Study compares readmissions, length of stay with dabigatran, warfarin | Neonatal clinicians develop QI plan for antibiotic use | Secure text messaging system boosts patient satisfaction at N.J. health system
November 24, 2015
CV Quality SmartBrief
Transforming Health Care from the Inside Out

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Study compares readmissions, length of stay with dabigatran, warfarin
An analysis of data from 1,938 patients in a nationwide hospital database found that 30-day readmission rates of atrial fibrillation patients were comparable whether they received dabigatran or warfarin. Length of stay was 13% lower in the dabigatran group compared with the warfarin group. The findings were reported in the Journal of Managed Care & Specialty Pharmacy. Pharmacy Times online (11/19)
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Neonatal clinicians develop QI plan for antibiotic use
Neonatal clinicians at the Vermont Oxford Network used key CDC protocols for hospital-based antibiotic stewardship in developing the quality improvement initiative iNICQ 2016: Choosing Antibiotics Wisely. The joint initiative between the VON and CDC will focus on increased monitoring of infections and antibiotic use, best practices for preventing infections, and improving communications. (11/19)
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Secure text messaging system boosts patient satisfaction at N.J. health system
The three-hospital Inspira Health Network in New Jersey has successfully improved the quietness in its facilities through the implementation of the Practice Unite platform that allows staff members to page doctors and request consults using secure text messages. Patient satisfaction has increased at the three hospitals since the system was deployed, with one hospital nearing 100%. Health Data Management (11/23)
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BYOD Trends in Healthcare: 2015 Survey Results Revealed
Can hospital staff use personal devices for work-related communications? Spok surveyed 450+ healthcare organizations to assess the current landscape. Results show a lot of variation and may surprise you. Read the InfoBrief now >>
Practice & Hospital ManagementAdvertisement
Primary care business models are evolving, survey finds
A PricewaterhouseCoopers survey found that around a third of primary care practices have implemented new business models, adding services such as digital health, nurse-led care and house calls. Telemedicine tools were adopted by 16% of respondents, while 85% of them said wearables and mobile applications will be increasingly important to primary care practices. (11/23)
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Doctors remain divided over the traditional white coat
Physicians continue to debate whether the traditional white coat can harbor infectious microbes, even though there is no study data to indicate the attire increases infections. Some physicians have given up wearing a white coat and keep their arms bare to prevent spreading infection, but others question whether any other type of clothing is cleaner and are concerned that debating proper attire may take the focus off of safety measures such as hand-washing. The Boston Globe (tiered subscription model) (11/19)
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What condition does this image depict?
Test your clinical knowledge with image quizzes from Clinical Practice Today, a free biweekly electronic publication from Duke Medicine and Med-IQ. Don't miss an update— subscribe today to be notified when the next quiz is available!
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Researchers create "analytics as a service" tool for NICU monitoring
The University of Ontario and IBM used a customized version of the big-data Artemis-IC framework to create an "analytics as a service" program for real-time and retrospective NICU monitoring. Other health care organizations also are using big-data analysis in their NICUs. FierceHealthIT (11/19)
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Real-time messaging platform cuts risky Rx
A pilot risk-alert initiative launched through the partnership between CoverMyMeds and Prime Therapeutics has helped cut the number of senior Medicare beneficiaries who were prescribed high-risk medications. Real-time messaging notified providers of treatment-associated risks and offered alternative medication suggestions, and more than half the time, prescribers went with the alternative suggestions, putting fewer patients at risk. (11/23)
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10 Common Website Scenarios That Make a Web CMS Essential
Not running a CMS (Content Management System) yet for your website? Get this guide for 10 common scenarios where a Web CMS is essential. Website authoring, collaboration, and administration tools designed to allow users of any level, to create and manage website content with ease.

Spotlight on Innovation
Early-stage ovarian cancer could be diagnosed with blood test, study suggests
In a 95-patient study, researchers detected early-stage ovarian cancer among 46 women with the disease by analyzing their blood serum compounds and using advanced liquid chromatography, mass spectrometry methods and computational algorithms. For the diagnosis, the study team used 16 metabolite compounds identified using the approach, allowing them to distinguish the women with early-stage cancer from those who did not have the disease, according to the study in the journal Scientific Reports. International Business Times (11/19)
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Costs & ReimbursementAdvertisement
GAO: Part B pays $20.9B annually on doctor-administered drugs
Medicare paid $20.9 billion in 2013 for drugs administered in a doctor's office or under a doctor's supervision, with 332,000 Medicare Part B subscribers spending $1,900 to $107,000 a year out of pocket for new drugs, a Government Accountability Office study found. The Wall Street Journal (tiered subscription model) (11/20)
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Stay Up-to-Date on CV Research With JACC Journals
The ACC offers five focused JACC journals to keep you up-to-date on significant developments in the cardiovascular field. JACC journals provide editor-in-chief audio summaries, article summary illustrations, expert perspectives on new research and in-depth review articles on hot topics. Visit or download the JACC Journals App.
ACC News
Advisory group report provides deep dive on ACC public reporting efforts
A recent ACC Advisory published in the Journal of the American College of Cardiology describes public reporting efforts from the ACC and its partners, including the benefits, challenges and what to expect from the data. The ACC developed a public reporting pathway in an effort to allow individuals to obtain information about the care they are likely to receive at an institution. Hospitals across the US are now voluntarily reporting their NCDR data on several measures related to percutaneous coronary intervention and implantable cardioverter defibrillator procedures through, powered by ACC’s CardioSmart. In addition to enabling patients to identify the best institution for their needs, public reporting incentivizes clinicians and health care organizations to improve quality of care, the authors note. Read more on Additionally, a recent U.S. News and World Report article called ACC’s public reporting program an “initial step toward transformational transparency.” Hospitals can opt in to publicly report at any point; hospitals that choose not to publicly report will be listed as "not participating" with ACC public reporting.
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Acquire the latest scientific advances at New York Cardiovascular Symposium
Join Course Director Valentin Fuster, MD, PhD, MACC, and prestigious faculty at ACC’s New York Cardiovascular Symposium from Dec. 11 to 13 as they discuss and present the most cutting-edge scientific advances and the future of cardiovascular medicine in optimizing patient care. New pioneering topics feature cardio-oncology, genetics and much more! Register on
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Editor's Note
SmartBrief will not publish Thursday
In observance of the Thanksgiving holiday in the US, ACC CV Quality SmartBrief will not publish Thursday. Publication will resume Dec. 1.
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It's hard to lead a cavalry charge if you think you look funny on a horse."
-- Adlai Stevenson II,
political leader and diplomat
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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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