Experts: CMS quality measures should address patient concerns | Pediatric ED readmission prevalence may be underreported | Neb. ACOs show cost savings, fewer hospitalizations
April 12, 2018
CV Quality SmartBrief
Transforming Health Care from the Inside Out
First Focus
Experts: CMS quality measures should address patient concerns
Quality measures used in bundled payments do not take into account what patients value most by failing to consider diagnostic accuracy, whether a treatment is the most appropriate option and if it will improve long-term health, researchers wrote in the Annals of Internal Medicine. They said the CMS should adopt a quality framework that determines whether treatments are appropriate, if the patient's health improves and how much the treatment costs.
Medscape (free registration) (4/10) 
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Pediatric ED readmission prevalence may be underreported
The rate of emergency department revisits among youths younger than 18 was underestimated by nearly 20% when revisits at other hospitals weren't considered, researchers reported in Pediatrics. The findings also showed that different hospital revisits were significantly less likely among children who were first admitted in EDs with the highest annual pediatric volume, compared with those originally seen in EDs with the lowest pediatric volume.
2 Minute Medicine (4/12) 
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Neb. ACOs show cost savings, fewer hospitalizations
Costs of care are decreasing for Nebraska's first five accountable care organizations serving Medicare patients and, on average, are lower than the national average for Medicare patients in ACOs. Medicare patients in Nebraska ACOs also had fewer hospital visits, compared with national averages.
Omaha World-Herald (Neb.) (4/8) 
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Practice & Hospital Management
Advocacy group focuses attention on physician burnout
The Action Collaborative on Clinician Well-Being and Resilience this week told a congressional briefing about problems related to physician burnout and its causes, which can lead to depersonalization, depression and suicide. The advocacy group will study the causes and consequences of physician burnout, focus on reducing administrative burdens, and develop best practices for promoting wellness.
MedPage Today (free registration) (4/11) 
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Report: Physician compensation continues to increase
Survey data from more than 20,000 physicians were used in Medscape's Physician Compensation Report 2018, which showed physician income has been increasing over the past seven years, mainly due to supply and demand. The report found 73% of physicians participate in an insurance-based payment model, 38% have fee-for-service and 27% are in accountable care organizations.
Medscape (free registration) (4/11) 
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E-Health Watch
Survey examines physicians' views on access to patient data via EHRs
Fifty percent of 300 primary care physicians polled wanted better access to patient information through their EHR systems, compared with 33% and 17% of respondents who were very satisfied and extremely satisfied with their access to patient data, respectively, according to a survey commissioned by SureScripts and conducted by ORC International. Researchers also found that although 83% of respondents believed that access to medication adherence information is a high priority, only 17% reported being able to retrieve such data easily, while 56% didn't trust any adherence information they have access to.
MobiHealthNews (4/11) 
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Higher physician satisfaction seen with specialty EHR products
Specialist-focused EHR products for categories such as nephrology, cardiology, addiction medicine and endocrinology received the highest satisfaction scores in a Black Book survey of 18,950 physician practices. Doug Brown of Black Book said single-solution products should continue to be popular among specialty practices.
EHR Intelligence (4/9) 
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Other News Highlights
Watch Expert Discussion on Top ACC.18 Trials
Get a deep-dive into the hottest research from ACC.18 with the latest ACC Cardiology Hour. Valentin Fuster, MD, PhD, MACC leads a panel of experts in an informative discussion on ODYSSEY OUTCOMES, VEST, SECURE-PCI, Blood Pressure Reduction in Black Barbershops, ANNEXA-4 and more. Watch now.
Spotlight on Innovation
Device holds promise for simpler breast cancer detection
A handheld device under development may help doctors avoid the costly and invasive procedures now needed to monitor suspicious lesions for breast cancer. The device employs near-infrared light to image breast tissue and detect the greater water and blood-vessel concentration common to cancerous tissue.
ASME (4/2018) 
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Costs & Reimbursement
Bill would let Calif. set prices for health care in commercial market
Bill would let Calif. set prices for health care in commercial market
(Christopher Furlong/Getty Images)
Legislation proposed this week in California would allow the state to set prices for services provided by hospitals, physicians and other health care professionals in the commercial insurance market. Under the measure, a commission would be established, and members would use Medicare rates as a benchmark and then account for operating costs, geography and profit to determine rates.
California Healthline (4/10) 
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Spotlight on JACC Journals
ACC News
JACC Leadership Page: Tackling the Quadruple Aim
In a recent Leadership Page published in the Journal of the American College of Cardiology, ACC President C. Michael Valentine, MD, FACC, writes about the "quadruple aim," which takes the concept of the "triple aim" -- a framework for a health care system focused on improved quality and patient satisfaction, better outcomes and reduced costs -- while also addressing professional well-being. Recent data found that nearly half of cardiologists experience burnout. The College has incorporated the expanded quadruple aim into its current strategic priorities, as well as its 2019 to 2023 Strategic Plan. "For the majority of physicians, we practice medicine because of our passion for improving and saving the lives of patients," Valentine writes. "We can and must take care of ourselves to best take care of those we took an oath to serve." Read more.
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CathPCI Registry Launches Performance Measures, Quality Metrics Open Comment Survey
As part of ongoing efforts to collect meaningful data and improve patient care, the ACC invites you to participate in an open comment period on the CathPCI Registry Version 5.0 performance measures and quality metrics. The CathPCI Registry is a leading data source for patients having diagnostic coronary angiography and/or PCI procedures. Before completing the survey, please review the draft measures and metrics. The survey should take approximately 5 minutes to complete and will close April 22. Please note there may be a slight disruption in accessing the document link after April 11; if so, please try again.
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Invention, strictly speaking, is little more than a new combination of those images which have been previously gathered and deposited in the memory; nothing can come of nothing.
Joshua Reynolds,
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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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