Editor's Note In this study, researchers from Yale-New Haven Hospital, New Haven, Connecticut, calculated a risk-adjusted outcomes measure of outpatient colonoscopy, which shows important variation in quality among outpatient facilities. The outcomes measure profiles outpatient facility quality by examining rates of unplanned hospital visits in the 7 days after colonoscopy.…

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Editor's Note The Medicare Access and CHIP Reauthorization Act of 2015 requires that physicians be measured on their meaningful use of electronic health record (EHR) technology for purposes of determining their Medicare payments. EHR incentive programs were designed to encourage the adoption of new technology and measure the benefits for…

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Editor's Note The Food and Drug Administration (FDA) on January 15 issued a draft guidance that outlines important steps manufacturers should take to address postmarket management of cybersecurity vulnerabilities in medical devices. The guidance builds on the FDA’s existing efforts to ensure the safety and effectiveness of medical devices at…

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Editor's Note The Food and Drug Administration (FDA)  on January 15 cleared the Olympus TJF-Q180V duodenoscope with design and label modifications intended to reduce the risk of bacterial infections. The new design of the elevator channel sealing mechanism creates a tighter seal and reduces the potential for leakage of fluids…

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Editor's Note Nearly 209,000 physicians and other healthcare providers will receive 2% cuts in their Medicare payments in 2016 for failing to meet meaningful use standards in 2014. The penalties total an estimated $600 million. Andy Slavitt, acting administrator of the Centers for Medicare and Medicaid Services, said on January…

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Editor's Note The Food and Drug Administration (FDA) on January 15 classified the recall of Brainlab’s Cranial Image-Guided Surgery (IGS) System as Class I, the most serious. The system is being recalled because of potential inaccuracies in the display by the navigation system compared to the patient’s anatomy. This could…

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Editor's Note This large-scale initiative, led by researchers from the Harvard School of Public Health, Boston, to implement surgical safety checklists in 13 South Carolina hospitals was associated with improved staff perceptions of perioperative safety. Included were improved staff perceptions of: mutual respect clinical leadership assertiveness on behalf of safety…

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Editor's Note Medicare data on payments for inpatient surgery are a reliable measure of hospital costs for commonly performed procedures, but are less reliable for lower volume procedures, this study finds. With increased emphasis on shifting risk from payers to providers through bundled payments and accountable care organizations, hospitals are…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS), on January 1, issued revised guidelines on “Reviewing Short Stay Hospital Claims for Patient Status: Admissions On or After January 1, 2016.” Under the revised exceptions policy for admissions not meeting the two-midnight benchmark, Part A payment may be appropriate…

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Editor's Note Select hospital characteristics are associated with readmissions after major surgical procedures, this study finds. After adjusting for patient factors, rural location was predictive of readmission after colectomy. Low-volume and minority-serving hospitals were associated with greater odds of readmission after total joint arthroplasties. Because financial penalties may worsen performance…

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