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Effect of CJR bundled payment program on care delivery

Editor’s Note Participation in the Comprehensive Care for Joint Replacement (CJR) bundled payment program was associated with changes in care delivery and compensation practices, this study finds. This survey of 73 orthopedic surgeons found that those practicing in CJR hospitals were more likely to report their hospitals had implemented programs aimed at improving postdischarge care […]

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Most hospitals will get increased Medicare payments in 2019

Editor’s Note The Centers for Medicare & Medicaid Services announced December 3 that more than 1,550 hospitals will share $1.9 billion in bonus payments under the Hospital Value-Based Purchasing Program for FY 2019. Though it is a slight decline from FY 2018, average performance scores were higher at 38.1%, compared with 37.4%, indicating improved quality […]

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Trauma of hospitalization associated with greater risk of readmission, ED visit

Editor’s Note Poor sleep, missed meals, less physical activity, and stress during hospitalization was associated with a greater risk of 30-day readmissions and emergency department (ED) visits, in this Canadian study. In this analysis of 207 patients, 75 (36.2%) reported sleep disturbance, 162 (78.3%) reported mobility disturbance, 114 (55.1%) reported nutrition disturbance, and 48 (23.25) […]

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CMS: New online tool compares cost differences for outpatient procedures

Editor’s Note The Centers for Medicare & Medicaid Services (CMS) on November 27 launched a new online tool that compares Medicare payments and co-payments for certain outpatient surgical procedures performed in hospitals and ambulatory surgery centers. The “Procedure Price Lookup” tool will help Medicare patients consider potential cost differences when choosing the surgical setting that […]

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HHS issues draft strategy to reduce burdens linked to EHRs, health IT

Editor’s Note The Department of Health and Human Services (HHS) on November 28 issued a draft strategy to reduce administrative and regulatory burdens caused by electronic health records (EHRs) and health information technology (health IT). The draft “Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs” outlines three […]

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Study: ‘Meaningful use’ of EHRs linked to shorter LOS

Editor’s Note Hospitals that successfully attested to “meaningful use” of electronic health records (EHRs) experienced a shorter patient length of stay (LOS) in this study. This analysis of patient data from California categorized hospitals into one of three categories−partial adoption of EHRs, full adoption of EHRs, and meaningful assimilation of EHRs−depending on whether the hospital […]

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Reliability of measuring surgeon spending for MIPS

Editor’s Note The Centers for Medicare & Medicaid Services should measure surgeon spending at a group level or incorporate multiple years of data to reduce misclassification of surgeon performance in its Merit-based Incentive Payment System (MIPS) program, this study finds. University of Michigan researchers found that annual cost-profiles of individual surgeons had poor reliability in […]

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Comprehensive ROI pitch helps to procure OR equipment

Multiple requests for new equipment and technology—usually from surgeons but also sometimes from staff—are not uncommon. As part of their due diligence, OR leaders must determine whether the return on investment (ROI) justifies the purchase. Doing ROI calculations systematically—and involving key stakeholders—can help ensure that the organization makes the best choices. “I try to put […]

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Block schedule best practices: Calculate, allocate, and regulate

A common strategy for managing OR utilization is block scheduling: Assigning surgical time to individual surgeons or surgeon groups based on their volume. But what sounds like a simple process is often More »

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Editorial

Polls leading up to the midterm elections put healthcare as the top issue of concern among likely voters, with gun policy, Supreme Court nominees, the economy and jobs, and education right behind it. In a year More »

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