Five-year decline in hospital-acquired conditions leads to $28B in savings

http://www.fiercehealthcare.com/healthcare/five-year-decline-hospital-acquired-conditions-leads-to-28b-savings

Fewer patients have died due to hospital-acquired conditions over the past five years and hospitals saved more than $28 billion in healthcare costs during the same time period, according to a new federal government report.

The U.S. Department of Health and Human Services credits the 21 percent decline in hospital-acquired conditions in part to the provisions of the Affordable Care Act.

“The Affordable Care Act gave us tools to build a better healthcare system that protects patients, improves quality, and makes the most of our healthcare dollars and those tools are generating results,” said HHS Secretary Sylvia M. Burwell in the announcement. “Today’s report shows us hundreds of thousands of Americans have been spared from deadly hospital-acquired conditions, resulting in thousands of lives saved and billions of dollars saved.”

Indeed, the report, “National Scorecard on Rates of Hospital-Acquired Conditions,” by the Agency for Healthcare Research and Quality, finds that roughly 125,000 fewer patients died during 2010 to 2015. In total, hospital patients experienced more than 3 million fewer hospital-acquired conditions, such as adverse drug events, catheter-associated urinary tract infections, central line associated bloodstream infections, pressure ulcers and surgical site infections, during that time period.

Why Geisinger posts negative physician reviews

http://www.healthcaredive.com/news/why-geisinger-posts-negative-physician-reviews/429810/

Late last month, CMS updated its Overall Hospital Quality Star Rating program, its first update since July. In the update, 112 hospitals are now deemed five-star hospitals, up from 102 five-star hospitals in July but down from 251 in April 2015. As Becker’s Hospital Review noted, the October release includes updated data on patient experience, safety, effectiveness and timeliness of care.

The star ratings are related to patient satisfaction with care experiences based on data from the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) measures. The survey covers topics such as how well nurses and doctors communicated with patients, how responsive hospital staff were to patient needs, how clean and quiet hospital environments were and how well patients were prepared for post-hospital settings.

Opponents of the ratings have argued they oversimplify complex data and thereby convey misleading information that can harm reputations and reflect unfairly on certain hospitals. However, the move toward value-based care and transparency has led some healthcare organizations – such as Intermountain Healthcare and Geisinger Health System – to publish what patients think of them, for better or worse.

Patient stories have a greater impact on clinicians more than metrics like HCAHPS, Dr. Greg Burke, chief patient experience officer at Geisinger, told Healthcare Dive last week after a panel discussion on patient experience at U.S. News & World Report’s Healthcare of Tomorrow conference.

Geisinger serves more than 3 million residents throughout 45 counties in Pennsylvania. The physician-led system is comprised of approximately 30,000 employees, including nearly 1,600 employed physicians. It’s been in the news a bit lately due to its unorthodox move implementing its ProvenExperience money-back guarantee (It has refunded at least $400,000as of August). Burke stated that Geisinger posts about 97-98% of the comments it receives on the system’s clinicians.

5 Things to Know About Drug Diversion

http://www.healthleadersmedia.com/nurse-leaders/5-things-know-about-drug-diversion?spMailingID=9652923&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=1020558128&spReportId=MTAyMDU1ODEyOAS2#

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Drug diversion and addiction among nurses is not uncommon, but it is often misunderstood. An expert shares insights to improve understanding.

Have you ever worked with a colleague who diverted drugs to feed an addiction?

Chances are you have, though you may not have known it, since drug diversion and addiction are often very secretive issues. Most estimates put nurses’ drug and alcohol misuse at around 6% to 10%, or about one in 10 nurses.

This makes it highly likely that at some point in your career you’ll encounter a colleague or staff member who is, or will, divert and misuse drugs.

Yet, diversion and addiction are still misunderstood, says Laura Wright, PhD, CRNA, associate professor in the Department of Acute, Chronic, and Continuing Care at The University of Alabama at Birmingham, School of Nursing.

 

“Addiction is a disease, it’s not a moral defect,” she says. “But, when I talk about addiction, I still get people asking me, ‘Why would they ever do that? That’s an awful thing. How could they do that to their children?'”

Here are five things Wright, who is a member of the American Association of Nurse Anesthetists Peer Assistance Advisors Committee, (AANA) wants nurses to know about drug diversion and addiction.

Allina nurses reject contract, remain on strike

http://www.startribune.com/allina-nurse-voting-underway/395751251/?utm_campaign=KHN%3A+Daily+Health+Policy+Report&utm_source=hs_email&utm_medium=email&utm_content=35296430&_hsenc=p2ANqtz-8gHTYiuu9s2-hzZYnd1K270pbRMyWvz5PDcZt1i3W3MLFf53479V9qmXTqnKTYCGtVf9r4rk273AF7mRMZfoQlf_qMDg&_hsmi=35296430

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Allina Health hospital nurses voted Monday night to reject a contract offer from their employer, increasing the likelihood that their walkout over health benefits, staffing and safety concerns will go down as the longest nursing strike in Minnesota history.

While the Minnesota Nurses Association had not recommended a “no” vote, many nurses said they felt Allina’s latest offer was too similar to one they rejected in August, and to the terms their union negotiators rejected during last-ditch negotiations in September to avert a strike.

