Dive Brief: The Leapfrog Group released its 2017 Top Hospitals list, which includes 14 from California, 13 from Florida and 10 each from Massachusetts and New Jersey. California also led the list last year when 25 hospitals made the list. The list honors 109 hospitals, including 45 general hospitals, 36 teaching hospitals, 18 rural hospitals and 10 children's hospitals. The Leapfrog Group collects data for the award through its Hospital Survey, which measures hospitals’ performances on national standards of patient safety, quality, efficiency and management structures. Dive Insight: The Leapfrog Group said its ratings are “the most comprehensive picture of how patients fare at individual institutions.” Some areas featured include preventing infections, reducing C-sections, technology usage to provide safer care and leadership policies and practices, according to the group. "The award is not given to a set number of hospitals, but rather to … [Read more...] about The Leapfrog Group releases its 2017 Top Hospitals list
Physician quality reporting system measures list
Dive Brief: The CMS released its Measures under Consideration (MUC) list for 2018 pre-rulemaking. The agency also sent the MUC to the National Quality Forum for input. The new list includes 32 measures that the CMS said has “the potential to drive improvement in quality across numerous settings of care, including clinical practices, hospitals and dialysis facilities,” wrote Kate Goodrich, MD, director for the Center for Clinical Standards & Quality and CMS’ chief medical officer. The list is much shorter than last year's, when CMS considered almost 100 measures. The CMS is also “considering new measures to help quantify healthcare outcomes and track the effectiveness, safety and patient-centeredness of the care provided,” said Goodrich. Dive Insight: An ongoing theme at CMS this year is reducing reporting burdens with a goal of implementing meaningful quality measures. Administrative burden associated with quality … [Read more...] about CMS releases shorter Measures Under Consideration list
Medical mix-ups occur with alarming frequency. According to a headline-grabbing Institute of Medicine (IOM) report, a staggering 44,000 Americans die each year as a result of medical errors—misdiagnoses, inappropriate treatments, preventable infections, technical goofs, and the like—in hospitals alone. That's more people than die in car accidents, of breast cancer, or of AIDS. In the wake of the IOM report, the White House and Congress have proposed an array of measures to improve patient safety. But that alone is not enough, the experts say. "Patients have a role to play in error prevention as well," insists Kenneth W. Kizer, MD, president of the Washington, DC-based health care improvement organization, National Quality Forum. Here's what you have to do to protect yourself. Find A Good Doctor Remember the old joke, What do you call the guy who graduated last in his class at medical school? Answer: Doctor. Even if you belong to an HMO, you probably have a choice … [Read more...] about Get Out Of The Hospital Alive
Dive Brief: Over half of respondents (53%) to AmericanEHR Partners' 2014 survey released earlier this week found their EHR difficult or very difficult to use. EHRs vary significantly in terms of usability, according to the surveyed physicians. CMS findings from its 2015 hospital quality reporting validation pilot project show hospitals still face difficulties using EHRs to report electronic clinical quality measures, FierceHealthcare reported. Dive Insight: The report comes in the wake of when ONC recently announced almost all U.S. hospitals have adopted certified EHRs. In the study, only about a third of physicians reported that their EHR was easy or very easy to use. In addition, 89% of those who were satisfied with their system also indicated that their system was easy to use. "Conversely, for those respondents who indicated that they were dissatisfied with their EHR system, a significant … [Read more...] about Study: EHRs user-friendliness widely varies
Results from a recent study in the BMJ show medical error is the third leading cause of death in the U.S., accounting for 251,000 deaths every year, just behind heart disease and cancer. The study authors concluded medical error-related deaths are not being properly documented on death certificates due to limited ICD-10 codes, the study authors concluded. “There are only a few codes where the role of error can be inferred," they stated. Rick Pollack's, president and CEO of the American Hospital Association (AHA), responded to the study’s findings in a press release stating, “No matter the number, one incident is one too many." "Hospitals are constantly working to improve patient safety," Pollack added. "But there is more work to do and hospitals are committed to quickly adopting what works in every step of care provided." A 2012 article in the Journal of Health Care Finance estimated the economic impact of medical … [Read more...] about Spotlight on medical errors evokes stakeholders’ involvement
A survey of more than 600 primary and specialty-care physicians across the U.S. suggests mistrust of major insurance companies is an issue across the industry. With many MDs taking the view insurers are an impediment to the provision of quality care, that dynamic could impact coordination of care and risk-based arrangements that require a level of partnership between health plans, hospitals and physicians, Brandon Edwards, CEO of ReviveHealth, told Healthcare Dive. The 2015 ReviveHealth Payor Trust Index polled respondents on six of the top national insurers and ranked them in order of trust, with UnitedHealthcare at the bottom and Blue Cross Blue Shield plans at the top. Trust was measured through several factors, including physicians’ perspectives on a health plan’s efforts to: Honor its commitments; Be honest and accurately represent itself and intentions; and Not routinely take advantage of physicians. It found the top … [Read more...] about How much do physicians trust insurance companies?
