CMS announces ASC quality reporting appeals process
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 16 announced that ambulatory surgery centers (ASCs) subject to a reduction in Medicare outpatient payments in CY 2016 because of noncompliance with the ASC quality reporting program may submit a request for reconsideration by March 17, 2016. Eligible…
Early results suggest merits of enhanced recovery after surgery
Nurses, surgeons, and anesthesia providers all have one main goal for patients undergoing surgery—a smooth recovery that returns patients to their daily lives as quickly as possible. Some healthcare providers have adopted enhanced recovery after surgery (ERAS) protocols as a strategy for meeting that goal, and preliminary research suggests merits…
Nurse leaders play pivotal role in implementing enhanced recovery programs
Frequently OR leaders are at the forefront of implementing enhanced recovery after surgery (ERAS) protocols. They have the skills to facilitate implementation of ERAS and to dispel any misconceptions about it, says Donna Watson, MSN, RN, CNOR, FNP. Watson, director for Medtronic Health Systems Advantage in Boulder, Colorado, is an…
CMS expands quality data on Physician and Hospital Compare websites
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 10 updated its Physician and Hospital Compare websites to include new data and quality measures. Among the additions: performance scores on preventive care, diabetes, cardiovascular care, and patient safety for approximately 275 group practices and 40,000 individual healthcare…
Leapfrog announces top hospitals for quality and safety
Editor's Note The Leapfrog Group’s annual awards on hospital quality and patient safety recognized 98 top facilities for 2015. Out of the 98 facilities honored, 12 were children’s hospitals, 24 were rural hospitals, and 63 were urban hospitals. California, Massachusetts, and Maine had the most top hospitals on the list.…
CMS approves ambulatory surgery patient experience survey
Editor's Note The Centers for Medicare & Medicaid Services (CMS) has approved the administration of an Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey. The voluntary survey, which will start in 2016, includes 37 questions that will collect information monthly about a patient’s experience…
Specific care bundles successfully cut surgical site infection rates
Three new studies on reducing surgical site infections (SSIs) were reported at the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) conference in July. Researchers at three different institutions identified several process changes that, once implemented, brought down SSI rates. Each study used different methodology, but all…
Build a strong anesthesia quality program to boost patient safety and the bottom line
Quality indicators for anesthesia For the past several years, physicians have participated in the Physician Quality Reporting System (PQRS) established by Medicare as a way to assess the quality of patient care and tie that to reimbursement. Beginning in 2015, a negative payment adjustment hit individuals and group practices whose…
Study: ‘July phenomenon’ concerns unfounded
Editor's Note Referred to as the “July phenomenon,” the influx of new surgical residents and interns at the beginning of the academic year is assumed to be associated with poor outcomes. This study of nearly 1.5 million patients who had emergency general surgery either early (July-August) or late (September-June) in…
52 ACS NSQIP hospitals achieve meritorious outcomes
Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) has recognized 52 of 517 participating hospitals for achieving meritorious outcomes for surgical patient care in 2014. Recognized hospitals are deemed “meritorious” for their composite quality scores in eight surgical care outcome areas. Hospitals are required…
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