MSSP results show ACO model can work | AAP, POSNA add pediatric orthopedic tests to Choosing Wisely list | Family care program helps hospital cut readmissions
February 15, 2018
CV Quality SmartBrief
Transforming Health Care from the Inside Out
First Focus
MSSP results show ACO model can work
MSSP results show ACO model can work
(Franck Fife/AFP/Getty Images)
Accountable care organizations participating in the Medicare Shared Savings Program in its first four years served older, sicker populations than typical health care providers do but still managed to improve quality while reducing postacute care expenditures. The results suggest that the ACO model "might work in other settings and populations and could shift to more advanced risk and payment models (eg, population-based prospective payment)," the study authors write.
The American Journal of Managed Care online/The American Journal of Accountable Care (2/13) 
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AAP, POSNA add pediatric orthopedic tests to Choosing Wisely list
Five orthopedic procedures or tests that may not be needed in assessing children with hip, foot and other musculoskeletal conditions have been added by the American Academy of Pediatrics and the Pediatric Orthopaedic Society of North America to the AAP's Choosing Wisely list, which aims to curb additional testing in order to reduce false-positive findings. "There should always be a conversation between physician and patient on what procedures and tests are really necessary," said Dr. Brian Shaw of the AAP Section on Orthopaedics, who added that "sometimes less is more" when it comes to testing.
Medscape (free registration) (2/13) 
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Family care program helps hospital cut readmissions
Intermountain Healthcare's Partners in Healing program, which includes family members in providing patient care, helped reduce 30-day readmissions by 65% at Intermountain Medical Center, according to a study in the journal Chest. A survey found 92% of patients said it enhanced their transition from hospital to home.
Healthcare Finance News (2/13) 
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Practice & Hospital Management
Survey examines telemedicine adoption among health care execs
Forty-four percent of health care executives reported that they haven't implemented telehealth in their organizations, and 86% of that group cited telemedicine deployment as a medium to high priority, according to a Sage Growth Partners poll. The survey also showed that 66% of those who adopted telehealth had budgets of $250,000 or less, while 75% expect a positive return on investment for telehealth initiatives during the next three years in the outpatient clinic.
MedCity News (2/12) 
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Transportation targeted in effort to reduce readmissions
Franciscan Health aims to reduce readmissions by helping discharged patients with non-emergency transportation to medical appointments. A study found lack of transportation was the second leading cause of readmissions, so the hospital system has partnered with Circulation, which has a digital platform that coordinates non-emergency medical transportation.
Healthcare Informatics online (2/12) 
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E-Health Watch
Study shows benefits of EMR-based alert system in pediatric care
An EMR-based alert system developed by a team of researchers from the Children's Hospital of Pittsburgh of UPMC had a 96.8% sensitivity and a 98.5% specificity for identifying children ages younger than 2 who were at risk for physical abuse, researchers reported in the Journal of the American Medical Informatics Association.
Becker's Hospital Review (2/13) 
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Other News Highlights
Spotlight on Innovation
Individually produced drugs may be on the horizon
QR code and 3D printing technologies will allow drugs to be customized for individual patients instead of being mass produced as they are today, according to a paper in the International Journal of Pharmaceutics. New manufacturing methods might also thwart counterfeiters and prevent dosing errors, the researchers said.
Specialty Pharmacy Times (2/9) 
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Costs & Reimbursement
CMS: Health care spending to hit $5.7T by 2026
A CMS Office of the Actuary report published in Health Affairs estimated health care will account for 19.7% of the US economy by 2026, compared with 17.9% in 2016, with spending projected at $5.7 trillion by 2026, compared with the current $3.5 trillion. The report projected Medicare's annual growth at an average of 7.4% and Medicaid at 5.8% through 2026.
Medscape (free registration) (2/14) 
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More payers adding social determinants of health to plan coverage
More payers adding social determinants of health to plan coverage
(Tobias Schwarz/AFP/Getty Images)
More than 80% of health care payers are supporting value-based care by adding social determinants of health to plan components, a survey of more than 2,000 health care industry leaders revealed. The survey, conducted by Change Healthcare and the HealthCare Executive Group, also found that security and privacy concerns are barriers to using digital health tools.
Healthcare Informatics online (2/12) 
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Spotlight on JACC Journals
ACC News
JACC Leadership Page: Zero Tolerance for Sexual Harassment in Cardiology
In a recent Leadership Page published in the Journal of the American College of Cardiology, ACC President Mary Norine Walsh, MD, FACC, and ACC Interim CEO Cathleen C. Gates, MA, discuss the #MeToo movement and sexual harassment in cardiology. They highlight efforts by the College, including sexual harassment prevention training for members and staff and the development of a comprehensive policy that all attendees will be required to follow at future ACC events. "The ACC is the professional home for cardiovascular professionals around the globe," Walsh and Gates write. "Your home should be a place where you are safe and respected. Anything less will not be tolerated. This is our commitment to all ACC members and to ACC staff. We will have succeeded when we can move from #MeToo to #MeNeither." Read more.
Geriatric Infographic Now Available
Heart disease is the most frequent condition and leading cause of death in older adults. For people older than 75, high blood pressure is the most common heart condition, followed by coronary artery disease and heart failure. To help these patients better manage their health, the ACC's CardioSmart team has created an infographic with health tips for older adults. The infographic offers advice on how to stay healthy, as well as how to plan for the future. Download it for free and visit for more tips on this subject.
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Learn to conquer your fears. That's the only art we have to learn to master these days.
Friedrich Durrenmatt,
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This news roundup is provided as a timely update to ACC members and partners interested in quality health care topics in the news media. Links to articles are provided for the convenience of the health care professionals who may find them of use in discussions with patients or colleagues. Opinions expressed in ACC Quality First SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American College of Cardiology. On occasion, media articles may include or imply incorrect information about the ACC and its policies, positions, or relationships. For clarification on ACC positions and policies, we refer you to
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