Health care needs better general and disease-specific cancer care quality measures to improve the patchwork of metrics developed by professional and specialty groups, said Tracy Spinks, program director for cancer care delivery at the University of Texas MD Anderson Cancer Center. Dr. Karen Fields, co-chair of the National Quality Forum's cancer committee, said a lack of patient-reported outcomes is a major gap in current quality measures.
The Charleston Area Medical Center in West Virginia reported using the SmarTigr system and its tools to reduce congestive heart failure readmissions by 22% and chronic obstructive pulmonary disease readmissions by 30%. The program uses smart TVs, software, mobile apps and interactive videos to educate patients and encourage them to be more engaged in their care.
Vermont Gov. Phil Scott, a Republican, announced a Medicaid accountable care pilot project being coordinated by OneCare and involving some 30,000 Medicaid beneficiaries. Participating hospitals, federally qualified health centers, physician practices, skilled nursing agencies, home health care providers and designated agencies will work with the state health department and OneCare on the one-year program, which will be expanded if certain goals are met.
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Medical practices that adopt a membership-based model can significantly reduce their patient panel size and create a sustainable revenue stream, while spending more time with patients and less on paperwork, physicians say. Physicians who have embraced this model also avoid dealing with new payment models and regulations associated with the Medicare Access and CHIP Reauthorization Act.
University Hospitals join the Cleveland Clinic, MetroHealth and Southwest General in the Northern Ohio Trauma System, formed in 2010. The partnership involves coordination of trauma care in the seven-county region, including measures to ensure patients are taken to the appropriate-level trauma center.
Forty-four percent of more than 3,000 US adults surveyed worry that their personal health information might be stolen, while 76% believe that a secure electronic approach to sharing documents between providers is safer than faxing paper documents, according to the 2017 Xerox eHealth Survey. Researchers also found that 87% of respondents believe that better coordination and information sharing among health care providers will improve the quality of health care services.
Using systems engineering principles can help hospitals and ICUs integrate technologies to streamline patient care and improve safety, ICU safety expert Dr. Peter Pronovost and two engineers wrote in the Harvard Business Review. "We need to integrate technology, people, and processes so that they are seamlessly joined in pursuit of a shared goal," the authors wrote.
The 93-hospital Trinity Health system is among a growing number of health systems offering a performance-based pay model that rewards executives when population health improves and penalizes them when it doesn't. The widespread adoption of electronic health records has facilitated the shift.
Two US senators support legislation to allow CMS to conduct a pilot project that would provide home-based and community-based care to some Medicare beneficiaries in Medicare Advantage plans. The goal would be to save money by providing some nonmedical care to these patients to reduce hospitalizations and skilled nursing facility admissions, and to keep them from needing Medicaid coverage.
The ACC and STS, along with statisticians and investigators at Duke Clinical Research Institute have developed a proposed risk model to report 30-day risk-adjusted mortality within the STS/ACC TVT Registry institutional outcomes reports. A sample report has been developed, outlining how the model will be reported in the outcomes reports. Comments will be accepted until Feb. 24. Access the survey here.
Implementation of the Quality Payment Program, created by the Medicare Access and CHIP Reauthorization Act of 2015, is officially underway. As the Quality Payment Program kicks into gear, it's important for clinicians to have updated and cardiovascular-specific information at their fingertips. ACC's new and improved MACRA Information Hub on ACC.org helps cardiovascular professionals understand the new Medicare payment system, prepare for Quality Payment Program implementation and explore available resources. The mobile-friendly MACRA Hub includes information on common MACRA terms; the Merit-Based Incentive Payment System and Advanced Alternative Payment Model pathways; requirements for the Quality, Improvement Activities, Advancing Care Information and Cost categories; key program dates; cardiovascular quality measures; and more. Visit ACC.org/MACRA.
A talent is formed in stillness, a character in the world's torrent.
Johann Wolfgang von Goethe, writer and statesman
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