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News in Healthcare 2007
Timely Information From Around the Country that Impacts the Way You Work!
New Fact Sheet Available for Healthcare Worker - December 2007 The latest addition to OSHA's ongoing series of safety and health fact sheets is Seasonal Influenza Vaccination-Important Protection for Healthcare Workers . The document discusses the importance of employers encouraging influenza vaccination for their healthcare employees to help reduce the risk of contracting influenza and spreading the illness to their families and patients.December 2007 Consumer Health World Award Winners - December 2007 The Consumer Health World Awards, held Tuesday, December 4, 2007, recognized excellence and advancement in service, products and programs that enhance consumers' abilities to manage their healthcare expenditures and enhance healthcare quality. View the entire list of winners. Report Outlines Role for Call Centers in Health Emergencies - December 2007 A new report from the Agency for Healthcare Research and Quality recommends expanding the capabilities of poison control centers, nurse advice lines, drug information centers and health agency hotlines to serve the public in a health emergency.HRSA issues Online Course on Provider-Patient Communications - December 2007 The Health Resources and Services Administration has launched an online training course to help health care providers communicate effectively with patients based on the patients’ health literacy, cultural background and language skills. The course’s five modules take about four to five hours to complete. HRSA Administrator Elizabeth Duke called the course “an innovative way” to advance health literacy efforts.Health Plan Mergers Harm Patients, Physicians, House Panel Told - December 2007 The American Medical Association and American Academy of Family Physicians yesterday called for federal action to address growing consolidation in the health insurance market. At a House Committee on Small Business hearing, AAFP President James King, M.D., said, “Looking at the U.S. as a whole, only two insurers cover a third of all commercially insured lives. This market consolidation gives these health plans excessive power in determining the conditions of coverage, payment and practice.” Consolidation “has left physicians with little leverage against unfair contract terms that deal with patient care and little control over their own employees’ rising health insurance premiums.”AHA Seeks to Educate Members on RACs - December 2007 The AHA today sent members the first in a series of advisories on the Medicare Recovery Audit Contractor program. The Centers for Medicare & Medicaid Services plans to expand the demonstration program from five states today to all 50 by March 2008. RACs are authorized by Congress to identify improper Medicare payments – both overpayments and underpayments – and are paid on a contingency fee basis, receiving a percentage of the improper payments they identify and collect. AHA members should watch for additional AHA outreach and educational strategies on the RAC issue in coming weeks, including member conference calls. They can access today’s advisory online.NIH Program helps Nurses Communicate with Parents about SIDS - December 2007 The National Institutes of Health has created a continuing education program to help nurses communicate the risk factors for Sudden Infant Death Syndrome to parents and child caregivers. The program reviews the most current research on SIDS and provides answers to the most common questions new parents ask about safe sleeping.Medical Home Improves Care Coordination, Study in 7 Nations Finds - November 2007 Patients who have a “medical home” are less likely to report shortfalls in care coordination than those who don’t, according to a new survey of patients in the U.S. and six other countries. The Commonwealth Fund study, published online by Health Affairs, found only 50%-60% of adults across the countries surveyed have a regular doctor or source of primary care that is easy to contact by phone, knows their medical history and helps coordinate care -- key attributes of a medical home.Final 2008 Outpatient and Physician Fee Schedule Rules Released – November 2007 The Centers for Medicare & Medicaid Services today released its final rule updating Medicare payment rates for hospital outpatient and ambulatory surgery centers for calendar year 2008. Also released was the CY 2008 physician fee schedule final rule. It provides a physician payment update of minus 10.1% in 2008, contains payment changes for Part B drugs and other services as well as 2008 quality measures for physicians, and increases the value of the work component of anesthesia services by 32%. Both final rules will be published in the Nov. 27 Federal Register.Study: Hospital Liability Claims Continue to Fall - November 2007 Hospital professional liability claims are at their lowest levels in eight years, according to the latest annual study by Aon Corp. with the American Society for Healthcare Risk Management. The field saw no increase in the frequency of claims for the third straight year in 2007 and claim severity increased at a relatively low 3%. According to the report, patient safety initiatives aimed at obstetrics and emergency departments are linked to fewer claims in those areas. Study author Greg Larcher, director and actuary of Aon Global Risk Consulting, said he expects many hospitals to realize lower liability expense in 2008. ASHRM is an AHA personal membership group.Study, Panel Examine Healthcare Cost and Access Challenges - October 2007 Little has changed since 2005 to break the cycle of rising healthcare costs, declining insurance coverage and widening inequities in access to care, according to a study of 12 U.S. communities released today