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Computer algorithm shows need for high-volume care for heart, lung transplant patients

Editor's Note Using a computerized mathematical model, Johns Hopkins researches investigated whether they could improve heart and lung transplants by transferring patients from low- to high-volume transplant centers. Among the findings: For heart transplants, 10 lives were saved after one center closure, and 240 lives were saved after up to…

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By: Judy Mathias
September 14, 2016
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Public wants 16-hour shifts for residents

Editor's Note A total of 86% of general public respondents to a national survey want 16-hour shifts for first-year residents to remain, and 80% support dropping the maximum shift limit for second-year residents and above from 28 hours to 16 hours. The survey was conducted by Public Citizen, an independent…

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By: Judy Mathias
September 14, 2016
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First clinical trial of HCV-infected kidney transplants

Editor's Note Researchers at Penn Medicine, Philadelphia, are conducting a clinical trial to test the effect of administering antiviral therapy to organ recipients after being transplanted with kidneys infected with the hepatitis C virus (HCV). The first participant received a kidney transplant in July, and after being treated with Zepatier…

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By: Judy Mathias
September 13, 2016
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Study: Most nurses dissatisfied with EHRs

Editor's Note A study by Adventist University of Health Sciences (Orlando, Florida) found that 92% of nurses were dissatisfied with their electronic health record (EHR) technology. In addition, 85% said the EHRs had flaws, and 84% said EHRs disrupted their productivity and clinical workflow. The researchers also found an increase…

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By: Judy Mathias
September 13, 2016
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Hospitals still using chargemaster markups to improve revenue

Editor's Note Since Medicare adopted its prospective payment system in 1985, many hospital executives and economists have suggested that the hospital chargemaster (list of prices for all hospital procedures and supplies) is irrelevant. However, in this study, researchers found that hospitals are systematically adjusting their charge-to-cost ratios (ie, chargemaster price…

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By: Judy Mathias
September 12, 2016
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Joint Commission releases 2017 ORYX reporting requirements

Editor's Note The Joint Commission on September 7 released its 2017 ORYX Performance Measurement Reporting Requirements for accredited hospitals. Hospitals will report on 5 chart-abstracted measures and a choice of 6 of 13 electronic clinical quality measures (eCQMs). Critical access and small hospitals may choose the six eCQMs from 13…

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By: Judy Mathias
September 12, 2016
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CMS releases payment adjustments for 2017 EHR incentives

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has announced that starting October 1, 2016, hospitals that are still not meaningful users of electronic health records (EHRs) will be subjected to a reduced increase in their Inpatient Prospective Payment System rate, the September 2 Healthcare IT News reports.…

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By: Judy Mathias
September 8, 2016
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Study: Physicians spend half their time on EHRs, desk work

Editor's Note In this study, researchers found that physicians spent 49.2% of their time during the day on electronic health records and desk work and 27% of their time with patients. In addition, they spent an extra 1 to 2 hours each night during their personal time on EHRs. While…

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By: Judy Mathias
September 7, 2016
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Human centered design approach improves OR-to-ICU handoffs

Editor's Note A human centered design approach to OR-to-ICU patient handoffs led to improvements in the patient handover process in this study. Researchers uncovered technical and communication flaws when receiving postoperative patients at the Durham, North Carolina, Veterans Affairs Medical Center surgical ICU. The handoff process was redesigned to address…

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By: Judy Mathias
September 6, 2016
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AHRQ identifies highest ranking states for healthcare quality

Editor's Note The nation’s top performing states for healthcare quality according to the Agency for Healthcare Research and Quality’s updated State Snapshots are: Main Massachusetts Wisconsin New Hampshire Minnesota. State Snapshots is an interactive online resource that provides data on how each state and the District of Columbia perform on…

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By: Judy Mathias
September 2, 2016
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