Editor's Note Anastomotic leaks and postoperative ileus had significantly higher associations with 30-day patient outcomes after colon resection than surgical site infections (SSIs), urinary tract infections, and venous thromboembolism, this study finds. In 26,682 patients undergoing colon resection, the most common postoperative complications were ileus (11.8%), bleeding (7.6%), and incisional…

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Editor's Note The American College of Surgeons (ACS) in collaboration with Johns Hopkins has launched a new multimillion dollar surgical quality improvement initiative funded and guided by the Agency for Healthcare Research and Quality. The new program will enable hospitals to implement Enhanced Recovery after Surgery (ERAS) protocols, which have…

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Editor's Note The American College of Surgeons (ACS) on January 31 opened enrollment for participation in its Children’s Surgery Verification Quality Improvement Program. The program was developed to improve the quality of children’s surgical care by creating a system to match each child’s individual surgical needs with a care environment…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) and care providers lack the predictive models needed to assess risks for readmission after joint replacements, finds this study. Researchers tested the applicability of the Carlson Comorbidity Index, Elixhauser Comorbidity Index, and CMS Hierarchical Condition Category to see whether any…

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Editor's Note Despite the Affordable Care Act, which was designed to improve access to care for patients without insurance, patients without insurance have lower use of high-quality hospitals, this study finds. The probability of admission to high-quality hospitals was similar for patients with Medicaid (23.3%) and private insurance (23.0%), but…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) on January 17 announced a deadline extension for reporting CY 2016 electronic Clinical Quality Measure data to avoid a 2.7% payment adjustment in FY 2018. The extension applies to hospitals and critical access hospitals participating in the Hospital Inpatient Quality…

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Editor's Note This study finds that where surgical patients go after they are discharged varies widely, and that variation leads to huge differences in how much their care costs. Variation in postacute care spending between lowest and highest quintiles differed 129% for total hip replacement, 103% for coronary artery bypass…

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Editor's Note In this review article, researchers conclude that implementation of Enhanced Recovery after Surgery (ERAS) programs results in major improvements in clinical outcomes and cost savings, which makes ERAS an important example of value-based care applied to surgery. ERAS practices include: changes from overnight fasting to carbohydrate drinks 2…

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Editor's Note The ECRI Institute on January 9 released its 2017 Top 10 Hospital C-Suite Watch List. The list includes both technologies and critical technology use issues that hospital leaders should be aware of. Included in the list are: an initiative to improve outcomes and costs of abdominal surgery hospital…

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Editor's Note Introduction of the Perioperative Surgical Home (PSH) model for patients having ambulatory laparoscopic cholecystectomy at a Kaiser Permanente facility was associated with decreased length of stay and unplanned hospital admissions in this study. A total of 878 patients were included in the preimplementation period, and 1,082 in the…

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