Better cancer care quality guidelines needed | Hospital uses IT to engage patients, reduce readmissions | Vt. launches Medicaid ACO program
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February 14, 2017
CV Quality SmartBrief
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First Focus
Better cancer care quality guidelines needed
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.
HealthLeaders Media (2/13) 
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Hospital uses IT to engage patients, reduce readmissions
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.
Clinical Innovation + Technology online (2/13) 
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Vt. launches Medicaid ACO program
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.
WAMC-AM/WAMC-FM (Albany, N.Y.) (2/8) 
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Gain the Most In Demand Skills in Health Care
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Practice & Hospital Management
Physicians find benefits to membership-based practice model
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.
Medical Economics (2/10) 
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Cleveland-area coordinated trauma care pact expands
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.
Healthcare Finance News (2/10) 
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Make your diagnosis
Approximately 58% of physicians diagnosed this image incorrectly.
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E-Health Watch
Survey: 44% of US adults worry about theft of personal health info
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.
HIT Consultant (2/9) 
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Spotlight on Innovation
Systems engineering may make hospital, ICU care better, safer
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.
Harvard Business Review online (tiered subscription model) (2/9) 
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Costs & Reimbursement
More health care systems base executive compensation on patient outcomes
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.
Modern Healthcare (tiered subscription model) (2/11) 
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Lawmakers support Medicare home-care pilot project
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 Hill (2/13) 
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ACC News
ACC, STS Seek Comments on STS/ACC TVT Registry 30-day Risk-Adjusted Mortality Metrics
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.
Your Blueprint For Navigating MACRA and the Quality Payment Program
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.
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Johann Wolfgang von Goethe,
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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 ACC.org.
External Resources are not a part of the ACC.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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