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January 29, 2013
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Transforming Health Care from the Inside Out

  First Focus 
  • Report calls for U.S. to move toward preventive health model
    The nonprofit Trust for America's Health proposed shifting U.S. health care from a sick-care model to a prevention format, and while executive director Jeffrey Levi called it the humanitarian thing to do, economists disagreed with the group's assessment that it would reduce costs. Data show some preventive services may not improve an individual's health, and health policy expert Peter Neumann of Tufts University School of Medicine said that "prevention itself costs money, and some preventive measures can be very expensive, especially if you give them to a lot of people who won't benefit." Reuters (1/29) LinkedInFacebookTwitterEmail this Story
  • How to improve nurse participation in quality improvement
    The participation of registered nurses in quality improvement programs showed little progress between 2004 and 2008, according to a study in the Journal of Nursing Care Quality. Researchers from the Robert Wood Johnson Foundation suggested strategies that would help engage nurses in the programs, such as increasing the involvement of experienced colleagues in helping new nurses translate newly acquired QI knowledge into action. BeckersHospitalReview.com (1/24) LinkedInFacebookTwitterEmail this Story
  • Other News
  Practice Management 
  • Nearly half of physicians are overworked, study finds
    Four in 10 U.S. hospital-based physicians reported being overworked, while 1 in 5 said patient safety may be hurt by schedule issues, according to a study in the Journal of the American Medical Association. Researchers found 20% of responding doctors said catering to too many patients may increase the risk of medical errors, unnecessary lab tests or delayed diagnoses, and 36% said such problems happen more than once a week. U.S. News & World Report/HealthDay News (1/28) LinkedInFacebookTwitterEmail this Story
  E-Health Watch 
  • Ill. system uses EHR to help control hypertension
    An EHR system deployed in 2011 has helped NorthShore University Health System improve its efforts to help screen for hypertension across its outpatient population. The Evanston, Ill.-based health system, which won first place in this year's Healthcare Informatics Innovator Awards, used the system to identify undiagnosed hypertension in patients in its multispecialty medical network. Healthcare Informatics online (1/28) LinkedInFacebookTwitterEmail this Story
  Products & Innovation 
  • Study: Aggressive approach decreased MRSA cases in N.C. hospital
    The implementation of a pre-emptive swab of all admitted patients, also called a search-and-destroy approach to infections, reduced methicillin-resistant Staphylococcus aureus pneumonia cases at the Vidant Medical Center in Greenville, N.C., by 58%. The approach also led to a 79% reduction in cases of MRSA central line-associated bloodstream infections, according to findings presented at the Society of Critical Care Medicine annual meeting. The findings may encourage hospitals to consider more aggressive treatments for MRSA, an expert said. Medscape (free registration) (1/28) LinkedInFacebookTwitterEmail this Story
  • Ga. to boost telehealth capabilities of public centers
    Georgia public health commissioner Dr. Brenda Fitzgerald announced a plan to form telemedicine units, worth around $20,000 each, in every public health center in Georgia within two to three years. All county health departments have teleconferencing capabilities, and the commissioner's next plan is to launch telehealth carts equipped with advanced cameras, sensors and computers that can send patients' health data to distant physicians. The Macon Telegraph (Ga.) (1/24) LinkedInFacebookTwitterEmail this Story
  Policy & Reform Spotlight 
  • Agency unveils new "Closing the Quality Gap" series
    The Agency for Healthcare Research and Quality is releasing a new series of reports on quality. The eight-report series is a follow-up to "Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies," and it addresses the effectiveness of patient-centered medical homes, medication adherence, bundled payments and more. BeckersHospitalReview.com (1/28) LinkedInFacebookTwitterEmail this Story
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  ACC News 
  • Data standards define best practices for patients with ACS, CAD
    On Monday, the ACC Foundation and American Heart Association released a set of key elements and definitions for the clinical management of patients with acute coronary syndromes and coronary artery disease. Published in the Journal of the American College of Cardiology, the new clinical data standards aim to standardize terminology and help improve transfer of health data for research initiatives, clinical registries, structured reporting and use within electronic health records to enhance effective communication among health care professionals. Read more. LinkedInFacebookTwitterEmail this Story
  • CMS to reconsider pacemaker NCD
    On Jan. 25 the Centers for Medicare and Medicaid Services announced that it will open a reconsideration of the National Coverage Determination for pacemakers. The American College of Cardiology and HRS recommended that CMS expand Medicare coverage of dual chamber pacemakers consistent with current evidence and the recent HRS/ACC Expert Consensus Statement on Pacemaker Device and Mode Selection. This announcement marks the beginning of an initial 30 day public comment period. Following the comment period, which closes on February 23, CMS will develop and post for public comment a proposed decision this summer. A final decision can be expected by October. Read more here. LinkedInFacebookTwitterEmail this Story
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  SmartQuote 
I attribute my success to this: I never gave or took any excuse."
--Florence Nightingale,
British social reformer, nurse and statistician


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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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