Editor's Note In the first 21 months of the Bundled Payments for Care Improvement (BPCI) initiative for total hips and knees, Medicare payments declined more for BPCI participating hospitals than nonparticipating hospitals, without a significant change in quality outcomes, this study finds. For the analysis, 31,700 total joints at 176…

Read More

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…

Read More

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…

Read More

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…

Read More

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has announced that starting October 1, 2016, hospitals that are still not meaningful users of electronic health records (EHRs) will be subjected to a reduced increase in their Inpatient Prospective Payment System rate, the September 2 Healthcare IT News reports.…

Read More

Editor's Note In this study, researchers found that physicians spent 49.2% of their time during the day on electronic health records and desk work and 27% of their time with patients. In addition, they spent an extra 1 to 2 hours each night during their personal time on EHRs. While…

Read More

OR leaders face an increasing number of stresses, ranging from pressure to trim already lean budgets to searching for staff who could potentially replace them as they contemplate retirement. At the same time, OR leaders’ salaries remain flat, according to results from the 2016 annual OR Manager Salary/Career Survey. Respondents…

Read More

Government and third-party payers are pushing for value-based, rather than volume-based, models of care, yet few hospitals are moving that direction, a survey shows. The Centers for Medicare & Medicaid Services (CMS) requires that half of hospitals’ payments be value based by 2018, according to a 2016 Health Catalyst survey…

Read More

The shift toward value-based payment has gained some momentum with the Centers for Medicare & Medicaid Services’ (CMS) July 25 announcement of a proposed cardiac bundled payment model. Under the proposal, 98 randomly selected metropolitan areas would become accountable for the cost and quality of care related to coronary artery…

Read More

Information technology (IT) has been a lifesaver and a timesaver in healthcare, bringing speed and precision to medical-surgical procedures and replacing paperwork with electronic computation, storage, and communication. But there is a dark side. Systems can be sabotaged, files can be opened, and devices used in surgery can fail at…

Read More