MAP calls for HHS to remove 51 quality measures | ACA study shows variations in access, affordability, quality | Report links medication errors to CPOE, pharmacy systems
March 21, 2017
CV Quality SmartBrief
Transforming Health Care from the Inside Out
First Focus
MAP calls for HHS to remove 51 quality measures
The National Quality Forum's Measure Applications Partnership recommended HHS consider removing 51 ineffective measures used by seven federal health care public reporting and quality programs. The public-private partnership group also made recommendations for improving measure sets in nine federal programs.
Healthcare Informatics online (3/16) 
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ACA study shows variations in access, affordability, quality
A study in Milbank Quarterly assessing the Affordable Care Act found variations in emergency department access, health care affordability and health care quality, based on income and race. The study analyzed data from the "Patients' Perspectives on Health Care in the United States" survey.
MedPage Today (free registration) (3/17) 
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Report links medication errors to CPOE, pharmacy systems
The Pennsylvania Patient Safety Authority reported that 50.4% of medication error reports from state health care facilities listed computerized prescriber order entry systems as a contributing factor, with pharmacy systems listed in 28.2% of reports and electronic medication administration record systems mentioned in 28.1%. Researchers said 69.2% of errors reached patients.
HealthLeaders Media (3/17) 
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Practice & Hospital Management
Monthly cost scorecard may cut surgical supply costs, improve care
Surgeons who received monthly cost feedback scorecards plus a financial incentive reduced their surgical supply costs by 6.5%, compared with a 7.4% increase in costs for those who did not get scorecards. The study in JAMA Surgery found equal or better outcomes for 30-day readmissions, mortality and discharge status after the intervention.
HealthLeaders Media (3/20) 
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How one N.M. health system steers patients away from the ED
Presbyterian Healthcare Services President and CEO Dale Maxwell said his organization's patient navigation model uses medical screenings when patients arrive at the emergency department to determine whether the ED is the appropriate place to meet their needs, with an eye toward reducing costs and improving care coordination, and patient satisfaction has improved as a result. The organization has also prioritized data sharing and telehealth programs to reach more rural areas of New Mexico with critical health services, recognizing that health care is local but some lessons should be widely adopted.
Hospitals & Health Networks Magazine (3/20) 
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E-Health Watch
GAO: Patients, providers not maximizing EHRs' potential
Patients are not optimizing use of their health data because their information is not aggregated into a single EHR, highlighting the need for an interoperable, streamlined system, according to the Government Accountability Office. Patient records are still siloed with separate login information for each health care provider's portal, technology to collect and aggregate disparate data is not widely used, and records often lack data not legally required to be included, such as clinicians' notes and radiology images.
Modern Healthcare (tiered subscription model) (3/16) 
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CMS issues information on upcoming eCQM changes for 2018
The CMS has updated its electronic clinical quality measure specifications for eligible professionals for the 2017 reporting period and released an advance notice about what providers can expect on the upcoming changes for the 2018 reporting period. Each of the eCQM standards were based on the six priorities of the National Quality Strategy, including patient safety, effective clinical care, and person and caregiver-centered experience and outcomes.
EHR Intelligence (3/17) 
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Spotlight on Innovation
Mobile health interventions may improve pediatric outcomes
Youths younger than 18 whose parents or caregivers used mobile health apps or text messaging had better health outcomes and behaviors, compared with those whose parents didn't use such interventions, researchers reported in JAMA Pediatrics. The findings, based on an analysis of 37 studies involving nearly 30,000 children, showed more significant improvements when parents or caregivers, children, and physicians collaborated within the digital health platform.
mHealth Intelligence (3/20) 
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Costs & Reimbursement
GOP governors propose changes for Medicaid
Four Republican governors have proposed an alternate plan for Medicaid that would cover more people, include more federal money and give states more options than GOP health care legislation in the House.
The Associated Press (3/18) 
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ACC News
Focused Update of the Valvular Heart Disease Guideline Released
The ACC and the American Heart Association have released a focused update of guidelines for the treatment of patients with valvular heart disease. The new guidelines, which have been updated to reflect the latest research since the last guidelines were published in 2014, were published March 15 in the Journal of the American College of Cardiology. Specifically, the focused update includes changes in indications for antibiotic prophylaxis for infective endocarditis, the use of direct oral anticoagulants among patients with atrial fibrillation and heart valve disease, indications for transcatheter aortic valve replacement, surgical management of patients with primary and secondary mitral regurgitation, and management of patients with a heart valve prosthesis. Read more on
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JACC Leadership Page: The Dyad Model and Value-Based Care
In a recent Editor's Page published in the Journal of the American College of Cardiology, Richard A. Chazal, MD, MACC, and Michael J. Montgomery, FACHE, director of the cardiovascular service line at Lee Health System, discuss the use of the dyad model of management for addressing operational excellence and cost reduction, while improving the quality of patient care and enhancing patient experience. In the dyad model, management teams at hospitals and health systems consist of one clinical member and one administrative member, leveraging each other's strengths to advance organizational performance and ultimately save lives. "We have found the dyad model to be valuable in creating a collaborative culture that is built around shared goals, and takes into account administrative and clinical needs, all while striving to keep quality of patient care central to all discussions," they write. Read more.
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I have accepted fear as a part of life, specifically the fear of change, the fear of the unknown. I have gone ahead despite the pounding in the heart that says: Turn back.
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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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