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Hospital cost of surgery-related pressure ulcers

Editor's Note This study found that hospital-acquired pressure ulcers add 44% to the cost of major surgical hospital stays, but the amount varies depending on length of stay. Using data from the Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases and the Medicare Patient Safety Monitoring System for 2011…

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By: Judy Mathias
August 16, 2016
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Cost-effectiveness of appendectomy for abscessed appendicitis

Editor's Note Appendectomy is cost-effective for abscessed appendicitis in patients less than 34 years old, this study finds. For an 18-year-old patient, appendectomy costs $9,417.22 with a gain of 16.59 quality-adjusted life years (QALYs), compared with no appendectomy, which costs $11,613.57 with a gain of 16.52 QALYs. For a 35-year-old…

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By: Judy Mathias
August 15, 2016
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Rural patients have higher trauma mortality

Editor's Note Patients in rural hospitals are significantly (14%) more likely than nonrural patients to die after traumatic injuries, this study finds. The disparity was greatest for injuries occurring in the South and Midwest and for cases with an injury severity score of <9 or unknown severity. Distance and time…

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By: Judy Mathias
August 9, 2016
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CMS issues final PPS rule for 2017

Editor's Note The Centers for Medicare & Medicaid Services on August 2 issued its final rule for the FY 2017 hospital inpatient prospective payment system (PPS), which increases rates by 0.95%. The 0.95% increase reflects the projected hospital market basket update of 2.7% for those hospitals that were meaningful users…

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By: Judy Mathias
August 5, 2016
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Association between surgeon specialization and mortality

Editor's Note For four cardiovascular and four cancer procedures, surgeon specialization was an important predictor of operative mortality, independent of volume, this study finds. Analyzing Medicare data for more than 25,000 surgeons and nearly 700,000 patients, the relative risk reduction from greater specialization in the cardiovascular procedures ranged from 15%…

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By: Judy Mathias
August 3, 2016
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CMS finalizes cut to hospital reimbursement

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on August 2 released its inpatient prospective payment system (PPS) final rule for FY 2017. In the rule, CMS kept a controversial 1.5% cut to hospital reimbursement, which aims to collect $11 billion in overpayments, the August 2 Modern Healthcare…

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By: Judy Mathias
August 3, 2016
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Medical device companies scrambling to meet UDI deadline

Editor's Note A survey by Loftware, Inc (Portsmouth, New Hampshire), shows that only 15% of medical device companies are currently compliant with the next phase of the Food and Drug Administration's Unique Device Identification (UDI) regulation, the August 3 PRWEB reports. The deadline is September 24. Of 120 companies polled,…

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By: Judy Mathias
August 3, 2016
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Mayo Clinic tops US News & World Report’s Best Hospitals list

Editor's Note US News & World Report on August 2 released it 27th Annual Best Hospitals list, which compares nearly 5,000 hospitals nationwide in 25 specialties, procedures, or conditions. The Mayo Clinic in Rochester, Minnesota, is Number 1 this year, followed by the Cleveland Clinic in Cleveland, Ohio, and the…

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By: Judy Mathias
August 2, 2016
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CORE Institute partners with Joint Commission, CDC on outpatient infection prevention

Editor's Note The Center for Orthopedic Research and Education (CORE Institute), a group of orthopedic surgeons and neurologists based in Phoenix, Arizona, will be collaborating with the Joint Commission and the Centers for Disease Control and Prevention (CDC) on an infection prevention initiative for freestanding ambulatory healthcare settings, the July…

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By: Judy Mathias
August 2, 2016
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Anesthesia Technique and Mortality after Total Hip or Knee Arthroplasty:A Retrospective, Propensity Score-matched Cohort Study

Our TakeThis study found a strong association between spinal anesthesia and lower 30-day mortality along with a shorter length of stay after total hip and knee replacement. Of 10,868 patients analyzed, 8,553 had spinal anesthesia and 2,315 had general anesthesia. The 30-day mortality rate was 0.19% in the spinal anesthesia…

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July 28, 2016
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