Trends in choledocholithiasis management
Editor's Note This study found a marked decline from 1998 to 2013 in surgical (open and laparoscopic) common bile duct exploration (CBDE) for choledocholithiasis (ie, bile duct stones). At the same time, the rate of endoscopic retrograde cholangiopancreatography (ERCP) increased and is becoming the predominant treatment strategy. The percentage of…
ACS awards 20 cancer care facilities for outstanding achievement
Editor's Note The Commission on Cancer of the American College of Surgeons (ACS) on August 23 granted its mid-year 2016 Outstanding Achievement Award to 20 accredited US cancer programs. The purposed of the award is to: raise the bar on quality cancer care recognize programs that achieve excellence in providing…
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…
Hospital readmission penalties reach new high
Editor's Note The Centers for Medicare and Medicaid’s (CMS) hospital readmission penalties will hit a new high over the next year as the government agency withholds more than half a million dollars in payments, the August 2 Kaiser Health News reports. CMS will punish more than half of US hospitals…
Association between surgeon specialization and mortality
Editor's Note For four cardiovascular and four cancer procedures, surgeon specialization was an important predictor of operative mortality, independent of volume, this study finds. Analyzing Medicare data for more than 25,000 surgeons and nearly 700,000 patients, the relative risk reduction from greater specialization in the cardiovascular procedures ranged from 15%…
Mayo Clinic tops US News & World Report’s Best Hospitals list
Editor's Note US News & World Report on August 2 released it 27th Annual Best Hospitals list, which compares nearly 5,000 hospitals nationwide in 25 specialties, procedures, or conditions. The Mayo Clinic in Rochester, Minnesota, is Number 1 this year, followed by the Cleveland Clinic in Cleveland, Ohio, and the…
Many top hospitals fail Medicare’s quality star ratings
Editor's Note The Centers for Medicare & Medicaid (CMS) on July 27 released its Overall Hospital Quality Star Ratings of 3,617 hospitals. Only 102 received the top rating of five stars, and only a few of those are considered among the nation’s best, including Memorial Hermann Hospital System in Houston…
Mortality rates similar for safety-net, other hospitals
Editor's Note In a new study funded by the Agency for Healthcare Research and Quality (AHRQ), safety-net hospitals performed equally as well as other hospitals when evaluated according to medical-surgical mortality rates. Analyzing data from 1,891 hospitals in 31 states, researchers found that despite ongoing financial disadvantages, the quality of…
CMS publishes hospital star ratings
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 27 published its Overall Hospital Quality Star Ratings, the July 27 Modern Healthcare reports. The ratings, which are a composite metric of one to five stars, grade the quality of nearly 4,000 hospitals and are posted to the…
Excluding high-risk cardiac patients from public reporting improves outcomes
Editor's Note Public reporting may discourage physicians from offering lifesaving treatment to patients who are at the greatest risk for mortality and poor outcomes, this study finds. Of 45,000 cardiac patients analyzed, the researchers found that physicians were 28% more likely to perform percutaneous coronary interventions (PCI) on patients who…
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