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National Patient Safety Efforts Save 125,000 Lives and Nearly $28 Billion in Costs

National Patient Safety Efforts Save 125,000 Lives and Nearly $28 Billion in Costs. Hospital-Acquired Conditions (HACs) are 28 specific conditions that are not present on admission but are instead “acquired” during a stay.  Essentially, HACs are conditions that a patient develops while being treated for something else by a provider.  Examples of HACs include largely preventable […]

Multiple studies confirm that Medicare’s payment reduction policies for complications has not resulted in reductions in complications.

Multiple studies confirm that Medicare’s payment reduction policies for complications has not resulted in reductions in complications. The CMS policy of withholding additional Medicare payment for mediastinitis was not associated with a reduction in actual infection rates during the first 2 years after policy implementation. Similar findings were associated with catheter-associated urinary tract infections (CAUTIs), […]

Relationship between surgeon volume and outcomes: a systematic review of systematic reviews

Relationship between surgeon volume and outcomes: a systematic review of systematic reviews. A systematic review of 32 separate systematic reviews, yielded a trend of surgeon volume-outcome relationship for the following procedures/conditions: AAA, cystectomy, esophageal cancer, head and neck cancer, lung cancer, pancreatic surgery, radical prostatectomy, and total knee arthroplasty.  Overall, the systematic reviews tend to support […]

Mortality and Readmissions are not inversely related

Mortality and Readmissions are not inversely related. Median RSMR was 16.57% for AMI, 11.06% for HF, and 11.46% for pneumonia. The RSMRs ranged from 10.90% to 24.90% for AMI, from 6.60% to 19.85% for HF, and from 6.36% to 21.58% for pneumonia. The median RSRR was 19.87% for AMI, 24.42% for HF, and 18.09% for […]

Complications account for nearly 10 percent of inpatient hospital costs

Complications account for nearly 10 percent of inpatient hospital costs. Potentially Preventable Complications (PPC) increased lengths of stay for inpatient admissions resulting in dramatically increased total costs of care. A study of 3 hospitals for two 9 month periods showed that two PPCs — urinary tract infection and pneumonia – experienced substantially longer inpatient stays […]

High surgeon volume conferred a greater mortality reduction than did high institution volume.

High surgeon volume conferred a greater mortality reduction than did high institution volume. Surgeon case volume as well as institution case volume are determinants permanent stoma associated with post colorectal surgery. Higher hospital volume was associated with significantly lower rates of permanent stomas (OR=0.64, 95% CI 0.45 to 0.90) and APER (OR=0.55, 95% CI 0.42 […]

Critical Access Hospital (CAH) can opt out of Medicare quality measures, including those published on the Hospital Compare website as well as those on Quality.net.

Critical Access Hospital (CAH) can opt out of Medicare quality measures, including those published on the Hospital Compare website as well as those on Quality.net. Critical Access Hospital (CAH) designation was established to provide rural residents local access to emergency and inpatient care. CAHs – while exempt from comparison to non-CAH hospitals – demonstrate worse […]

Unnecessary / Otherwise Preventable Deaths Occur Each Year

Unnecessary / Otherwise Preventable Deaths Occur Each Year. The National Academy of Medicine (NAM), previously known as the Institute of Medicine (IOM), found as far back as 1999 – that as few as 44,000 people and as many as 98,000 people – die in hospitals each year as a result of medical errors that could […]

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