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October 2018
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Effect of Medicare’s bundled payment program on volume, case mix

Editor's Note Hospital participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program for lower extremity joint replacement (LEJR) was not associated with changes in overall procedural volume or the majority of patient case-mix factors, this study finds. The analysis of 1,717,243 Medicare patients found hospital participation in the BPCI…

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By: Judy Mathias
September 6, 2018
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First year analysis of CJR bundled payment model

Editor's Note This interim analysis of the first year of the Comprehensive Care for Joint Replacement (CJR) bundled payment model finds that CJR may reduce institutional postacute care. Of  75 metropolitan statistical areas (MSAs) that were assigned the bundled payment model and 121 control MSAs, the mean percentage of discharges…

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By: Judy Mathias
September 4, 2018
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Hospital execs facing shortage of physicians, nurses

Editor's Note A Navigant analysis of survey data from the Healthcare Financial Management Association finds that hospital executives are facing continued shortages of physicians, nurses, and mental health providers in the coming years, and they will be focusing on labor and supply chain productivity to reduce hospital operating expenses, the…

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By: Judy Mathias
August 24, 2018
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Hip, knee implant market poised for growth

Editor's Note WiseGuyReports predicts the global market for hip and knee surgical implants will reach more than $12 billion by 2021, the August 21 Becker’s Spine Review reports. Three companies dominate the market: Zimmer Biomet, Stryker, and DePuy Synthes.

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By: Judy Mathias
August 23, 2018
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Study: Physicians, patients dissatisfied with EHRs

Editor's Note In this study, researchers at Lehigh University, Bethlehem, Pennsylvania, found that physicians and patients alike are dissatisfied with the use of electronic health records (EHRs). Researchers surveyed patients, physicians, mid-level providers, and nonclinical staff at two OB-GYN practices and a regional hospital from 2009 to 2013 during implementation…

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By: Judy Mathias
August 21, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Analyzing Key Performance Indicators to Keep Up with Perioperative Transformation

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Orthopedic bundled payment models on the fast track--Part 1

The Centers for Medicare & Medicaid Services (CMS) is poised to launch Bundled Payments for Care Improvement (BPCI) Advanced on October 1, 2018, and is continuing its Comprehensive Care for Joint Replacement (CJR) bundled payment model for total hip and knee arthroplasty (THA, TKA). “Orthopedics is the most important service…

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By: Cynthia Saver, MS, RN
August 21, 2018
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Editorial

The Centers for Medicare & Medicaid Services (CMS) on July 12 issued a proposed rule with potential changes to the Medicare Physician Fee Schedule on or after January 1, 2019. According to CMS, the changes would increase the time available for physicians and other clinicians to spend with their patients…

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By: Elizabeth Wood
August 21, 2018
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Effect of neuraxial anesthesia on total hip, knee outcomes

Editor's Note Increased use of neuraxial anesthesia was associated with lower hospitalization costs for hip and knee replacements, but more studies are needed before considering neuraxial anesthesia as a marker of quality, this study finds. National data on 808,237 total knee and 371,607 total hip replacements were analyzed. Increasing frequency…

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By: Judy Mathias
August 15, 2018
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Academic medical centers trailing on cost, quality measures

Editor's Note A new study by consultancy firm Navigant found that academic medical centers are trailing community hospitals across cost and quality measures. Among the findings: Cost per case was 5.8% higher at medical centers, equating to $3.1 million added annual operating expense per center. Cost per case disparity between high…

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By: Judy Mathias
August 10, 2018
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More than 3 million healthcare records breached in Q2

Editor's Note New data released in the Protenus Breach Barometer shows  more than 3.14 million patient records were compromised in 142 breach incidents reported to Health and Human Services or the media from April to June 2018, the August 8 Healthcare Informatics reports. This number is up from 1.13 million…

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By: Judy Mathias
August 10, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

The ‘What,’ ‘Why,’ and ‘How’ of Dashboards and Data Quality

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