Joint Commission: Zero harm is achievable through high reliability
Editor's Note Joint Commission president Mark R. Chassin, MD, FACP, says he doesn’t want healthcare organizations to just imagine a day of zero harm, he wants them to achieve it, the Joint Commission announced on April 4. Dr Chassin talked about “Leading the Way to Zero” in an article for…
FDA announces AccessGUDID data update
Editor's Note The Food and Drug Administration announced that new data elements will be available on AccessGUDID, in the download files and in the APIs, as of April 2. Data for FDA Premarket Submission Number and FDA Premarket Supplement Number will not be provided until this summer. The FDA is…
EHRs hinder ability to report quality measures
Editor's Note The poor design of electronic health records (EHRs) poses challenges for primary care practices to generate the required reports for federal value-based payment programs, this study finds. An analysis of survey responses from 1,492 practices in 12 states, found that the reports generated for meaningful-use participation, which requires…
Denver hospital breach may have exposed patients to HIV, hepatitis
Editor's Note Patients at Porter Adventist Hospital in Denver may be at risk for HIV or hepatitis after the hospital discovered a surgical instrument sterilization breach, the April 5 LiveScience reports. The process for precleaning surgical instruments was found to be inadequate, which may have put patients who had orthopedic…
Joint Commission removes two medication compounding EPs
Editor's Note The Joint Commission announced on April 4 that it is no longer scoring two elements of performance (EPs), effective March 9, that were removed from the Medication Compounding chapter in the Home Care Accreditation program standards manual and the Compounding Sterile and Nonsterile Preparations chapter in the Medication…
Medicare program linked to reduced readmission disparities between black, white patients
Editor's Note Black and white disparities in hospital readmission rates narrowed after the introduction of Medicare’s Hospital Readmission Reduction Program that penalizes higher than expected readmissions; however, black and white gaps still persist and minority serving hospitals continued to be penalized more by the program, this study finds. During the…
Seattle surgery center patients discharged hours after joint replacement
Editor's Note At First Hill Surgery Center in Seattle, patients can have a knee or hip replaced in the morning and go home in the afternoon, the April Seattle Magazine reports. The surgical procedure takes about 2 hours, and patients admitted at 7:30 am generally are able to return home…
Outpatient vs inpatient anterior cervical discectomy, fusion
Editor's Note Anterior cervical discectomy and fusion (ACDF) can be performed on an outpatient basis with comparable morbidity, readmission rates, and lower costs as on an inpatient basis, finds this study. In this analysis of 3,135 outpatient and 46,966 inpatient ACDFs, the mean Charlson comorbidity index, length of stay, and…
BCBS pilots hip, knee bundled model
Editor's Note Blue Cross Blue Shield (BCBS) of Michigan is piloting a bundled payment program for hip and knee replacements, the March 27 HealthcareDive reports. The pilot, which includes 64 surgeons at seven healthcare systems, will use a mix of inpatient and outpatient settings in an effort to reduce the…
AHRQ: Increased revenues, not cost reductions linked to improved profits
Editor's Note Increased revenues had a greater impact than decreased costs in hospitals that became more profitable between 2003 and 2013, finds this Agency for Healthcare Research and Quality (AHRQ) study published February 14 online ahead of print in the Journal of General Internal Medicine. In this analysis of 2,824…
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