by the Center for Studying Health System Change. The authors also noted greater transparency of quality and cost information, increasingly strained relationships between physicians and hospitals and increased competition from physician owners of healthcare facilities. Participating in a panel discussion of the findings at a conference in Washington, AHA Senior Vice President Carmela Coyle said, ”Change is needed in this country and in the healthcare system… We will not get serious change unless people are willing to look at serious solutions.” She said AHA and its board are playing a leadership role in promoting prevention and other key health reforms with their Health for Life framework, a set of goals and agenda for creating better, safer and more affordable care.Program Helping Hospitals Improve Language Services - October 2007 A Robert Wood Johnson Foundation program is helping 10 hospitals identify and assess strategies to effectively provide language services to patients with limited English proficiency, according to a new report on the program. The hospitals are able to track demand for interpreters, assess how well they are meeting that demand and design interventions to improve their services. More on the program and participating hospitals, including an online video, is available at www.speakingtogether.org.Tool Compares Presidential Candidates’ Healthcare Proposals - October 2007 The Kaiser Family Foundation has released an online toolto compare the healthcare proposals of presidential candidates. The tool presents a summary of the candidates’ positions on access to health care coverage, cost containment, quality of care and financing. The summaries are based on information on the candidates’ Web sites and from speeches, debates and news reports. They will be updated as the campaign unfolds.RWJF Awards Nursing Quality Research Grants - October 2007 The Robert Wood Johnson Foundation has awarded $3.6 million to 12 research projects to improve patient safety in hospitals. The grants are part of a $10 million initiative that involves interdisciplinary research teams in projects related to the work of nurses, and engages end-users of the research in the design of the projects. This is the second annual award under the five-year program, launched last year. The latest recipients are Brigham & Woman's Hospital, University of Maryland, University of Minnesota, Columbus Children's Hospital, University of Rochester, Rutgers University, Marquette University, Medical University of South Carolina, University of Pennsylvania, University of California, University of Iowa and Johns Hopkins Hospital.Report Offers Tips for Collecting Data on Patient Race, Ethnicity - October 2007 The latest report from a Robert Wood Johnson Foundation program offers tips to help hospitals collect data on patient race, ethnicity and language to improve health care quality. According to Romana Hasnain-Wynia, vice president of research for AHA's Health Research & Educational Trust affiliate and a consultant to the program, the 10 hospitals participating in the "Expecting Success" program found it helpful to discuss the data collection process and its purpose with everyone from the CEO to frontline staff, assure them that it's legal to collect these data, specify a time and place to collect the data, ensure the data transfers to all relevant databases, use consistent data categories and have patients provide the information. The project is helping the hospitals measure the quality of cardiac treatment they provide to patients based on their race, ethnicity and primary language to ensure consistent care across patients.Baby Love - October 2007 Strong Memorial Hospital of the University of Rochester Medical Center - Rochester, New YorkBaby Love is a community-based outreach program of the University of Rochester Medical Center's Strong Memorial Hospital that is designed to engaged at-risk women in early and continuous prenatal care. Baby Love is a home visit program designed to reduce infant mortality, premature births, low birthweight rates and foster care placement in poor inner-city neighborhoods. Recent evaluation of the program revealed that high-risk pregnant mothers who participated in the program had significantly fewer neonatal intensive care admissions for their babies. To find out how you can start a similar program, contact: Be A Friend 4 Life - October 2007 St. Joseph's Hospital - Chippewa Falls, WisconsinBe a Friend 4 Life is a community education and awareness campaign focusing on breast cancer and the urgency for women to consult with their physician and the importance of mammograms. The program involves education packets that are sent to women requesting information. Now in the second year, the campaign has seen success with a 13% increase in the number of mammograms performed last quarter. To find out how you can start a similar program, contact: Aging With Dignity - October 2007 To help make end-of-life decision-making accessible for all individuals regardless of culture, ethnicity or language, AHA is helping distribute free translations of Aging with Dignity's Five Wishes. Five Wishes is an Advance Directive, or living will, that helps people make important end-of-life-care decisions that address their medical, personal, emotional and spiritual needs before a health crisis.Thanks to funding from United Health Foundation, Five Wishes is now available in 20 Languages. AHA has joined Aging with Dignity in the 500,000 Wishes campaign, a commitment to distribute half a million copies of translated Five Wishes documents over the next year. As part of that commitment, AHA sent CD-ROMs with the translated materials to all U.S. Hospitals as well as members of the Society for Healthcare Consumer Advocacy and members of the American Society of Directors of Volunteer Services.
