Joint Commission to begin publicly reporting C-section rates
Editor's Note The Joint Commission announced on December 19 that, effective July 1, 2020, it will begin publicly reporting hospitals with consistently high C-section rates on"Quality Check," using hospital data reported during CY 2018 and 2019. The Joint Commission began requiring accredited hospitals to collect and submit data on the…
Most hospitals will get increased Medicare payments in 2019
Editor's Note The Centers for Medicare & Medicaid Services announced December 3 that more than 1,550 hospitals will share $1.9 billion in bonus payments under the Hospital Value-Based Purchasing Program for FY 2019. Though it is a slight decline from FY 2018, average performance scores were higher at 38.1%, compared…
Effect of changes in hospital nursing resources on patient safety, quality care
Editor's Note Improvements in hospital work environments, nurse staffing, and educational levels of nurses coincided with improvements in patient safety and quality of care in this panel study from Linda Aiken, PhD, RN, and colleagues at the University of Pennsylvania School of Nursing, Philadelphia. Using data from a panel of…
Trauma of hospitalization associated with greater risk of readmission, ED visit
Editor's Note Poor sleep, missed meals, less physical activity, and stress during hospitalization was associated with a greater risk of 30-day readmissions and emergency department (ED) visits, in this Canadian study. In this analysis of 207 patients, 75 (36.2%) reported sleep disturbance, 162 (78.3%) reported mobility disturbance, 114 (55.1%) reported…
New safety program helps hospitals adopt ERAS
Enhanced recovery after surgery (ERAS) led the list of newer patient care models in use at hospitals that employ respondents to the 2018 OR Manager Salary/Career Survey. A total of 42% of hospital-based OR leaders said ERAS had been or would soon be implemented in their facilities, down slightly from…
93% of eligible clinicians received MIPS payment under QPP last year
Editor's Note New data from the Centers for Medicare & Medicaid Services (CMS) shows that 93% of eligible clinicians who participated in the Merit-Based Incentive Payment System (MIPS) under the Quality Payment Program (QPP) received positive payment adjustments for their performance last year, the November 9 EHR Intelligence reports. Only…
Joint Commission recognizes nine hospitals for eCQM evolution, utilization
Editor's Note The Joint Commission on November 6 released “Pioneers in Quality eCQM Proven Practices Collection: Recognizing Success 2017-2018.” The publication recognizes healthcare organizations that have successfully leveraged electronic clinical quality measures (eCQMs) and health information technology to drive quality improvement. Nine hospitals are featured: BayCare Health System, Inc, Clearwater,…
Hospital volume of SAVR linked to better patient outcomes for TAVR
Editor's Note Hospitals with high volumes of surgical aortic valve replacements (SAVRs) are more likely to be fast adopters of transcatheter aortic valve replacement procedures (TAVRs), and accumulating SAVR and TAVR caseloads is associated with better survival after TAVR, this study finds. Using Medicare data on 60,538 TAVR procedures performed…
Minimally invasive surgery for early-stage cervical cancer linked to worse survival
Editor's Note In this study, minimally invasive radical hysterectomy was associated with worse overall survival and higher recurrence rates than open abdominal radical hysterectomy for women with early-stage IA or IB cervical cancer. Of 631 patients analyzed: Minimally invasive surgery was associated with a three-fold increase in disease progression. The…
ACS NSQIP recognizes 83 hospitals for “Meritorious” surgical outcomes
Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 31 recognized 83 hospitals for achieving “Meritorious” outcomes for surgical patient care in 2017; 568 hospitals were eligible. ACS NSQIP-participating hospitals are required to track outcomes of inpatient and outpatient surgical outcomes and analyze…
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