Hospital Medicine

Cancellation of Mandatory Cardiac Bundled Payments Could Affect Quality of Care

Cancellation of Mandatory Cardiac Bundled Payments Could Affect Quality of Care

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Without testing a bundled payment model across acute care hospitals, it is difficult to gain insight into the design of effective payment programs.

Dropout Patterns Assessed in Hospitals Using Voluntary Alternative Payment Model

Dropout Patterns Assessed in Hospitals Using Voluntary Alternative Payment Model

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Differences between participants and nonparticipants and the high rate of dropout suggest that voluntary alternative payment models may not improve quality and reduce costs in health care.

Effects of Early vs Late Adoption of Financial Incentives in US Hospitals

Effects of Early vs Late Adoption of Financial Incentives in US Hospitals

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Hospitals with early adoption of financial incentives did not have better process scores or lower mortality compared with late adopters.

Mortality Higher Among Patients Treated by First-Year Hospitalists

Mortality Higher Among Patients Treated by First-Year Hospitalists

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Results showed that patients treated by hospitalists during their first year of practice had higher mortality compared with patients treated by more experienced hospitalists.

Telephone Follow-Up Does Not Improve 30-Day Outcomes of ED Discharges

Telephone Follow-Up Does Not Improve 30-Day Outcomes of ED Discharges

Telephone call follow-up did not improve the care transitions of older adults from the emergency department.

System-Level Reform Needed to Appropriately Allocate Resources for Hospital-Dependent Patients

System-Level Reform Needed to Appropriately Allocate Resources for Hospital-Dependent Patients

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Reform is necessary to balance the health needs of hospital-dependent patients with those of the larger hospital community.

Prescription Discrepancies Frequently Reported in Hospital Discharge Summaries

Prescription Discrepancies Frequently Reported in Hospital Discharge Summaries

Discrepancies between the electronic discharge summaries and the discharge prescription were frequent among older patients discharged from the hospital.

Prior Experience With PCP Linked to Hospital Resource Use and Patient Outcomes

Prior Experience With PCP Linked to Hospital Resource Use and Patient Outcomes

Patients cared for in the hospital by their own primary care physician have longer length of stay and are more likely to be discharged home than those cared for by hospitalists or other generalists.

Decline Observed for Prescription Opioid-Related Hospital Discharges

Decline Observed for Prescription Opioid-Related Hospital Discharges

Prescription opioid-related inpatient and emergency department discharges have decreased since 2010, while heroin-related discharges have increased sharply since 2008.

Mystery Patient Drills Assess ER Response to Communicable Diseases

Mystery Patient Drills Assess ER Response to Communicable Diseases

A series of mystery patient drills was used to assess the emergency department response to patients with communicable disease of public health concern.

Hospital Quality Independently Associated With Readmission Rates

Hospital Quality Independently Associated With Readmission Rates

Hospital quality contributes to readmission rates independent of factors involving patients, and the observed readmission rate was higher for patients admitted to worse-performing hospitals.

Ovarian Cancer Survival Impacted by Hospital Quality, Volume

Ovarian Cancer Survival Impacted by Hospital Quality, Volume

Both hospital volume and adherence to quality metrics are associated with survival rates for patients with ovarian cancer.

Hand, Stethoscope Hygiene Not Increased With Educational Intervention

Hand, Stethoscope Hygiene Not Increased With Educational Intervention

An educational intervention did not lead to a significant increase in hand hygiene, while stethoscope hygiene remained at near zero.

High-Dose Flu Vaccine Reduces Respiratory Illness in Nursing Home Residents

High-Dose Flu Vaccine Reduces Respiratory Illness in Nursing Home Residents

High-dose influenza vaccination can reduce risk of respiratory-related hospitalization among nursing home residents.

Reducing Hospital Readmissions Doesn't Lead to Higher Mortality Rates

Reducing Hospital Readmissions Doesn't Lead to Higher Mortality Rates

Reductions in hospital readmissions as a part of ACA did not lead to higher mortality rates, and may even have lowered death rates.

Hospitalists Must Lead Change in Opioid Treatment

Hospitalists Must Lead Change in Opioid Treatment

Hospitalists must use opioids judiciously, including adhering to specific dose limits, setting expectations, and initiating evidence-based treatment.

Limited Understanding of Penicllin Allergy Among Hospitalists

Limited Understanding of Penicllin Allergy Among Hospitalists

About half of respondents were unfamiliar with cross-reactivity rates for penicillin and other antibiotics.

Major Teaching Hospitals Associated With Lower Mortality Rates

Major Teaching Hospitals Associated With Lower Mortality Rates

Researchers assessed 30-day survival for older patients.

Inpatient Seniors Have Lower Mortality With Younger Physicians

Inpatient Seniors Have Lower Mortality With Younger Physicians

Older patients' hospital survival is slightly higher when their physician is younger, researchers say.

Too Many US Hospitals Surpass HHS Target C-Section Rates

Too Many US Hospitals Surpass HHS Target C-Section Rates

Consumer Reports finds rates for low-risk births vary from 7 to 64.6% across the United States.

Cancer Surgeries Performed at Academic Hospitals Have Better Outcomes

Cancer Surgeries Performed at Academic Hospitals Have Better Outcomes

Academic medical centers that perform more tumor surgeries have better patient outcomes.

30-Day Mortality Rates Decrease During Joint Commission Survey Weeks

30-Day Mortality Rates Decrease During Joint Commission Survey Weeks

Patients admitted during survey weeks, versus non-survey weeks, have significantly lower mortality,

Lower Readmissions Associated With Vertical Integration of Hospitals

Lower Readmissions Associated With Vertical Integration of Hospitals

There was a reduction in readmissions in 4 of 6 hospitals, with positive effects for a limited number of conditions.

Exploring the Legality of Curbside Consulting in Medicine

Exploring the Legality of Curbside Consulting in Medicine

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The answer to the question regarding legal responsibility seems to revolve around the issue of whether or not a physician-patient relationship exists.

Hospitals Potentially Overcharging for Hip and Knee Replacements

Hospitals Potentially Overcharging for Hip and Knee Replacements

Prices were double the average costs for the implants, but only one insurer was included in the research.

Multidrug-Resistant Bacteria Growing in Hospital Sinks

Multidrug-Resistant Bacteria Growing in Hospital Sinks

Drug-resistant bacteria can colonize in drains, spread to sinks and eventually reach patients.

Rising Hospitalizations Seen for Atrial Fibrillation

Rising Hospitalizations Seen for Atrial Fibrillation

However, patients with the condition are also more likely to survive, researchers say.

Major Snowfall Causes Spike in CVD-Related Hospital Admissions

Major Snowfall Causes Spike in CVD-Related Hospital Admissions

Admissions for heart attack, chest pain and stroke rose 23% higher 2 days after a major snowfall.

Structured Rounding Tools Help Increase Efficiency

Structured Rounding Tools Help Increase Efficiency

These tools mitigate the effects of disproportionate time allocation per patient and communication breakdowns.

Opioid-Related Hospitalizations Rising Sharply in US

Opioid-Related Hospitalizations Rising Sharply in US

Admissions due to heroin and prescription opioids rose 64% over a decade.

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