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Survey: Cardiothoracic surgeons love their jobs

Editor's Note Despite significant challenges in their careers, cardiothoracic surgeons report a very high level of job satisfaction in a survey published online September 13 in The Annals of Thoracic Surgery, the Society of Thoracic Surgeons reports. The 63-question survey was administered to more than 4,300 members of the Society…

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By: Judy Mathias
September 13, 2016
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First clinical trial of HCV-infected kidney transplants

Editor's Note Researchers at Penn Medicine, Philadelphia, are conducting a clinical trial to test the effect of administering antiviral therapy to organ recipients after being transplanted with kidneys infected with the hepatitis C virus (HCV). The first participant received a kidney transplant in July, and after being treated with Zepatier…

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By: Judy Mathias
September 13, 2016
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Study: Most nurses dissatisfied with EHRs

Editor's Note A study by Adventist University of Health Sciences (Orlando, Florida) found that 92% of nurses were dissatisfied with their electronic health record (EHR) technology. In addition, 85% said the EHRs had flaws, and 84% said EHRs disrupted their productivity and clinical workflow. The researchers also found an increase…

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By: Judy Mathias
September 13, 2016
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Effect of preop patient factors on 30-day readmissions

Editor's Note Postoperative readmissions are difficult to predict when the patient is discharged, and of the information available at that time, preoperative factors are the most important, this study finds. Of nearly 240,000 surgical patients included in the analysis, 43% were orthopedic, 39% were general, and 18% were vascular. The…

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By: Judy Mathias
September 12, 2016
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Hospitals still using chargemaster markups to improve revenue

Editor's Note Since Medicare adopted its prospective payment system in 1985, many hospital executives and economists have suggested that the hospital chargemaster (list of prices for all hospital procedures and supplies) is irrelevant. However, in this study, researchers found that hospitals are systematically adjusting their charge-to-cost ratios (ie, chargemaster price…

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By: Judy Mathias
September 12, 2016
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Joint Commission releases 2017 ORYX reporting requirements

Editor's Note The Joint Commission on September 7 released its 2017 ORYX Performance Measurement Reporting Requirements for accredited hospitals. Hospitals will report on 5 chart-abstracted measures and a choice of 6 of 13 electronic clinical quality measures (eCQMs). Critical access and small hospitals may choose the six eCQMs from 13…

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By: Judy Mathias
September 12, 2016
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Effect of Lean on surgical wait times, efficiency in a VA hospital

Editor's Note The implementation of Lean system redesigns was associated with a significant and sustained wait list reduction from 33.4 days to 12.0 days for patients waiting for elective general surgery in a Veterans Affairs (VA) hospital, this study finds. Along with the three-fold decrease in wait times from 2014…

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By: Judy Mathias
September 9, 2016
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CMS to give providers more options for complying with MACRA

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 8 announced that it will give physicians and other clinicians more options in the first year to comply with the new Medicare Access and CHIP Reauthorization Act (MACRA) quality payment program.  During 2017, providers will be able to…

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By: Judy Mathias
September 9, 2016
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FDA extends UDI compliance date for certain Class II devices

Editor's Note In a September 6 letter to device labelers, the Food and Drug Administration (FDA) said it is extending unique device identifier (UDI) requirements for certain Class II devices from September 24, 2016 to September 24, 2018. The extension applies to repackaged single-use devices and device convenience kits. The…

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By: Judy Mathias
September 9, 2016
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CJR bundled payments may penalize hospitals that treat elderly, sickest patients

Editor's Note Hospitals that care for the oldest, sickest, and most complicated patients could suffer financially under Medicare’s Comprehensive Care for Joint Replacement (CJR) bundled payment program, this study finds. The study analyzed data from more than 23,000 Michigan patients who had hip or knee replacements at 60 hospitals in a…

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By: Judy Mathias
September 8, 2016
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