High-intensity protocols may cut short-term readmissions | EDs lack standardized infection-control policies, study says | Study finds inappropriate use of antibiotic drug combinations
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September 11, 2014
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High-intensity protocols may cut short-term readmissions
A study in Health Affairs found 30-day hospital readmissions among chronically ill patients may be cut by 5% to 13% using high-intensity interventions such as nurse-led care coordination, home visits, and better communication between hospitals and primary care physicians. The study found standard transition care policies aimed at high-risk patients helped reduce longer-term readmissions. Medscape (free registration) (9/8)
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EDs lack standardized infection-control policies, study says
Columbia University researchers said a lack of uniform infection-control practices in hospital emergency departments makes it difficult to determine compliance and quality improvement. The report in the American Journal of Infection Control found a review of scientific data showed it was not clear what protocols clinicians followed to measure compliance, especially for hand hygiene and urinary catheter insertion practices. HealthLeaders Media (9/10)
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Study finds inappropriate use of antibiotic drug combinations
A study of 505 hospitals in the Premiere health alliance found potentially inappropriate, redundant antimicrobial use in 394 facilities. The study in the journal Infection Control and Hospital Epidemiology showed most cases were avoidable and recommended hospitals develop lists of drug combinations that should never be used. Modern Healthcare (subscription required) (9/10)
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Depression might raise risk for postsurgical infection
Patients suffering from depression before cardiothoracic surgery were much more likely to contract postoperative sternal wound infections, potentially leading to longer lengths of stay, readmission and reoperation, according to a study presented at the Interscience Conference on Antimicrobial Agents and Chemotherapy. Medscape (free registration) (9/8)
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6 Texting Mistakes in Hospitals Are Making Today
Learn where your hospital may be going wrong when it comes to using standard texting apps. Mistakes include not being able to link to your organization's directory or on-call schedules, and failing to secure sensitive information. How do you compare? Read the white paper now.
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Practice & Hospital Management
Board completes model guidelines for telehealth licensing
The Federation of State Medical Boards has developed model interstate licensing guidelines to streamline the approval process to allow physicians to provide telehealth services and remote care across state lines. "State legislatures and medical boards can now begin to consider the adoption of this model legislation establishing an interstate medical licensure compact," said FSMB president and CEO Dr. Humayun Chaudhry. EHR Intelligence (9/8)
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Panel discusses pros and cons of hospital mergers
Hospital mergers and acquisitions have not led to substantial health care efficiencies or cost reductions, some panelists at a health care conference said. Others said consolidation is necessary to comply with requirements to implement EHR systems and has led to innovation and more efficient use of services. Politico (9/9)
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E-Health Watch
EMR use is time-consuming for some physicians
Research published in JAMA Internal Medicine revealed attending doctors had a mean free time loss of 48 minutes per clinic day stemming from EMR use. Data also showed 89.8% of respondents agreed that at least one data management function became slower following EMR implementation, while a third reported spending more time finding and reviewing health data. BeckersHospitalReview.com (9/9)
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Spotlight on Innovation
New test detects antibiotic-resistant infections in hours
Oregon State Public Health Laboratory researchers have designed the Carba NP test to detect carbapenem-resistant Enterobacteriaceae within hours. A study confirming the reliability of the test was presented at the Interscience Conference on Antimicrobial Agents and Chemotherapy. Business Standard (India)/Asian News International (9/8)
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Costs & Reimbursement
U.S. shows highest hospital administrative spending of 8 countries
A review published in Health Affairs showed the U.S. had the highest hospital administrative costs compared with seven other countries, at 25.3% of total hospital spending. Data also revealed the U.S. exhibited the highest health spending per capita at $8,233, compared with Canada at $4,445 and the U.K. at $3,433. BeckersHospitalReview.com (9/10)
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ACC News
New ACC App Helps You Connect With Congress
ACC members can now engage with lawmakers and influence health policy during Legislative Conference and throughout the year with the new ACC Advocacy Action mobile app. The app includes an interactive congressional directory to locate lawmakers, timely talking points to share during congressional visits, an event scheduler to keep track of Capitol Hill meetings, social media tools to engage with legislators, and more. Attending ACC's 2014 Legislative Conference? Be sure to search "ACC Advocacy Action" in your app store to download it ahead of the event so you have all of the information and tools you need at your fingertips. The app is available on iTunes (iPhone, iPad) and Google Play (Android devices).
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Expert Journal Club Faculty to Discuss HEAT-PPCI: UFH vs. Bivalirudin in PPCI
The next ACC Journal Club will take place Wednesday, Sept. 17, at 8 p.m. ET, with a discussion on "Unfractionated Heparin Versus Bivalirudin in Primary Percutaneous Coronary Intervention: An Open-Label, Single Centre, Randomised Controlled Trial," published in The Lancet. This innovative online educational series provides ACC members with the opportunity to interact with speakers and fellow audience members, and post questions and comments to a discussion board. For those unable to join online, the option to call-in and listen to an audio version is also available. The program provides opportunity to earn American Board of Internal Medicine Maintenance of Certification Part II points. Participate in the discussion and learn more at CardioSource.org.
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SmartQuote
From what we get, we can make a living; what we give, however, makes a life."
-- Arthur Ashe,
American professional tennis player
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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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