Validity of CAUTI metric used for value-based purchasing questioned
Editor's Note Two different measurement systems are used to track performance in lowering the rate of catheter-associated urinary tract infections (CAUTIs). The Agency for Healthcare Research and Quality metric has shown a 28.2% decrease in CAUTIs since 2010, whereas the Centers for Disease Control and Prevention’s metric has shown a…
Magnet hospitals associated with better patient experience
Editor's Note Magnet recognition is associated with better patient care experiences, which may enhance reimbursement for hospitals, this study finds. Nurse researchers compared 212 Magnet hospitals with 212 non-Magnet hospitals. Patients in Magnet hospitals gave their hospitals higher overall ratings, were more likely to recommend their hospitals, and reported more positive…
ICD-10 transition begins well, further tests coming
Editor's Note The ICD-10 transition began well last week because of the time and effort spent preparing the new codes, but claims rejections could cause further problems towards the end of the month, according to Modern Healthcare. Organizations most likely to have trouble will be the smaller providers and health…
CMS issues final rules on “meaningful use”
Editor's Note The Centers Medicare & Medicaid Services on October 6 released final rules on “meaningful use” for electronic health records. The rules cover three components of the electronic health records meaningful use program: It finalizes modifications to stages 1 and 2, covers requirements for stage 3, and it addresses the…
GAO: Modest effects from Value-based Purchasing program
Editor's Note A new Government Accountability Office report shows that hospital performance on most quality measures was improving before the Affordable Care Act’s Hospital Value-based Purchasing (VBP) program began in 2012 and has not noticeably changed since then, according to the AHA News. Most inpatient prospective payment system hospitals eligible…
ICD-10 debuts October 1
Editor's Note The healthcare industry transitioned to the ICD-10 system October 1, expanding procedure codes from 14,000 to 70,000 for providers and from 44,000 to 72,000 for hospitals. Medicare officials say they won’t deny claims to providers solely for lack of specificity for the first 12 months, but that doesn’t…
Designing and implementing bundled payment program for total hips
Editor's Note A bundled payment program for total hip replacement was associated with similar total costs, lower posthospital costs, shorter length of stay, and similar or higher quality hospital care, in this study. Compared to controls, bundled payment patients had similar length of stay (3.0 vs 3.4 days), higher rates…
Infection prevention tops list of readmission 'action items'
Although most patients spend a brief time in the OR, what happens there significantly impacts a hospital’s 30-day readmission rate. According to a 2015 study in JAMA, complications related to the surgical procedure are the most common cause of readmission after surgery. The researchers analyzed data from the American College…
Deadline looms for CMS orthopedic bundled care program
Only a few months remain before the Comprehensive Care for Joint Replacement (CCJR) goes into effect on January 1, 2016. This orthopedic bundled program, mandated by the Centers for Medicare & Medicaid Services (CMS), is expected to save $153 million as part of the goal to convert 50% of Medicare…
Variation in bariatric surgery costs may impact bundled payments
Editor's Note In this analysis of nearly 25,000 Medicare patients, mean total payments for bariatric surgical procedures varied from $11,000 to $13,000 per episode of care. The index hospitalization was responsible for 75% of total payments, followed by physician services (21%), and postacute care services (2.8%). As hospitals enter Medicare…
Free Daily News
- Legislation proposes to halt Medicare physician payment cuts
- Cigna ties executive pay to patient experience
- Proposed tax credit aims to bolster nurse preceptor ranks
- Study links financial conflicts of interest to favorable robotic bariatric surgery research
- Hospitals double down on ambulatory care expansion with major investments
- Study: Post-laparotomy incisional negative pressure wound therapy fails to reduce infection risk
- FDA announces multiple Class 1 recalls
- Study: ERAS protocol reduces opioid use after cardiac surgery
- Study: Prehabilitation reduces surgical complications, speeds recovery
- Commentary: Studies show how surgeon decisions follow the money