ASCA issues quality reporting alert for ASCs
Editor's Note The Ambulatory Surgery Center Association on July 7 posted a quality reporting alert that provides instructions on required reporting that all Medicare-certified ASCs must submit to the Centers for Medicare & Medicaid Services ASC Quality Reporting Program by August 15. ASCs must report on five measures (ASC-6 through…
Association between hospital performance and surgical quality
Editor's Note In this study, researchers found a significant association between patient satisfaction scores and surgical quality measures. Of 180 hospitals, the overall mean patient satisfaction score was 68% (lowest quartile, 59%; highest quartile, 77%). Patients treated in hospitals in the highest quartile had significantly lower risks of death, failure…
At Risk Care Plans: A Way to Reduce Readmissions and Adverse Events
Our Take This article describes an “At Risk Care Plan,” the goal of which is to improve safety and quality care by anticipating individual safety and care needs of patients at risk and to communicate those needs to the health care team. This intervention has reduced hospital readmissions, costs, and…
Spending bill in House would end funding for AHRQ
The House Appropriations Committee has approved a draft budget for fiscal 2016 that would terminate funding for HHS' Agency for Healthcare Research and Quality. The proposal would also cut funding for the Centers for Medicare and Medicaid Innovation and Patient-Centered Outcomes Research Institute. Just last week, AHRQ announced plans to…
Using more robust data leads to better outcomes
Many perioperative services leaders still struggle to get meaningful data on what influences the success or failure of a surgical patient. One resource that’s readily available and has a proven track record is the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). “NSQIP has shown that the…
Research projects potential cost savings with wider use of MIS
Though minimally invasive surgery (MIS) is associated with lower postoperative complication rates, little is known about the cost savings resulting from the reduced rates. Researchers led by Martin Makary, MD, professor of surgery at Johns Hopkins University School of Medicine, Baltimore, designed a study to calculate the projected cost savings…
Perioperative surgical home optimizes patient care, Part 1
The medical home, consisting of a patient-centered team focusing on the coordinated delivery of care, is now embedded in the healthcare lexicon, but the perioperative surgical home (PSH) is a more recent concept that is only starting to spread across the country. “The number of hospitals in the US with…
Communication, collaboration, commitment are cornerstones of high reliability healthcare
Providing dependably excellent care for all patients all of the time is the essence of high reliability healthcare, as defined by the Joint Commission in its 2013 report. Two large health systems—Kaiser Permanente and Cincinnati Children’s Hospital—are on the path to becoming highly reliable organizations. In recent years, improved processes…
Reducing emergency surgical procedures could save $1 billion
New research shows that even a modest 10% reduction in the proportion of emergency surgical procedures for three common conditions could save nearly $1 billion over 10 years. The study also showed significantly lower rates of mortality and better outcomes among patients who had these procedures on an elective basis.…
Surgeon sees standardization and data as keys to higher value healthcare
Over the past decade, the number of quality measurement programs has grown exponentially as hospitals respond to public and government demands for greater accountability and improved patient care. During this time, quality programs have been focused largely on how to do quality, how to measure it, how to improve it,…
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