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.
Wound ulcers are painful and costly complications of care. They extend length of stay and dramatically increase costs associated with patient encounters. Negative-Pressure Wound Therapy (NPWT) is a therapeutic technique using a vacuum dressing to promote healin.
In 2015, the United States Department of Justice reached 70 settlements involving 457 hospitals in 43 states for more than $250 million related to cardiac devices that were implanted in Medicare patients in violation of Medicare National.
Patients undergoing high risk surgical procedures can significantly reduce their risk of post operative death by selecting a high-volume provider versus a low volume provider.
In a study by The Commonwealth Fund, The United States ranked last among 19 industrialized nations on “preventable mortality” which were defined as “mortality amenable to health care—deaths that might have been prevented.
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.
Potentially Preventable Complications (PPC) identify potentially preventable harmful events or negative outcomes originating during inpatient care that result from the processes of care and treatment rather than from the natural.
The Department of Justice has reached 70 settlements involving 457 hospitals in 43 states for more than $250 million related to cardiac devices that were implanted in Medicare patients in violation of Medicare National Coverage Determinations (NCDs). The NCD provides.
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%.
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.
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.
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.
Surgeon case volume, not institution case volume, is the primary determinant of in-hospital mortality after elective open abdominal aortic aneurysm repair. With AAA repair, mortality reduction was associated with annual institution volume.
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.
Major Findings: While there are low-volume hospitals that provide excellent care and high-volume hospitals that provide relatively poor care, numerous studies confirm that patients undergoing Coronary Artery Bypass Graft (CABG).
The recently signed 21st Century Cures Act requires Medicare to account for patient socioeconomic backgrounds when it calculates reductions in its payments to hospitals under the Hospital Readmissions Reduction Program (HRRP).
Odds ratio for death within 30 days of surgery in relation to the hospital volume of the same surgical procedure and the hospital volume of the other four procedures. With the exception of colorectal resection, 30-day mortality.
Hospital characteristics have long been viewed as variables to be used in either risk stratification or risk adjustment measures. The long held views were that teaching hospitals and urban hospitals have disproportionate shares of sicker.
Patients undergoing high risk surgical procedures can significantly reduce their risk of post operative death by selecting a high-volume provider versus a low volume provider. A study covering mortality associated with six different.
Ultimately, what PurpleLab enables is to understand which providers are ready and able to manage the “risk” they will incur under value-based reimbursement programs such as “bundling”.