To get your free copy, contact Aging with Dignity at www.agingwithdignity.org. StatCom Launches Healthcare Webcast Series with Focus on Improving Patient Throughput - September 2007 StatCom, a provider of patient flow logistics and tracking software, announced the launch of a healthcare IT focused webcast series. The webcasts will feature industry thought leader guest speakers candidly discussing patient flow logistic challenges, trends, innovations, and technologies. The first webcast in the series, "Hospital Performance Challenges: Are the Flintstones and Jetsons Living in the Same Building?" is now available for viewing. Read More.Register Now for the Free Webinar, "Proactive Patient Warming: Prevent Unintended Hypothermia, Reduce SSIs" - September 2007 Brought to you by ICT and the Infection Control Education Institute, this pre-recorded Webinar will be available on-demand on Wednesday, Sept. 26, 2007. Unintended hypothermia is associated with adverse outcomes, including an increased rate of surgical site infections (SSIs).Unintended hypothermia can be easily prevented by actively warming patients before surgery. Listen to a national patient advocate address the issue of surgical site infection and learn how actively pre-warming patients can prevent hypothermia and reduce the incidence of SSIs. The speakers are Lisa McGiffert, project director of StopHospitalInfections.org, and Doreen Wagner, RN, MSN, CNOR, a nurse educator and international speaker, author, and independent consultant.For more information and to register,CLICK HERE. Drug Resistance Gene Has Spread to Midwest - September 2007 A resistance gene that allows bacteria to beat an important class of antibiotics has started to appear in microorganisms taken from Midwestern patients, according to researchers at Washington University School of Medicine in St. Louis. Read More.CMS Publishes Fnal Rule for Estimating Medicaid, SCHIP Improper Payments - September 2007 The Centers for Medicare & Medicaid Services today published a final rule setting forth state requirements for estimating improper payments for Medicaid and the State Children's Health Insurance Program. The rule, effective Oct. 1, responds to public comments on last year's interim final rule. The Improper Payments Information Act of 2002 required federal agencies to report to Congress annual estimates of improper payments and actions to reduce erroneous payments. Read More.ACHI Online Store - August 2007 ACHI now has an online store that sells downloadable versions of past educational audio conferences. Created to meet demand for sessions after they've run live, the store offers an easy way to continue disseminating the good work of hospitals. If you'd like to give it a spin, go to www.communityhlth.org and click on the "ACHI Online Store" banner.The Hospital Worked Wonders. Can You Return the Favor? - August 2007 Grateful patient syndrome" is a nickname for what occurs when people are so appreciative of the medical care they or family members have received that they donate money to a hospital or to related research or organizations. Donors may seek to educate people about preventing health problems, to support those who are currently fighting an illness, or to finance research. And each gift, whether massive or modest, has its own story. Read More.CMS Announces Payment Changes for Medicare Home Health Services - August 2007 The Centers for Medicare & Medicaid Services (CMS) issued a final rule to refine and update the Home Health Prospective Payment System (HH PPS) for Calendar Year (CY) 2008. This final rule reflects the ongoing efforts of CMS to support beneficiary access to home health services and improve the quality and efficiency of care provided to Medicare beneficiaries through more accurate payments for services rendered. Refinements to the Medicare HH PPS as well as the annual update to the Medicare payment rates for home health services will disburse an estimated additional $20 million in payments to home health agencies in CY 2008. Read More.Joint Commission Introduction to Emergency Management - August 2007 Catastrophic emergencies are a threat to any health care organization, regardless of size, scope, or location. A single emergency can temporarily affect demand for services; however, multiple emergencies that occur concurrently or sequentially can adversely impact patient safety and the [organization]'s ability to provide care, treatment, and services for an extended length of time. Read More.J (NYSE: JNJ) Sues Red Cross Over Use of Red Cross Emblem - August 2007 WASHINGTON, D.C., August 8, 2007-Today, Johnson & Johnson (J&J) filed a lawsuit against the American Red Cross and four of its licensing partners for "unlawful conduct" related to the nonprofit's use of the Red Cross emblem.Read this Article. View the J&J Key Messages. View J&J FAQ on the topic. CMS Revises ASC Requirements - August 2007 The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that will revise the requirements that ambulatory surgical centers (ASCs) must meet in order to bill Medicare for services furnished to beneficiaries. This proposed rule would update the existing ASC Conditions for Coverage (CfC) to reflect contemporary standards of practice in the ASC community, as well as recommendations from the HHS Inspector General. The new requirements will promote and protect patient access to quality services in ASCs. ASCs are typically free- standing facilities that perform outpatient surgery. Read More.TN Center Targets Patient Safety – August 2007 The Tennessee Hospital Association today launchedthe Tennessee Center for Patient Safety, which will help hospitals in the state implement evidence-based practices to improve patient safety and performance on national quality measures. The center’s first projects will work to reduce healthcare-acquired infections and integrate nurse staffing, work environment and patient safety. “We expect these projects to have a broad impact on the quality and reliability of care delivered to patients across Tennessee in the future,” said THA President Craig Becker. The center has received funding from the BlueCross BlueShield of Tennessee Health Foundation.Swabs in Hand, Hospital Cuts Deadly Infections - August 2007 At a veterans' hospital in Pittsburg, nurses swab the nasal passages of every arriving patient to test them for drug-resistant bacteria. Those found positive are housed in isolation rooms behind red painted lines that warn workers not to approach without wearing gowns and gloves. Every room and corridor is equipped with dispensers of foamy hand sanitizer. Blood pressure cuffs are discarded after use, and each room is assigned its own stethoscope to prevent the transfer of microorganisms. Using these and other relatively inexpensive measures, the hospital has significantly reduced the number of patients who develop deadly drug-resistant infections, long an unaddressed problem in American hospitals.Read more.Hospital Quality Alliance Adopts Outpatient Measures – August 2007 The Hospital Quality Alliance (HQA) has adopted, on a preliminary basis, 10 performance measures of hospital outpatient quality. That is, for the first time, the HQA will ask hospitals to voluntarily report to Hospital Compare information about hospital outpatient quality. These measures join the 32 inpatient clinical process and outcome measures, as well as other patient experiences of care measures, already adopted by the HQA. Subsequently, the Centers for Medicare & Medicaid Services (CMS) released the 2008 outpatient prospective payment system (OPPS) proposed rule, in which the agency proposes to use the recently adopted HQA measures for reporting in the upcoming outpatient quality reporting program. Find out what you can do.Lofton Set to Appear on Larry King Show - July 2007 AHA Board Chairman Kevin Lofton is scheduled to appear on CNN’s “Larry King Live” show at 8 p.m. Eastern Time tonight to talk about health care coverage. He will be joined by several other health care leaders. A plug for the show at CNN.com reads, “Access denied - America's health care crisis. Can the system be fixed? And if so, at what cost?”BLOG: Top 10 Posts Health Affairs< Blog Posts For June: Effectiveness, EBM, And More - July 2007 This past month the most-read posts on the Health Affairs Blog focused particularly on the quest for value and quality via evidence-based medicine (EBM), comparative effectiveness lessons from the UK, and new research on quality and P4P. To read and respond to these posts, click here.Call for Nominations - July 2007 The Circle of Life Award: Celebrating Innovation in Palliative and End-of-Life Care is presented annually to honor organizations striving to improve the care provided to patients with life-threatening conditions or near the end of life. In 2008, up to three organizations will win Circle of Life Awards; additional organizations may receive Citations of Honor. Awards and citations will be presented at the American Hospital Association Health Forum Summit, July 24-26, 2008, in San Diego.
All organizations or groups in the United States that provide palliative or end-of-life care are eligible for the award.
Applications are due September 14, 2007.
