Study validates HF readmission risk prediction model | Hospital culture of transparency facilitates change | Mass General boosts patient engagement with decision aids
April 26, 2016
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First Focus
Study validates HF readmission risk prediction model
A study in JAMA Cardiology validated the efficacy of a readmission risk prediction model for heart failure patients that includes socioeconomic factors, mental health, cognitive function and clinical measures. The study found the model had better discriminatory power than a claims-based model and was a good predictor of 30-day mortality and readmission.
Healio (free registration) (4/25) 
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Hospital culture of transparency facilitates change
St. Luke's Health System in Boise, Idaho, has used data to change protocols that lowered the hospital's surgical infection rate from 1.08 per 100 procedures to 0.57 per 100 procedures. The hospital gave surgeons greater access to data, and most top-performing hospital systems have a similar culture of transparency.
Modern Healthcare (tiered subscription model) (4/23) 
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Mass General boosts patient engagement with decision aids
Massachusetts General Hospital has enhanced patient engagement by leveraging decision aids that educate patients about treatment options and help them make informed decisions. The tools, which are part of the Shared Decision Making Program, went from being part of a limited pilot program to being integrated into routine care, said Karen Sepucha, director of the MGH Health Decision Sciences Center.
Health Data Management (4/19) 
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CMS Open Payments: What You Need to Know
As part of CMS Open Payments, pharmaceutical and industry manufacturers submitted data about their financial relationships with you - physicians and teaching hospitals. CMS encourages you to review that data before it is made available on a publicly accessible website. Learn more now!
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Practice & Hospital Management
States enact, consider laws to decrease MOC requirements
Oklahoma is the first state to pass a law removing maintenance of certification as a licensure, reimbursement or employment requirement for physicians, and Kentucky opted for a measure that prohibits making MOC a condition of licensure. Michigan lawmakers are considering legislation to prevent hospitals from denying admitting privileges for physicians on the basis of MOC, and a Missouri bill would ban the state's allopathic and osteopathic physician oversight board from requiring MOC for licensure.
Medscape (free registration) (4/22) 
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E-Health Watch
FDA urges health care industry to invest heavily in interoperability
Health care executives should make interoperability, connectivity and data liquidity a top priority in their organizations and should invest in interoperability as they go through the Precision Medicine Initiative, said FDA Commissioner Robert Califf and FDA Associate Deputy Commissioner for Medical Products and Tobacco Rachel Sherman. Califf and Sherman call for creating an interconnected environment that gives everyone access to high-quality data that originate in various settings and sources.
Health IT Analytics (4/22) 
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Health IT-related issue is top patient safety concern this year, report shows
An ECRI Institute report ranked "health IT configurations and organizational workflow that do not support each other" as the top patient safety concern facing health care organizations this year. The report also found that risks related to the implementation of EHRs ranked among the top 10 safety concerns, including patient identification errors and medication errors, which were ranked second and seventh, respectively.
Health Data Management (4/21) 
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Spotlight on Innovation
Urgent care chain sees improved patient satisfaction through telemedicine
Telemedicine has reduced patient wait times and increased satisfaction at Doctors Care, an urgent care chain of 55 centers in South Carolina and Tennessee, said David Boucher, president and chief operating officer of UCI Medical Affiliates, the chain's provider of nonmedical support services. Doctors Care has also minimized costs by using existing network infrastructure, Boucher said.
Health Data Management (4/19) 
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Costs & Reimbursement
Coalition urges streamlined access to Medicare claims data
A coalition of medical societies and physician-led organizations is encouraging Congress and the CMS to give them greater access to Medicare claims data. The groups say they could improve care by linking claims data to clinical registries, and the Medicare Access and CHIP Reauthorization Act gave qualified clinical data registries access to claims data. The CMS says access is available through the Research and Data Assistance Center, but physicians say the process is overly cumbersome and expensive.
HealthLeaders Media (4/21) 
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Hospitals make greater use of patient credit checks
A shift toward increased patient responsibility for health care costs has led more hospitals to do patient credit checks to help determine the likelihood that medical bills will be paid. Florida Hospital senior vice president Jeffery Hurst said the best outcome is not always collecting on a bill, but perhaps offering financial assistance and Medicaid enrollment, and the objective is to reach the best resolution for every patient.
HealthLeaders Media (4/25) 
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Are You Reading JACC Journals?
The ACC offers six 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 OnlineJACC.org or download the JACC Journals App.
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ACC News
AFib Ablation Registry Launches
To provide a better understanding of care and outcomes for patients undergoing atrial fibrillation catheter ablation procedures, the NCDR launched the AFib Ablation Registry on April 21. The registry will provide evidence-based guidelines for AFib ablation treatments, benchmarked decision-making data on AFib ablation procedures and timely outcome reports comparing an institution's performance with volume-based peer groups and national trends. Learn more at ACC.org/AFibAblation.
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A Closer Look at Accreditation
Many hospitals are eager to earn accreditations or certifications for the services they provide to their patient populations. But not all hospitals understand the differences between accrediting bodies or the various forms of accreditation. As consumers of accreditation services, hospitals should take time to assess the extent of professional services offered by accrediting bodies and understand how they can capitalize on the accreditation investment they've made in terms of both process improvement and patient engagement. Read more about the accreditation services being offered through the Society of Cardiovascular Patient Care, the new accreditation arm of the ACC.
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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 ACC.org.
External Resources are not a part of the CardioSource.org website. ACC is not responsible for the content of sites that are external to the ACC. Linking to a website does not constitute an endorsement by ACC of the sponsors or advertisers of the site or the information presented on the site.
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