Quality Improvement

Latest Issue of OR Manager
February 2018
Home Safety/Quality > Quality Improvement

Nurse staffing levels tied to patient satisfaction

Editor's Note Patients’ satisfaction with hospital care is strongly associated with missed nursing care, which is related to poor nurse staffing and poor work environments, finds this study led by Linda H. Aiken, PhD, RN, director of the Center for Health Outcomes and Policy Research at the University of Pennsylvania…

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By: Judy Mathias
January 17, 2018
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Meta-analysis supports ‘weekend effect’ for surgical patients

Editor's Note Postoperative mortality rises as the day of the week of elective surgery approaches the weekend and is higher after admission for urgent/emergent surgery on the weekend, this meta-analysis from the University of Calgary finds. The analysis included 10 studies that involved about 6.7 million patients having elective procedures…

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By: Judy Mathias
January 17, 2018
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Patient preference for surgery, antibiotics to treat appendicitis

Editor's Note In this survey, most respondents chose surgical rather than nonsurgical treatment for acute appendicitis. Of 1,728 respondents, 85.8% chose laparoscopic appendectomy, 4.9% chose open appendectomy, and 9.4% chose antibiotics alone as treatments for themselves. For their child, 79.4% chose laparoscopic appendectomy, 6.1% chose open appendectomy, and 14.5% chose…

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By: Judy Mathias
January 16, 2018
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CDC updates data on HAIs

Editor's Note The Centers for Disease Control and Prevention (CDC) on January 5 updated its data on healthcare-associated infections (HAIs). Central line-associated bloodstream infections (CLABSIs) have dropped 50% since 2008. Catheter-associated urinary tract infections (CAUTIs) have had consistent year-to-year decreases, especially since those caused by yeast were deleted from the…

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By: Judy Mathias
January 12, 2018
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Interdisciplinary program improves outcomes for older surgical patients

Editor's Note In this study, an interdisciplinary program that includes a coordinated approach by healthcare professionals in surgery, geriatrics, and anesthesiology was associated with improved postoperative outcomes for high-risk older patients having elective abdominal surgery. Compared with a control group (143 patients), older patients participating in the Perioperative Optimization of…

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By: Judy Mathias
January 5, 2018
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Constructive Culture + Performance Improvement = Patient Safety and Favorable Outcomes

After this session, you will be able to: 1. Utilize methods to conduct a safety assessment questionnaire (SAQ), debrief, and two-question survey. 2. Identify opportunities for improvement using outcomes data. 3. Describe a plan using outcomes data to improve surgical results and enhance the safety culture. Why this is important:…

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CMS launches new data submission system for Quality Payment Program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced on January 2 that physicians and other eligible clinicians participating in the Quality Payment Program can begin submitting their 2017 performance data using a new system on the Quality Payment Program website (qpp.cms.gov). The new system is an improvement…

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By: Judy Mathias
January 3, 2018
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CMS updates Hospital Compare site

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced December 21 that it updated data on its Hospital Compare website and will update the Overall Hospital Quality Star Rating using a new methodology that will give more hospitals one or five stars. CMS had postponed the release of…

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By: Judy Mathias
January 2, 2018
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Where are you on the value-based care continuum?

Healthcare providers are straddling a variety of payment models while many regulatory changes remain in flux under the Trump Administration. Although the shift from fee-for-service to value-based payment began some years ago, not everyone is on board. Opinions about bundled payments also remain mixed, despite reports of improved outcomes and…

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By: Elizabeth Wood
December 14, 2017
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ASC quality reporting deadlines moved up in 2018

On November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) released its final rule for the 2018 Medicare Hospital Outpatient Prospective Payment System/ASC Payment System and Quality Reporting Programs. In summary, several ambulatory surgery center (ASC) measures (ASC-1 to ASC-14) are unaffected, except that three measures (ASC-5, -6,…

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By: Leslie Flowers
December 14, 2017
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Impact of reducing postop complications in bariatric Medicare patients

Editor's Note Hospitals with the largest reductions in serious complications after bariatric surgery had the greatest decrease in per-patient Medicare payments, this study finds. Analyzing 37,329 Medicare patients undergoing bariatric surgery from 2005 to 2006 and 2013 to 2014, researchers found a strong association between reductions in complications and decreased…

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By: Judy Mathias
December 12, 2017
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Case Studies in Perioperative Performance Improvement

As reform pressures continue to mount, the healthcare industry is rapidly shifting from “pay for volume” to “pay for value” business models. In fact, CMS projects that by 2018, bundled payments will be applied to 50 percent of all diagnosis-related groups, while 90 percent of all remaining fee-for-service care will…

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