surgical site infections (SSIs) in an orthopedic OR, in this study. Samples were taken from 25 surfaces within two contiguous ORs sharing an air supply after manual…

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By: Judy Mathias
June 20, 2019
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What if healthcare AI is the next asbestos?

Editor's Note At a precision medicine conference in Boston on June 18, Harvard Law School professor Jonathan Zittrain likened the use of artificial intelligence (AI) in healthcare to asbestos, saying: “it’s all over the place, even though at no point did you explicitly install it, and it has possibly some…

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By: Judy Mathias
June 20, 2019
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Variation in surgical outcomes across highest-rated hospitals

Editor's Note Risk-adjusted surgical outcomes vary widely across hospitals within networks that are on the Honor Roll of the US News & World Report, this study finds. In this analysis of 87 hospitals and 143,174 patients, outcomes were not consistently better at Honor Roll hospitals compared with network affiliates. For…

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By: Judy Mathias
June 20, 2019
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