More information on the award and previous recipients is available online http://www.aha.org/circleoflife. Please call the American Hospital Association Office of the Secretary at 312/422-2704 or e-mail circleoflife@aha.org with questions about the award process or application. Visits to Emergency Departments Jump to All-time High of 115 million– July 2007 Visits to emergency departments increased to an all-time high of 115 million in 2005, 5 million more than in 2004, according to a new report from the Centers for Disease Control and Prevention. The American College of Emergency Physicians (ACEP) said the increase in visits combined with closures of emergency departments threaten the safety of patients and will further endanger an already fragile system. Read More.Payment, Policy Proposals for Hospital Outpatient Services in 2008 Emphasize Value-based Purchasing– July 2007 On July 16, 2007, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update the hospital Outpatient Prospective Payment System (OPPS) effective for services furnished during calendar year (CY) 2008 to people with Medicare. In addition to proposing payment changes for services in hospital outpatient departments (HOPDs), the proposed rule includes provisions that would encourage higher quality care through the reporting of quality measures and would improve efficiency through payment for larger bundles that would give hospitals greater flexibility in deciding how to provide care by expanding payment bundles. Read more.VHA Inc. Helps Clinicians Redefine Palliative Care – July 2007 Traditionally, palliative care is viewed as the care a patient receives during the last few weeks of life; however, palliative care begins the minute a patient walks into the hospital and is admitted. VHA Inc., a national health care alliance, recognized the need to redefine palliative care as an integral part of services patients, with life-limiting diseases, receive alongside medical treatment in the intensive care unit (ICU). With clinicians' support and guidance, VHA created the nation's first operationalized set of quality indicators, or standards of care, for ICU palliative care. See this article.Spectrum Surgical Instruments Corp. to Enter Japanese Healthcare Market – July 2007 Spectrum Surgical Instruments Corp. is pleased to announce an agreement with M-S Surgical, a Tokyo based supplier of surgical and sterile processing equipment. Spectrum has long had distribution channels in Europe, but this is the company's first entry into the Japanese market. Read More.CMS Posts Q&A on Discharge Appeal Rights – July 2007 The Centers for Medicare & Medicaid Services this week posted to its Web site a series of questions and answers to help hospitals comply with the new “Important Message from Medicare” (IM) and “Detailed Notice of Discharge” forms that hospitals now must use to notify Medicare beneficiaries about their discharge appeal rights. The Q&A notice addresses 13 topics, including implementation, authorized representatives, documentation of the IM follow-up copy and inpatient-to-inpatient transfers.Grant to Help Hospitals Redesign Care Delivery– July 2007 The American Organization of Nurse Executives has received a second grant from the Robert Wood Johnson Foundation to develop and disseminate practical tools to help hospitals redesign care delivery to improve patient safety and quality. The supplemental grant of more than $600,000 brings the grant total for the “Disseminating Transforming Care at the Bedside” (TCAB) project to more than $1.5 million, which will allow AONE to share insights from the project with 68 hospitals nationwide. The project engages nurses to develop interventions and design new processes that improve care and lead to better staff morale. Participating hospitals will be taught the basics of the TCAB innovation process with a focus on nurse managers and team training.Spanish Discharge Appeals Forms Available – July 2007 The Centers for Medicare & Medicaid Services finally has posted to its Web site Spanish versions of the two forms hospitals must use beginning today to notify Medicare beneficiaries about their discharge appeal rights. In addition to the new “Important Message from Medicare” and “Detailed Notice of Discharge” forms, the Web site includes English and Spanish instructions for using the forms.ISMP Urges Caution in use of Narcotic Patch – July 2007 The Institute for Safe Medication Practices last week encouraged certain safety precautionswhen prescribing fentanyl patches to treat acute pain. ISMP said the patches should only be used by opiate-tolerant patients with chronic pain that is not well-controlled with shorter-acting analgesics, and that specific prescribing and dispensing guidelines based on product labeling should be developed and referenced during order entry in inpatient and outpatient settings. ISMP said the patch should always be prescribed at the lowest dose needed and take into account any other opiates prescribed to the patient, and that patients and their caregivers should be educated about how to use the patch safely.The Free Webinar, "Making Sense of the Evidence: From Papers to Practice," is Available - July 2007 The Webinar, "Making Sense of the Evidence: From Papers to Practice," is available on demand 24/7. Speakers will discuss how clinicians are challenged with finding, understanding and applying scientific evidence that supports best practice. In many cases, evidence may be incomplete