Adding care quality measures to QPP may help reduce health care costs | Report: Value-based models lead to better care, lower costs | Study: Nonintegrated care may cause more readmissions for IBD
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November 15, 2018
CV Quality SmartBrief
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First Focus
Adding care quality measures to QPP may help reduce health care costs
A study in the Annals of Family Medicine found patients spent 14.1% less on health care costs and had 16.1% lower odds of hospitalization when they received care from physicians with the highest continuity of care scores, compared with those who visited physicians with the lowest scores. Researchers evaluated Medicare claims data for 1,448,952 beneficiaries and recommended adding continuity of care-related quality measures to the Quality Payment Program and reducing focus on process-based measures in federal reporting requirements.
EHR Intelligence (11/13) 
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Report: Value-based models lead to better care, lower costs
The move to value-based health care over the past five years has led to improved clinical quality and outcomes, as well as cost savings, according to a Humana study. Chief Medical Officer Dr. Roy Beveridge asked why providers have been slow to adopt value-based care payment models.
HealthLeaders Media (11/13) 
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Study: Nonintegrated care may cause more readmissions for IBD
A lack of integrated patient care led to more readmissions for inflammatory bowel disease patients, according to a study published in The American Journal of Gastroenterology. Factors associated with fragmented care included nonemergency admissions, patients with mood disorders and substance abuse. Read the study.
MedPage Today (free registration) (11/13) 
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Practice & Hospital Management
Analysis links hospital consolidation to higher care costs
An analysis of inpatient costs in 25 metropolitan areas with the most hospital consolidations from 2010 to 2013 found that the price of a typical inpatient stay in a third of those areas climbed by at least 25% from 2012 to 2014. Hospital mergers essentially eliminated competition, and prices increased even more steeply when large hospital systems acquired physician practices, according to researchers from the Petris Center at the University of California at Berkeley.
The New York Times (tiered subscription model) (11/14) 
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E-Health Watch
USDA finds rural use of telehealth is lagging
Eleven percent of urban patients had engaged in online health maintenance activities, including communicating with providers, paying bills or maintaining health records, compared with 7% of rural patients, according to a Department of Agriculture analysis of data for 50,000 households. Researchers also found that 2.5% of urban patients had used remote health monitoring devices compared with 1.3% of rural patients.
Becker's Hospital Review (11/13) 
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Expert recommends removing "stupid stuff" to improve EHR systems
The "Getting Rid of Stupid Stuff" program implemented at Hawaii Pacific Health in Honolulu removed 10 of the 12 most frequently ignored EHR alerts, such as prompting for "head-to-toe" nursing assessments and asking employees to print after-visit summaries, according to a perspective written by Dr. Melinda Ashton in The New England Journal of Medicine. "It appears that there is stupid stuff all around us, and although many of the nominations we receive aren't for big changes, the small wins that come from acknowledging and improving our daily work do matter," Ashton wrote.
Becker's Health IT & CIO Report (11/9) 
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Other News Highlights
Spotlight on Innovation
Health tech CEOs join effort to push Medicaid innovation
HealthTech4Medicaid is a new nonprofit group that includes about 40 health technology company CEOs who want to speed technology innovation to improve care for Medicaid recipients. The group represents more than $1 billion in venture capital, and its goals include increasing access to care, improving quality and decreasing costs.
Health Data Management (free registration) (11/13) 
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Costs & Reimbursement
CMS explores new strategies to address social determinants in Medicaid
HHS Secretary Alex Azar said the CMS could soon permit health systems and hospitals to help with housing, nutritious food and other social determinants of health through Medicaid. "We believe we could spend less money on health care -- and, most important, help Americans live healthier lives -- if we did a better job of aligning federal health investments with our investments in non-health care needs," Azar said, noting officials at the Center for Medicare & Medicaid Innovation are exploring new strategies to better address social determinants.
Modern Healthcare (tiered subscription model) (11/14) 
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Spotlight on JACC Journals
ACC News
Valentin Fuster and Expert Panelists Break Down the Hottest Trials From AHA 2018
Get a deep-dive into the hottest research released during the 2018 American Heart Association Scientific Sessions with the latest installment of ACC Cardiology Hour. In this video discussion, Valentin Fuster, MD, PhD, MACC; Deepak L. Bhatt, MD, MPH, FACC; Anne B. Curtis, MD, FACC; Peter Libby, MD, FACC; and Marc Ruel, MD, MPH, share their perspectives on the most significant science released during the conference. The panelists discuss the newly released ACC/AHA Guideline for the Management of Blood Cholesterol and trials such as REDUCE-IT, DECLARE-TIMI 58, CIRT, VITAL and more. Watch now on JACC.org. For complete ACC coverage of AHA 2018, including news stories, trial summaries, slides, journal scans and videos, visit ACC.org/AHA2018.
Deadline extended: Showcase your QI best practices at ACC's CV Summit
The deadline to submit abstracts for ACC's Cardiovascular Summit -- taking place Feb. 14 to 16, 2019, in Orlando, Fla. -- has been extended to Monday, Nov. 26. Don't miss the opportunity to showcase how your hospital or practice has found ways to advance care delivery, reduce costs, improve patient outcomes, implement science at the bedside, and thrive in the new value-based care environment. Abstracts from across the clinical care team are welcome. For a full description of the selection process, preparation tips and evaluation criteria, view the abstract and poster session information. All abstracts must be in the system by Monday, Nov. 26, at 11:59 p.m. ET.
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Selfless service has always been one of the most powerful methods of influence.
Stephen Covey,
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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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