No change in spending on CV procedures, imaging under ACO pilot | U.S. lags behind other rich nations in terms of health care access | Study: Palliative care, oncology partnership may improve outcomes
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October 23, 2014
CV Quality SmartBrief
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First Focus
No change in spending on CV procedures, imaging under ACO pilot
Incentives offered as part of a pilot accountable care organization did not reduce spending on discretionary coronary or carotid procedures and imaging, according to a study published in Circulation. The authors speculate that accountable care has been optimized with primary care as the focus, and models must be tailored to specialty care if they are to deliver on the promise of reduced spending and quality improvements in such settings. (10/21)
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U.S. lags behind other rich nations in terms of health care access
A 2013 survey by the Commonwealth Fund revealed the U.S. ranked last in terms of health care access compared with 10 other industrialized nations. The U.S. also showed the poorest performance in addressing patient needs outside regular business hours, the poll found. The findings were published in the New England Journal of Medicine. HealthDay News (10/22)
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Study: Palliative care, oncology partnership may improve outcomes
Hospital co-rounding by palliative care specialists and oncologists was linked to reduced lengths of stay and readmissions, increases in hospice referrals, and fewer ICU transfers, according to a study to be presented at the Palliative Care in Oncology Symposium. Dr. Richard Riedel of Duke University said the partnership model helped reduce misconceptions about the role of palliative care. Healio (free registration) (10/22)
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Other News
Practice & Hospital Management
CMS, HHS extend Anti-Kickback Statute, Stark Law waivers for ACOs
Anti-Kickback Statute and Stark Law waivers for accountable care organizations that are participating in the Medicare Shared Savings Program have been extended by the CMS and the HHS' Office of Inspector General through Nov. 2, 2015. The extension is important to help ACOs avoid legal uncertainties and to prevent possible disruption of their operations and business plans, according to the interim final rule. (10/20)
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Small providers allot less money for patient data protection
A CSID poll found that while 85% of small health care groups believe their IT systems adequately protect against data breaches, one-third of respondents reported allocating 10% or less of their IT budget to protecting patient information. Data also showed 28.6% of small groups had a crisis plan prepared in the event of a breach. (10/22)
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E-Health Watch
More hospitals plan to add e-monitoring of hand hygiene
A DebMed survey of more than 400 nurses, health care leaders and infection prevention experts found a 2% increase in hospitals with electronic monitoring for hand hygiene since 2012. The survey found 33% of hospitals are in the process of implementing an electronic monitoring system, and an additional 43% of hospitals are planning to adopt one. (10/20)
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Spotlight on Innovation
DARPA provides $12.2 million for infectious disease study
Inovio Pharmaceuticals, the University of Pennsylvania and MedImmune are set to collaborate on the development of DNA-based monoclonal antibodies against influenza virus, Pseudomonas aeruginosa and Staphylococcus aureus under a $12.2 million award from the U.S. Defense Advanced Research Projects Agency. Genetic Engineering & Biotechnology News (10/21)
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Costs & Reimbursement
Hospital-owned physician practices show higher per-patient costs
Research published in the Journal of the American Medical Association revealed the total per-patient cost in California was 10.3% higher for hospital-owned physician offices compared with independent physician practices. Data also showed the cost was nearly 20% greater in larger multiple-hospital health systems that owned groups than in physician-owned offices. Los Angeles Times (tiered subscription model) (10/21)
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For the past 33 years, I have looked in the mirror every morning and asked myself: 'If today were the last day of my life, would I want to do what I am about to do today?' And whenever the answer has been 'No' for too many days in a row, I know I need to change something."
-- Steve Jobs,
American entrepreneur
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