CMS Announces Standardized Quality Measures

CMS and America’s Health Insurance Plans (AHIP) released seven quality measures yesterday that aim to reduce the cost of measuring clinical quality while supporting multi-payer alignment on core measures for physician quality programs.  The new measure sets will improve informed consumer decision-making, reduce variability in measure selection, collection burden, and cost, according to CMS. “In … Continued

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Prescriber Training in Medication Management Improves Outcomes, Enhances CMS Quality Metrics

By Gregory A. Hood, MD, MACP; and Lori Dickerson, PharmD, FCCP

Medication management learning-based training helped Quality Independent Physicians (QIP), an accountable care organization (ACO) composed of primary care practices throughout Kentucky and Indiana, decrease hospitalizations across all disease states by 26%. QIP saw a similar drop in admissions for high-risk disease states and a significant reduction in hospital readmissions. The organization’s medication management learning program proved effective in boosting these and other important Centers for Medicare and Medicaid Services (CMS) quality scores, while helping successfully manage key, at-risk patient populations.

With today’s emphasis on healthcare quality, efficiency, and cost-effectiveness, we’re always looking for ways to improve. We needed a focused effort to leverage medications to their maximal benefits, while avoiding difficult and potentially devastating mistakes. Well-researched and timely medication recommendations, a commitment to creating and communicating standardized clinical practice guidelines, and an inclusive atmosphere that encouraged organization-wide clinician buy-in were essential to the program’s results.

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JAMA: Nurses Key to Surviving Surgery

A study released in The Journal of the American Medical Association has found that surgical patients in hospitals with better nursing environments receive better care without drastically increasing costs. Researchers found the rate of 30-day mortality rates for postoperative patients was 4.8% at hospitals with more than 1.5 nurses per bed (NPB), while facilities with … Continued

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FDA Releases Cybersecurity Recommendations for Medical Device Manufacturers

Cybersecurity threats to medical devices are a growing concern. The FDA took a proactive step last week and released draft guidance last week encouraging medical device manufacturers to address certain cybersecurity risks to keep patients safe. Manufacturers should look beyond the initial security measures implemented in a medical device and consider additional safety measures throughout … Continued

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FDA validates revised reprocessing instructions for Model ED-530XT duodenoscopes

FUJIFILM Medical Systems issued revised reprocessing instructions late last month for Model ED-530XT duodenoscopes, according to a safety communication issued by the FDA. The instructions require exacting pre-cleaning, manual cleaning, and high-level disinfection procedures. While these revised reprocessing instructions are for Model ED-530XT duodenoscopes, the FDA is encouraging healthcare facilities that use Fuji’s 250 and … Continued

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Process Improvements in the ED increase sepsis bundle compliance, reduce mortality

By improving compliance with the sepsis three-hour bundle, Dartmouth-Hitchcock Medical Center reduced patient mortality by 50% in just 90 days Effectively treating any infection requires a certain measure of early identification and rapid response. Infections, by their nature, worsen over time, so hospitals with successful care processes that rapidly identify and treat infections often see … Continued

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ECRI Institute Issues Technology Hazards List for 2016

Reprocessing of flexible endoscopes rises to #1 hazard; failure to recognize clinical alarms, health IT errors and other issues remain perennial hazards. Every year hospitals are blindsided and patients are harmed by unexpected health technology hazards. Medical technology is intended to improve patient care, but even the best technology—if configured, used, or maintained improperly—can lead … Continued

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New Sentinel Event Alert Focuses on Preventing Patient Falls

Preventing patient falls and fall-related injuries is the focus of the Sentinel Event Alert: Issue 55 released by The Joint Commission. The new alert examines the contributing factors to patient falls and includes suggested solutions to be implemented by health care organizations to help reduce patient falls and falls with injury, according to the press … Continued

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