or lacking, but the need to maintain a safe and effective healthcare environment remains urgent. This Webinar will discuss what constitutes infection-related evidence, the differing ways it is used, and will provide tools to participants to facilitate understanding and use of evidence in published studies. To access this free Webinar, visit http://www.iceinstitute.com/webinar_evidence.htmlBill Would Promote Employee Wellness Programs – July 2007 Sens. Tom Harkin (D-IA) and Gordon Smith (R-OR) today introduced the Healthy Workforce Act, AHA-supported legislation that would provide tax incentives to businesses that offer comprehensive wellness programs. “Every year, U.S. businesses spend billions of dollars on employee health care yet thousands of employees suffer unnecessarily from common chronic conditions,” said AHA Executive Vice President Rick Pollack. “Today’s legislation rightly joins employers, health providers and Americans together to fight chronic disease and foster healthier lifestyles. Together, we can manage and often prevent chronic conditions. Many employers have programs in place that actively promote wellness. By acknowledging the hard work done and encouraging additional employers to join the effort, we can create a network of support and resources that help even more working Americans exercise regularly, eat healthier and access preventive tests and screenings. The American Hospital Association applauds Senator Harkin and others for their leadership and commitment to America’s health.”Study: List Excludes Some Top Hospitals for Heart Attack Care – July 2007 U.S. News & World Report’s annual ranking of “best hospitals” excludes some top hospitals for heart attack care, according to a study in today’s Archives of Internal Medicine. Researchers at Yale University School of Medicine compared 30-day mortality rates for heart attack patients at 50 hospitals ranked best for “heart and heart surgery” by the magazine in 2003 with similar patients at more than 3,800 other hospitals. While admission to a ranked hospital was associated with lower morality on average, nearly three times as many non-ranked hospitals performed as well, the study found. An accompanying editorial notes that most hospital rating systems “seem to do a reasonable job at identifying groups of hospitals that perform well on average, yet there is considerable uncertainty regarding the true performance of a particular hospital.” Thus, the authors suggest that the true value of the public information is to spur enhanced quality improvement efforts rather than to provide a solid foundation for consumer choice.
Keeping Patients' Details Private, Even From Kin – July 2007 An emergency room nurse in Palos Heights, Ill., told Gerard Nussbaum he could not stay with his father-in-law while the elderly man was being treated after a stroke. Another nurse threatened Mr. Nussbaum with arrest for scanning his relative’s medical chart to prove to her that she was about to administer a dangerous second round of sedatives.The nurses who threatened him with eviction and arrest both made the same claim, Mr. Nussbaum said: that access to his father-in-law and his medical information were prohibited under the Health Insurance Portability and Accountability Act, or Hipaa, as the federal law is known. Mr. Nussbaum, a health care and Hipaa consultant, knew better and stood his ground. Nothing in the law prevented his involvement. But the confrontation drove home the way Hipaa is misunderstood by medical professionals, as well as the frustration — and even peril — that comes in its wake. Government studies released in the last few months show the frustration is widespread, an unintended consequence of the 1996 law. Read More. Strategies for Community Connections; Connecting Hospital Leaders – June 2007 The work hospitals do extends beyond hospital walls, from free clinics to job training to immunizations and much more. As a resource for hospital leaders, AHA is sharing examples of how hospitals are making America healthier, community by community. Download the Flyer.An HRET - AHA Quality Center Action Learning Lab – June 2007 June 28-29 - This HRET-AHA Quality Center Action Learning Lab promises to be not only an innovative and powerful learning experience, but also a great opportunity to add on an additional team-building experience for your leadership team or just a great family vacation. Download the Flyer.VHA Inc. Initiative Helps Hospitals Improve Operating Room Efficiency and Patient Care – June 2007 IRVING, Texas -- Operating rooms (OR) are important centers of patient care and hospital revenue, but a significant portion of OR time is consumed by non-operative activities. To improve care and enhance revenue opportunities, hospitals need to make improving operating room efficiency a high priority. In spring 2006, VHA’s regional office in Indianapolis, launched an initiative to help hospitals improve clinical practices and patient care in the operating room. Twenty-nine hospitals from Illinois, Indiana, Michigan and Ohio joined the VHA national initiative through the regional office. Read more.AMA Consortium Approves 10 New Physician Quality Measures – June 2007 A consortium convened by the American Medical Association today approved 10 new physician quality measures. The Physician Consortium for Performance Improvement said the measures, available at www.physicianconsortium.org, will help physicians assess and treat prostate