AHRQ releases guide to help improve Medicaid care | CMS postpones data collection for sepsis quality measure | Timing of admission linked to differences in pediatric leukemia care
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August 26, 2014
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First Focus
AHRQ releases guide to help improve Medicaid care
The Agency for Healthcare Research and Quality has released a resource designed to support efforts to cut readmissions under Medicaid. The guide is designed to assist acute-care providers in complying with CMS standards and establishing partnerships. BeckersASC.com (8/22)
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CMS postpones data collection for sepsis quality measure
The CMS has announced that data collection has been suspended for the sepsis quality measure included in its inpatient prospective payment system final rule for fiscal year 2015. The measure should not be implemented yet because a committee of the National Quality Forum has called for it to be revised, the American Hospital Association has said. AHA News Now (8/22)
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Timing of admission linked to differences in pediatric leukemia care
Admission on weekends was associated with greater risk of respiratory failure, longer hospital stays and longer waiting times for chemotherapy among pediatric patients with recently diagnosed leukemia, according to a study in the journal JAMA Pediatrics. The study, which compared weekend and weekday admission for the patients, did not detect a difference in mortality risk. HealthDay News (8/25)
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Other News
Practice & Hospital Management
ABIM weighs issues with MOC grandfathering
The American Board of Internal Medicine says it is looking at problems with its Maintenance of Certification language and reporting with respect to grandfathered physicians who can opt out of MOC requirements. The American Board of Medical Specialties website does not list grandfathered doctors as meeting MOC requirements, something Dr. Mack Harrell, president of the American Association of Clinical Endocrinologists, calls "a scarlet letter." Clinical Endocrinology News (8/22)
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More physicians cite retirement as reason for leaving medicine
A survey by the American Medical Group Association and Cejka Search revealed the number of doctors that cited retirement as a reason for leaving medical group practice rose to 18% in 2013, marking an all-time high. Researchers said physician turnover rates remained stable from 2012 to 2013 at 6.8%, though still significantly higher than the 5.9% rate seen in 2009. BeckersHospitalReview.com (8/22)
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E-Health Watch
Hospital Compare's fall info update restricted to 2 metrics
The October update of the CMS' Hospital Compare website will be limited to two areas of information -- Medicare Spending per Beneficiary and aggregate payment data -- due to system upgrades, the agency stated. Additional metrics will be updated in December, including data on hospital-associated infections and rates of surgical complications following hip and knee procedures. BeckersHospitalReview.com (8/21)
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Automated EHR alerts can cut catheter-associated UTIs, study says
A study conducted by Penn Medicine researchers found that automated alerts in EHRs can decrease catheter-associated urinary tract infections among hospital patients. The alerts, which were deployed in two phases, prompt providers to cite the reason for inserting a catheter and notify them to reassess the need for the tube if it has not been removed within a suggested time frame. The rate of UTIs among patients with catheters fell to 0.50 per 1,000 patient days from 0.84 after full implementation. Healthcare Informatics online (8/22)
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Spotlight on Innovation
Study: Telemedicine shows promise in boosting access to stroke care
A study in the journal Stroke found that telemedicine can boost access to stroke care for patients in rural communities. Researchers found a correlation between the implementation of a telemedicine network and a significant increase in the proportion of people treated for transient ischemic attack and stroke at facilities with telestroke units. The study examined data from February 2003 to December 2012. PhysiciansBriefing.com/HealthDay News (8/22)
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Costs & Reimbursement
House call services appear to cut costs in older patients
Data published in the Journal of the American Geriatrics Society revealed frail Medicare patients treated under a house call program had 17% lower total costs than those treated with usual care after two years. The house call group used more primary care but utilization of hospital, nursing-home and specialty care was lower. Mortality rates were not significantly different. The Columbus Dispatch (Ohio)/The Associated Press (8/25)
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ACC News
Discover strategies for enhancing patient recognition of signs and symptoms
Hospital to Home (H2H), a quality initiative under the ACC's Quality Improvement for Institutions program, is offering a new webinar on tools and strategies for signs and symptoms of heart failure and acute myocardial infarction on Thursday, Sept. 11, at 1 p.m. ET. Designed for all members of the cardiac care team, the program addresses ways in which hospitals and care team members can improve transitions of care for patients hospitalized with heart failure and acute myocardial infarction by enabling patients to recognize early warning signs and develop a plan to address them. During the webinar, participants will learn how to achieve success through the use of specific tools and resources available through H2H. Register for the webinar.
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Taking to the streets with patients
Andrew M. Freeman, M.D., FACC, chair of the ACC's Early Career Member Section & Leadership Council, and assistant professor and director of cardiology at National Jewish Health in Denver, was recently featured in a Cardiology Today piece on the Walk with a Doc program. Freeman established a Walk with a Doc program in 2010 that has since grown to include four walks in the Denver metropolitan area. Walk with a Doc programs, initially started by David Sabgir, M.D., FACC, in 2005, are a great way for physicians to interact with patients while also making a real difference in their care. In Freeman's case, they've also been a great way to build relationships with members of Congress and not only talk about, but show, how the cardiovascular profession is advancing patient care. Rep. Mike Coffman joined Freeman and a large number of patients at a recent walk in Denver. Learn more about Walk with a Doc. The ACC is committed to helping patients living with, or at risk of heart disease, make heart healthy lifestyle choices. Learn more about other patient-centered activities and find educational resources at CardioSmart.org.
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SmartQuote
The pessimist complains about the wind; the optimist expects it to change; the realist adjusts the sails."
-- William Arthur Ward,
American writer
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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 http://www.CardioSource.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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