Periop nurses key in reducing readmissions after CABG surgery
Editor's Note Perioperative nurses engaging in patient and community education to explain coronary artery bypass grafting (CABG) surgery, reinforcing recommended discharge guidelines, and serving as expert resources are key to positive outcomes and reducing readmissions, finds this review article. In 2016, the Centers for Medicare & Medicaid Services reduced payments…
CMS finalizes outpatient PPS, ASC payment system, quality reporting changes for 2018
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 1 announced it will update the hospital outpatient prospective payment system rates by 1.35%. The final rule also removes total knee arthroplasty from the inpatient only list along with five other procedures and adds one procedure to the…
One in five physicians intend to reduce work hours or leave the profession
Editor's Note The burden and bureaucracy of today’s practice of medicine are major factors influencing physicians’ intentions to reduce work hours or leave the profession, finds this study from the American Medical Association, Mayo Clinic, and Stanford University. Of nearly 36,000 physicians across all specialties surveyed, 6,880 (19.2%) responded. Nearly 1…
Value of voluntary bundled-payment program unclear
Editor's Note For the third year in a row, researchers with the Lewin Group couldn’t determine whether Medicare’s voluntary Bundled Payment for Care Improvement initiative cuts costs and improves care, the October 31 Modern Healthcare reports. The Centers for Medicare & Medicaid Services (CMS) funded analysis found that although providers…
CMS issues guidance on MIPS information blocking component
Editor's Note The Centers for Medicare & Medicaid Services (CMS) has issued new guidance designed to offer clarity on the Merit-based Incentive Payment System’s (MIPS) data blocking component, the October 30 Healthcare Informatics reports. The guidance outlines how MIPS-eligible clinicians can show they are fulfilling the information blocking requirement, which…
PSH model reduces deaths, ED visits in elderly hip fracture patients
Editor's Note Elderly hip fracture patients were less likely to die or return to the emergency department (ED) after discharge if they received care under the Perioperative Surgical Home (PSH) model of care, finds this study presented October 21 at the Anesthesiology 2017 annual meeting in Boston. PSH patients also…
AHA study: Regulatory overload is unsustainable
Editor's Note A study from the American Hospital Association (AHA) finds that the regulatory burden faced by healthcare providers is substantial and unsustainable, the October 25 AHA News Now reports. Hospitals, health systems, and post-acute care providers spend nearly $39 billion annually on administrative activities to comply with federal…
Effect of hospital-wide measure of readmissions for HRRP
Editor's Note Changing to a hospital-wide measure of readmissions for the Hospital Readmissions Reduction Program (HRRP) would result in only 76 more hospitals being eligible to receive penalties, but it would substantially increase the penalties for safety-net hospitals, this study finds. For the analysis, researchers used Medicare claims from 2011…
Survey finds nearly three-quarters of physicians prefer fee-for-service models
Editor's Note A survey of 980 physicians in eight specialties by New York City-based Bain and Company found that 73% prefer fee-for-service rather than value-based care models because of concerns about the complexity and quality of care associated with value-based models, the October 12 Healthcare Informatics reports. More than 60%…
CMS moving MU attestation to QualityNet Secure Portal
Editor's Note The Centers for Medicare & Medicaid Services (CMS) is moving submission of 2017 meaningful use (MU) data from the Electronic Health Record (EHR) Incentive Program Registration and Attestation System to the QualityNet Secure Portal (QNet), effective January 2, 2018, the October 4 EHR Intelligence reports. QNet is currently…
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