Dive Brief: In comments to the CMS released this week, hospital organizations fervently opposed the agency’s proposals to cut hospital 340B drug payments and reduce reimbursement for off-campus hospital outpatient departments. The American Hospital Association (AHA) comments suggested CMS suspend the star ratings program and electronic clinical quality measure reporting requirements as well as cancel Stage 3 of the Meaningful Use program. Industry groups did support the CMS proposal to push back implementation of appropriate use criteria (AUC) for advanced diagnostic imaging, but urged for a longer delay Dive Insight: The CMS is seeking comments on its proposed changes to the Physician Fee Schedule and the hospital outpatient prospective payment system (HOPPS). In their comments, industry groups pushed for some delays to reconsider data being used to set payment rates, and asked for more stringent attempts to reduce regulatory burden on providers. Hospitals reserved their … [Read more...] about Hospital groups oppose 340B cuts, site neutral payments in comments to CMS
Dive Brief: In its June report on Medicare and the healthcare delivery system, the Medicare Payment Advisory Commission (MedPAC) suggests a redesign of the Merit-based Incentive Payment System (MIPS), strengthening advanced alternative payment models and a prospective payment system for post-acute care (PAC) settings. The commission said growing consolidation among hospitals and between physicians has increased prices without improving care quality. The report recommends restraining Medicare prices in response to horizontal consolidation and imposing site-neutral pricing in response to vertical consolidation. The report also notes the rapid growth of stand-alone emergency departments and pushes policymakers to consider reducing payment rates for off-campus EDs and eliminating policy exemptions to site-neutral payment for ambulatory services. Dive Insight: Although physician payments won’t be tied to performance metrics through the MACRA program until 2019, providers … [Read more...] about MedPAC suggests MIPS overhaul, more site-neutral payments
Perhaps many of you with cancer have wondered and are still wondering: “What should I do? Listen to my oncologist or try another approach regarding treating my cancer? “ This decision you have to take by yourself and no one can take this decision in your place. However, before taking a decision that could turn up vital(like the one above), you should consider facts. You should be well informed about all treatment options, survival rates and what scientific studies (in vitro and in vivo, on animals and clinical trials on humans), state about each of them so that your decision would be one based on facts, one that maximizes your chances of survival and beating your cancer. So, let’s have a look of your cancer treatment options. Let us start with conventional treatment options in this article : Surgery, Chemotherapy and Radiation. Approximately 6.5 million people die every year due to … [Read more...] about Should one use conventional cancer treatments (chemotheraphy or radiation)?
Most people would like to know if their doctor has a troubled past. However, getting information about a physician is quite difficult. Information about doctors is private — it is not open to the public. Access to information about a physician is restricted to law enforcement, insurance companies, doctors, hospitals, and a few other select groups. National Practitioner Data Bank (NPDB) collects information about doctors’ malpractice payouts and disciplinary records. The NPDB data bank is private. Patient-safety advocate, Robert Oshel, and former associate director for research and disputes analyzed NPDB data and found it revealed that less than 2 percent of doctors in the United States were responsible for half of the $85 billion in malpractice payouts made since the federal government started gathering information pertaining to malpractice. Oshel says, “You can find out more about the safety record of your toaster and whether or not it’s going to catch on … [Read more...] about New Report Reveals: ‘What Makes a Great Doctor’