Leapfrog report gives 168 US hospitals poor safety grades | Heart patients can benefit from home-based cardiac rehab | Funding, partnership concerns limit success of Medicaid SDOH interventions
May 16, 2019
CV Quality SmartBrief
Transforming Health Care from the Inside Out
First Focus
Leapfrog report gives 168 US hospitals poor safety grades
The Leapfrog Group's latest hospital safety rankings gave 168 US hospitals out of about 2,600 failing or near-failing grades, while about one-third got A grades. A report from the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine, based on the Leapfrog data, found about 160,000 people die a year from avoidable medical errors, down from 205,000 in 2016.
USA Today (5/15) 
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Heart patients can benefit from home-based cardiac rehab
Heart patients can benefit from home-based cardiac rehab
(Joe Raedle/Getty Images)
Home-based cardiac rehabilitation is a viable alternative for patients who experienced a cardiac event but can't participate in center-based rehabilitation programs due to cost, distance and other barriers, according to a scientific statement in the journal Circulation. Cardiac rehab programs "help patients recover better, feel healthier, and live longer," according to lead author Dr. Randal Thomas.
Reuters (5/13) 
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Funding, partnership concerns limit success of Medicaid SDOH interventions
Few state Medicaid agencies have experience with interventions to address social determinants of health, and many are concerned about lasting funding and community partnerships, according to a study published in Health Affairs. Oregon and California have implemented successful programs, but need outstripped funding, and community partners may have competing priorities.
Patient Engagement HIT (5/14) 
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Practice & Hospital Management
Foundation, medical societies set up fund to facilitate data exchange
The Physicians Foundation established a $500,000 interoperability fund in partnership with medical societies in Connecticut, Georgia, Louisiana, Missouri, New Jersey and South Carolina to help medical practices use health information exchanges to share health data with other health care providers and hospitals. Participating health care providers will receive support in building patient-provider relationships and gaining timely access to clinical data for care quality improvement.
EHR Intelligence (5/14) 
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Residents in their final year see dozens of recruiting offers
A Merritt Hawkins survey found 45% of physicians in their final year of residency had more than 100 recruiting offers, and 66% had more than 50. Data showed 69% of primary care residents in their final year had received at least 51 recruiting offers.
HealthLeaders Media (5/14) 
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E-Health Watch
Study examines resolution of health IT-related patient safety events
Sixty-four percent of health IT-related patient safety event reports analyzed were not resolved at all, and more than 50% only suggested conducting further education or training, according to findings published in the Journal of Patient Safety and Risk Management. Based on a review of more than 1.7 million patient safety event reports, researchers highlighted the importance of resolving health IT-related events and incorporating effective solutions within health care systems.
Becker's Health IT & CIO Report (5/13) 
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Other News Highlights
Spotlight on Innovation
Machine learning model helps spot heart attack, mortality risk
A study presented at the 2019 International Conference on Nuclear Cardiology and Cardiac CT found that the machine learning algorithm LogitBoost, which contains data from PET scans, coronary CT angiography scans and medical records, was more than 90% accurate in predicting the likelihood of heart attack and death in patients with chest pain who were evaluated for coronary artery disease. Researchers also found that combining PET, CT and clinical data had an area under the curve of 0.82, compared with AUCs of 0.69 for PET and clinical data only and 0.65 for clinical data alone.
MD Magazine online (5/13) 
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Costs & Reimbursement
Coalition pushes for changes in US health care financials
A coalition that includes the American Academy of Family Physicians and labor, advocacy and health groups has launched the Consumers First campaign to change financial incentives in health care and increase funding of primary care. The group's action areas include health care prices, provider payment system distortions, industry consolidation, tax policy for nonprofits, workforce policy, and access to data and transparency.
Medscape (free registration) (5/15) 
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Bill would shield patients from surprise bills for out-of-network care
Bill would shield patients from surprise bills for out-of-network care
(Christopher Furlong/Getty Images)
Draft legislation that would protect patients from unexpected out-of-network medical bills for both emergency and non-emergency care was unveiled by Reps. Frank Pallone, D-NJ., and Greg Walden, R-Ore., the top Democrat and Republican on the House Energy and Commerce Committee. The proposal would require hospitals to get written consent from patients before they are treated by an out-of-network health care provider as part of a scheduled procedure, allow health insurers to pay out-of-network clinicians similar rates as in-network clinicians and prohibit balance billing.
Vox (5/14),  Modern Healthcare (tiered subscription model) (5/14) 
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Spotlight on JACC Journals
ACC News
Save the date: Reduce the Risk: PCI Bleed Webinar
Want to learn more about ACC's Reduce the Risk: PCI Bleed quality campaign and hear from two hospitals on how they got started? Register here for the "How We Got Started" webinar, scheduled for Wednesday, May 22, at noon ET. Learn more about ACC's Quality Campaigns and take advantage of tools and resources designed to help close gaps in evidence-based care at CVQuality.ACC.org.
CathPCI Registry seeks feedback on diagnostic AUC metrics
As part of ongoing efforts to collect meaningful data and improve patient care, the ACC is launching an open comment period for diagnostic-only appropriate use criteria metrics. The AUC metrics were developed based on the 2013 Multimodality Appropriate Use Criteria For the Detection and Risk Assessment of Stable Ischemic Heart Disease. Please review the guideline document and the metrics before completing the survey. The survey should take approximately 15 minutes to complete and will close on Friday, June 7.
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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.
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