The Importance of Sustaining Quality Initiatives in Times of Crisis

Some of the quality measures driving the VBP calculations and determining reimbursement payments are hospital-acquired infection rates, patient experience scores, readmissions, mortality and complication rates, and efficiency. Although CMS’ actions reduced the burden on hospitals by offering a suspension of reporting while lessening the impact of the VBP program, this did not lessen the expectation for hospitals to provide quality care.

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Wait Times in Canadian Emergency Departments: An Incessant Dilemma

Individuals often erroneously equate a nation’s economic stability with the quality of its healthcare. However, this is not always true, and definitely not in the case of Canada. The average waiting time for patients in Canadian EDs ranges from three to four hours. More preposterously, this “average” accounts for only a minority of the population. When asked up front, most patients claimed that they’d had to wait for at least five hours before consulting a physician.

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How to Reduce Anxiety and Burnout at Primary Care Practices

Burnout is taking a significant toll in the healthcare sector. It is estimated that a doctor commits suicide every day. Research indicates that nearly half of physicians nationwide are experiencing burnout symptoms. A study published in October 2018 found burnout increases the odds of physician involvement in patient safety incidents, unprofessionalism, and lower patient satisfaction.

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Long Time Coming

It may be a long time coming, but what’s very much needed is a mechanism for identifying, by individual facility, specific systemic sources of patient stress. We might call this a Systemic-Stress EMM (SSEMM) audit. “EMM” denotes eradication, minimization, and mitigation. Depending on a source and its context, one of these three tactics will be more feasible than the other two.

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IHI Names New Leader

Effective July 1, Mate will succeed current president and CEO Derek Feeley, who announced in January that he was leaving the organization to spend more time with his family in Scotland. Mate is currently the IHI’s chief innovation and education officer.

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Health Competencies: Beyond the Biomedical

Within the biomedical model, health professionals are probably among the most careful professionals in our society. They are not supposed to make mistakes, to have unforeseen events, or to be exhausted and worried; there is a strong emphasis on perfection, whether in diagnosis or treatment. In this demand for perfection, centrality operates through the health professional’s power over the patient in a relationship between the expert and the layperson.

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