cancer, prevent infections in the hospital environment and provide standardized breast and colorectal cancer pathology reports. In total, the group has approved 184 quality measures. Founded in 2000, the Consortium has developed performance measures that cover conditions that represent 80% of Medicare spending.Nation’s Largest Medicaid Program Spotlighted – June 2007 Medicaid provides health insurance to 6.6 million Californians, including one-third of the state’s children and two-thirds of its nursing home residents, according to a new report from the California HealthCare Foundation. The program covers nearly half of all births in the state and the majority of people living with AIDS. Children account for 48% of program beneficiaries and 23% of spending, while seniors and non-elderly adults with disabilities account for 25% of beneficiaries and 61% of spending. About 53% of Medi-Cal beneficiaries are Latino.Program Targets SC Youth Suicides – June 2007 South Carolina will receive $1.03 million over three years from the Substance Abuse and Mental Health Services Administration to implement a suicide prevention program for youth ages 10-24. Project SAFE (Suicide Awareness for Everyone) will target three mainly rural regions of the state with a youth suicide rate significantly higher than the national average. “By working with suicide prevention in schools and on athletic fields, in workplaces and places of worship, and at home, we can save thousands of lives,”said SAMHSA Administrator Terry Cline.Program to Help Consumers Advocate for Health Coverage – June 2007 The Robert Wood Johnson Foundation and Community Catalyst today launcheda $12 million effort to support state-based consumer advocacy for health care coverage. The Consumer Voices for Coverage program will award competitive three-year grants of up to $750,000 to strengthen consumer health advocacy networks in selected states. “Health care coverage is a top priority for the Robert Wood Johnson Foundation, and we are committed to supporting the consumer voice for health care reform in this country,” said RWJF President and CEO Risa Lavizzo-Mourey, M.D. For details on the program and its call for proposals, visit www.voicesforcoverage.org.Scorecard Ranks States on Health Care Access, Cost, Quality – June 2007 Health system performance varies widely across states, according to a scorecard released today by a Commonwealth Fund commission. The state scorecard assesses health system performance on 32 measures of access and quality, avoidable hospital use and costs, equity and healthy lives. If all states performed as well as the top quartile, the panel estimates the nation annually would save billions of dollars and have 90,000 fewer deaths under age 75 from preventable conditions and half as many uninsured people. To improve performance across states, the commission calls for universal health coverage, more information on practices and policies that contribute to high or varying performance, and national leadership and collaboration across public and private sectors. Checklist Helps Hospitals Plan for Flu Pandemic– June 2007 The Centers for Disease Control and Prevention has developed a checklist to help hospitals prepare for a flu pandemic. The checklist includes sections for assessing a hospital’s pandemic flu planning and decision-making, and progress toward a written pandemic flu plan. The agency calls the checklist “one of several tools for evaluating current plans,” and recommends each hospital adapt the list to its unique needs and circumstances. Heart Attack Care Improved Without P4P– June 2007In a study in tomorrow’s Journal of the American Medical Association, hospitals participating in a voluntary quality-improvement program for heart attack patients performed as well on quality measures for heart attack care as participants in a federal pay-for-performance demonstration. Both groups of hospitals saw improvement over the three-year period on scores for care processes rewarded by the Centers for Medicare & Medicaid Services’ demonstration. However, there was no significant difference between the groups’ scores. Similar improvements also were seen in patient mortality and care processes not subject to financial incentives, the authors said. The study compared measures for 105,383 patients at 500 hospitals participating in the voluntary CRUSADE initiative with measures for patients at 54 CRUSADE hospitals that participated in CMS’ Hospital Quality Incentive Demonstration Signatures Needed on Congressional Letters Opposing INPATIENT Cuts – May 2007Rule would cut nearly $25 billion over five years. Hospital leaders, Ask your legislators to sign letters opposing proposed inpatient PPS cuts Immediately! Call or e-mail your legislators and protect Hospital services at risk. Read More.
Joint Commission announces 2008 National Patient Safety Goals - June 25, 2007The Joint Commission today announced the 2008 National Patient Safety Goals and related requirements that will apply specifically to accredited hospitals and critical access hospitals. Major changes in this sixth annual issuance of National Patient Safety Goals include a new requirement to take specific actions to reduce the risks of patient harm associated with the use of anticoagulant therapy, and a new goal and requirement that address the recognition of and response to unexpected deterioration in a patient's condition. (more)
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