Tag: quality reporting

How ASCs ace the AAAHC accreditation survey

For an ambulatory surgery center (ASC), earning accreditation can be more than a mark of excellence. The Accreditation Association for Ambulatory Health Care (AAAHC) offers Medicare Deemed Status Accreditation, eliminating the need for separate surveys to certify compliance with the Conditions of Participation (CoPs) required by the Centers for Medicare…

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By: Uyen Vo
August 6, 2025
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Nearly half of hospital patient harm events go unreported, OIG reveals

Editor's Note Nearly half of hospital harm events—particularly surgical events—were not captured by reporting systems, according to a July 30 TechTarget report on new findings from the Office of Inspector General (OIG). The OIG report examined 299 harm events experienced by a nationally representative sample of 770 Medicare patients discharged…

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By: Matt Danford
August 4, 2025
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CMS’s newly finalized TEAM payment model holds hospitals accountable for entire surgical episodes

Editor's Note As part of the Centers for Medicare and Medicaid Services (CMS) newly issued 2026 Final Rule, the Transforming Episode Accountability Model (TEAM) will hold hospitals and health systems accountable for the entire episode of care for major surgeries, from admission through 30 days post-discharge. HIT Consultant reported the…

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By: Matt Danford
August 4, 2025
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CMS 2026 proposed rule: Expanded ASC access, higher payments, tighter quality reporting

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) just proposed sweeping changes to the Medicare Shared Savings Program and Physician Fee Schedule for calendar year 2026, including extensive changes to outpatient Medicare policy such as payment increases, expanded procedural access, and new quality reporting updates, as outlined in…

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By: Tarsilla Moura
July 16, 2025
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The Joint Commission announces accreditation overhaul

Editor's Note The Joint Commission has launched a major redesign of its healthcare accreditation and certification programs with Accreditation 360: The New Standard. According to a June 30 announcement, the new framework introduces outcome-focused performance tools, eliminates hundreds of requirements, and promises to made standards publicly accessible. Reportedly supported by…

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By: Matt Danford
June 30, 2025
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Healthgrades recognizes top 15% of hospitals for patient experience in 2025

Editor's Note Healthgrades has recognized 377 hospitals across 44 states with its 2025 Outstanding Patient Experience Award, as announced in a May 13 press release. These hospitals represent the top 15% nationwide for patient experience, demonstrating exceptional performance in delivering positive, patient-centered care. The award is based on an analysis…

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By: Matt Danford
May 15, 2025
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Study: Excessive nurse overtime, agency staffing harm patients

JAMA (healthcare publication) Network logo

Editor's Note Overreliance on overtime and agency nurse staffing can significantly increase the risk of pressure ulcers and, in the case of agency hours, perioperative hemorrhage or hematoma, according to research published April 2 in JAMA Network Open.   Using data from 70 US hospitals between 2019 and 2022, researchers…

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By: Matt Danford
April 3, 2025
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Healthgrades names best hospitals for patient outcomes

Editor's Note Healthgrades has announced its 2025 America's Best Hospitals Awards, recognizing the top 50, 100, and 250 hospitals in the U.S. for overall clinical performance. According to a January 28 announcement, the rankings are based on an analysis of approximately 4,500 hospitals, evaluating outcomes for more than 30 common…

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By: Matt Danford
February 6, 2025
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High participation in ASCQR program continues, March deadline for reconsideration requests

Editor's Note The Centers for Medicare & Medicaid Services (CMS) released its 2025 Ambulatory Surgical Center Quality Reporting (ASCQR) Program data, showing strong participation among Ambulatory Surgical Centers (ASCs), ASC Focus December 20 reports. Of the 6,012 facilities included in the list, 5,714 will receive the full Annual Payment Update…

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By: Tarsilla Moura
January 8, 2025
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Mastering CMS regulations: How to ensure a finding-free Joint Commission survey

Takeaways • Requirements for improvement and condition level deficiency findings have been trending up in recent The Joint Commission surveys. • The scoring trends and OR hot spots focus on infection control, medication management, national patient safety goals, post-surgical electronic health record tracers, and transplant (tissue) safety. • Federal regulations,…

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By: Uyen Vo, BSN, MBA
January 1, 2025
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