A new sign reading “New Lipstick, Same Pig” appeared at the picket line outside Allina’s Abbott Northwestern Hospital in Minneapolis Monday morning, foreshadowing the vote result that the union announced at 10:30 p.m. in St. Paul.

While she declined to provide exact results, MNA executive director Rose Roach called the vote margin “resounding” and said it sent a clear message from front-line nurses to go back to the bargaining table. “Each of them voted with their conscience, and with their patients and their families in mind,” she said.

The results mean that strikes will continue at Abbott as well as United Hospital in St. Paul, Mercy Hospital in Coon Rapids, Unity Hospital in Fridley and the Phillips Eye Institute in Minneapolis.

More than 4,000 nurses have been on strike for 29 days, since Labor Day, after a one-week walkout in June. The state’s longest nursing strike, in 1984, lasted 38 days.

‘Bedless’ hospitals grow as industry moves toward outpatient care

http://www.fiercehealthcare.com/healthcare/bedless-hospitals-telehealth-grow-as-hospitals-move-toward-outpatient-care?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiWlRGaU5HUXlNVEE0WlRoaSIsInQiOiJlZ3VzVW84VXRrZVQyZFhnQnZZZk1EN2s0cEQydG5GbU03bnRQT0FZS3orUllZT2FVTGo1S0Myc0FkK09cL2dXRWNzeFFUMkIrVWQzVE9qY2FvVTJrVDI2SjFWVDl5aGkwa01GZ2l3cjhDcmc9In0%3D

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The changing nature of healthcare and patients’ desire for convenience have given rise to nontraditional care formats such as stand-alone emergency rooms and “micro-hospitals,” and now “bedless hospitals” are joining the push.

Such hospitals still have standard hospital features, including infusion suites, emergency rooms, helipads and operating areas, but no overnight space, according to STAT. For example, MetroHealth System recently opened a $48 million bedless facility in the Cleveland area. CEO Akram Boutros, M.D., said staff is expecting to serve around 3,000 patients during this first year.

“It reduces cost, and it reduces the risk of infection,” Boutros told the publication. “People go home to a less-risky environment, where they tend to get better faster.”

California Health Care Foundation – Interactive Presentation on Healthcare that Works

http://healthcarethatworks.chcf.org/#1

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New MRI technology could be placed outside shielded zones

New MRI technology could be placed outside shielded zones

MRI Scanner Illustration

Life sciences and diagnostic equipment maker Aspect Imaging, a division of Singapore-based Aspect International, and design and strategy firm frog, have collaborated to produce a new category of magnetic resonance imaging (MRI) machines.

The Embrace Neonatal MRI System preps and scans newborn babies in under one hour within a hospital’s neonatal intensive care unit (NICU). Unlike most MRIs, the system doesn’t require other medical equipment, cooling systems or a dedicated, shielded MRI facility.

Frog Creative Director James Luther said the design firm employed human-centered design process to perform field-work in neonatal intensive care units (NICUs) throughout the United States and Europe. The goal was to understand “the context, roles, work flow and pain points” in NICUs, eliciting the advice of NICU physicians and nurses and replicating a NICU that included incubators and mock silicone newborns.

Is the CQO Position Needed?

http://www.healthleadersmedia.com/quality/cqo-position-needed?spMailingID=9208161&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=961199903&spReportId=OTYxMTk5OTAzS0

“In a healthcare system’s most mature state, everyone owns quality,” says Baylor Scott & White Health’s chief quality officer. So if everyone owns quality, why have a CQO?

http://www.beckershospitalreview.com/quality/what-makes-an-ideal-chief-quality-officer.html

 

Photographer: Getty Images Hospitals That Mess Up Are Urged to Confess

http://www.bloomberg.com/news/articles/2016-06-10/hospitals-that-mess-up-are-urged-to-confess

Transparency is touted as better for patients, families, and the bottom line. Some malpractice lawyers are skeptical.

http://www.bloomberg.com/view/articles/2016-07-05/make-hospitals-come-clean-about-errors?_hsenc=p2ANqtz-8ZpJHzsW6ezhTNDzhthaaXe6weEgaxabXDhTr3Tnr4tY83AkIxknJyohj6Vu-VhfX2tS0Xo3ep8RxBlqIckVnwVBZmPQ&_hsmi=31344233&utm_campaign=KHN%3A+Daily+Health+Policy+Report&utm_content=31344233&utm_medium=email&utm_source=hs_email

Why Hospitals Are Now Much Less Likely to Kill You

http://www.thefiscaltimes.com/2016/06/15/Why-Hospitals-Are-Now-Much-Less-Likely-Kill-You?utm_campaign=541c47950e351dbe08037e5f&utm_source=boomtrain&utm_medium=email&bt_alias=eyJ1c2VySWQiOiJlYTVkYTNmYi1jYzljLTQzYTMtOGQ0ZS00NTc0NWNlNWFiN2QifQ%3D%3D

For decades, checking into a hospital was a high-risk venture. Patients were as likely to die from a doctor’s error, a bad drug reaction or serious infection picked up from a catheter than from major scheduled surgery or medical treatment.