A study at Cedars-Sinai Medical Center in Los Angeles found EHR alerts to prompt adherence to the Choosing Wisely campaign recommendations, a nationwide initiative aimed at reducing unnecessary medical test ordering, have reduced instances of patient harm and cut costs. The research showed that patient cases with low adherence to the guidelines had a higher risk of complications and higher readmission rate.
The US scored 81 out of 100 points in a study of health care access and quality that was published in The Lancet, well below countries such as Australia and Norway. "America's ranking is an embarrassment, especially considering the U.S. spends more than $9,000 per person on health care annually, more than any other country," said Dr. Christoper Murray, a senior author of the study.
Data on 2,000 patients showed telephone follow-up for older adults following discharge from the emergency department did not affect readmission rates, researchers reported at the American Geriatrics Society's annual meeting. The study found the nurse-led intervention also did not make it more likely that patients would follow up with their physician.
A study presented at the American Geriatrics Society's annual meeting found having pharmacists fax evidence-based opinions about benzodiazepine use in older patients to physicians led to twice the number of deprescriptions, compared with patient education alone. The study was an offshoot of the randomized EMPOWER trial, designed to educate seniors about the potential risks of benzodiazepines so the patients could help facilitate deprescribing.
The CMS said it will select up to 1,000 primary care physician practices in Louisiana, Nebraska, North Dakota and the Buffalo, Erie and Niagara areas of New York to participate in the second round of the Comprehensive Primary Care Plus model that runs from 2018 to 2022. Applications for the program can be made through July 13.
The Office of the National Coordinator for Health IT and the CDC are developing a system to facilitate electronic sharing of Zika virus testing data between laboratories and health care providers. The project will use a web portal for providers and Health Level Seven's Fast Healthcare Interoperability Resources standard, said Michelle Meigs of the Association of Public Health Laboratories, which is also a partner on the project.
Get JACC Highlights on the go Stay up to date on the most important science and emerging discoveries in clinical cardiology with JACC Journals Audio Summaries. Busy clinicians can easily download issue summaries from JACC Journal editors-in-chief and listen on the go at OnlineJACC.org. Or search "JACC Podcasts" in the iTunes store or Android's Player FM app!
University of Chicago Medicine researchers who are experts at predictive modeling will use machine-learning tools developed by Google to help predict hospital readmissions. The researchers will study how historical patient data contained in electronic health records can help improve outcomes.
The CMS issued a final rule postponing the expansion of the bundled care initiatives for joint replacement and cardiac rehabilitation and some care coordination model provisions, originally planned to begin July 1, until Jan. 1, 2018.
Senate Republicans continue to work on legislation dismantling the Affordable Care Act despite unified Democratic opposition to repeal. Proposals include changing the law's tax credits, relaxing coverage rules and cutting funds for Medicaid expansion.
The cover story in the May issue of Cardiology magazine is a deep dive of recent data with PCSK9 inhibitors and issues related to clinical application. The feature article highlights some key heart failure presentations at ACC.17. ACC Secretary and BOG Chair Hadley Wilson, MD, FACC, is featured in the Get to Know Your Leaders article. In the From The Members Section article, Benjamin D. Levine, MD, FACC, and Matthew W. Martinez, MD, FACC, each offer their perspectives on the S2P study. The CV Quality Corner article tells the success story of Aurora St. Luke's Medical Center with the LAAO Registry. Get the full issue at ACC.org/Cardiology.
The U.S. Computer Emergency Readiness Team has received multiple reports of "WannaCry" (also known as "WannaCrypt") ransomware - a type of malicious software, in several countries around the world, including the U.S. While the ransomware has not spread as widely in the U.S. as in Europe and Asia, all computers have the potential to be infected. The Office of the National Coordinator for Health Information Technology has developed resources for health care providers with advice on how to prevent WannaCry infection and promote and implement best practices for computer safety into standard industry protocol. The ACC encourages members to carefully review the advice and ensure that steps have been taken to protect personal computers, as well as those owned and maintained by medical practices, hospitals and health systems. Read more.
Life is what we make it -- always has been, always will be.
Grandma Moses, folk artist
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