An analysis by Dobson, DaVanzo & Associates found accountable care organizations reduced Medicare spending by $755 million from 2013 to 2017. Gross savings totaled $3.5 billion over the time period before payments for quality bonuses were awarded.
Researchers found that hospitals that collaborated to create the Pediatric Cardiac Critical Care Consortium aimed at improving cardiac surgery outcomes among children had 24%, 22%, 13% and 12% lower in-hospital mortality, cardiac ICU postoperative mortality, postoperative mechanical ventilation duration and major complication rates, respectively, as well as 5% shorter length of stay in the cardiac ICU than at baseline. The findings in the Journal of the American College of Cardiology showed that major complication rate, operative mortality prevalence and total duration of postoperative hospitalization in non-PC4 hospitals didn't improve during the same period.
A retrospective study presented at the Radiological Society of North America's annual meeting analyzed gunshot injury data from 110 emergency department patients and found that those with abdomen or chest injuries were more likely to be readmitted. "Gun violence is a national health emergency, and yet there is a profound lack of research on the long-term consequences of gunshot-related injuries," said researcher Dr. Corbin Pomeranz.
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Operating margins at rural hospitals that affiliated with health systems increased by 1.6 to 3.6 percentage points in the first two to five years, according to a study in Health Affairs. On-site diagnostic imaging technologies, obstetric and primary care availability, and outpatient nonemergency visits decreased after affiliation, raising concerns that affiliation could reduce access to care in rural areas, the researchers wrote.
An analysis of data from Medicare beneficiaries with complex chronic health conditions showed those living in rural areas had 23% higher mortality rates and 40% higher rates of preventable hospitalizations than their peers living in urban areas. Poor access to cardiologists, endocrinologists and other specialists was the main reason for the disparity, according to the study in Health Affairs.
Social isolation and loneliness are tied to poor health, increased mortality risk and higher health care spending. Hospitals and health systems can help address these health issues by screening patients for loneliness at admission or in emergency departments, using data to understand which groups are most at risk, creating support groups to promote social connection, and promoting opportunities for volunteers, among other measures.
A checkbox outlined in red that popped up when duplicate orders were entered into a patient's EHR reduced unintended duplicate orders for laboratory tests by 49% and radiology imaging by 40%, according to the results of a study published in JAMA Network Open. The item's checkbox was highlighted in red if the order had already been placed by emergency department personnel, but it "is applicable to any care setting where clinical care teams must collaborate," researchers wrote.
Beginning treatment to reduce cholesterol levels earlier in adulthood may decrease the risk of cardiovascular disease later, researchers reported in The Lancet. Data suggested that for adults under age 45 who had at least two heart disease risk factors, lowering non-HDL cholesterol reduced later CV risks from about 16% down to 4% for women and from 29% to 6% among men.
Children born to mothers with diabetes had a 29% higher likelihood of developing cardiovascular disease, especially deep vein thrombosis, hypertensive disease and pulmonary embolism, during 40 years of follow-up, compared with those whose mothers didn't have diabetes, researchers reported in The BMJ. The study found the highest increase in risk of early CVD among those whose mothers both had diabetes and CVD.
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Patients readmitted to the discharging hospital after myocardial infarction do not have significant differences in outcomes compared with those readmitted to another hospital, according to an NCDR study. The study used data from ACC's Chest Pain - MI Registry and claims data from the CMS to examine patterns in 30-day post-MI readmissions, stratified by the discharging hospital vs. nondischarging hospital. Read more.
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