“Top Performer” Hospitals

The Joint Commission, the leading accreditor of health care organizations in the United States, has designated Mount Sinai Beth Israel, Mount Sinai St. Luke’s, and Mount Sinai Roosevelt as “Top Performers on Key Quality Measures,” based on data from 2013.

The “Top Performer” program recognizes institutions for improving performance on evidence-based interventions that increase the likelihood of good medical outcomes for patients with certain conditions. As “Top Performers,” the hospitals will be included in The Joint Commission’s America’s Hospitals: Improving Quality and Safety, an online annual report found at http://bit.ly/1xMz5qM and also on The Joint Commission’s Quality Check® website.

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Fee-for-Service Thwarts Value-Based Care’s Intention

A Modern Healthcare article noted: ”Society wants the healthcare system to improve the population’s overall health while caring for the sick at a lower overall cost. The term of art is providing value-based care. Yet system leaders are stuck with a reimbursement system that still rewards volume through fee-for-service medicine.”

“Those differing approaches to providing healthcare—actually, only value-based care can truly be called healthcare since fee-for-service medicine is more properly called sick care—present providers with two diametrically opposed incentive schemes.” (more…)

Hospitals’ Purchase of Doctors Leads to Higher Prices, Spending, Study Finds

A Kaiser Health News article noted: “A new study gives ammunition to what health economists and health insurers have argued for years: When hospitals buy physician practices, the result is usually higher hospital prices and increased spending by privately insured patients.”

“The study, published … in the journal Health Affairs, was based on an analysis of 2.1 million hospital claims from workers of self-insured employers between 2001 and 2007.  The analysis by Stanford University researchers found prices were most likely to increase when hospitals bought physician practices, as opposed to hospitals forming looser contractual relationships with physicians.” (more…)

The Costs of 10 Top Commercially Insured Readmission Conditions

A Becker Hospital Review article noted: “Of the 10 most common readmissions conditions for patients with private insurance, chemotherapy resulted in the highest costs for hospitals, according to an Agency for Healthcare Research and Quality statistical brief.”

“Here are the costs of the 10 most common readmissions among the commercially insured, according to the AHRQ brief. Note: Costs were defined as the actual expenses incurred in the production of hospital services (such as wages, supplies and utility costs). A readmission was defined as a patient who was hospitalized within 30 days of a previous hospital admission. (more…)

Hospitals Boost Patient Safety, but More Work Is Needed

A Kaiser Health News article noted: “Two major safety shortcomings in America’s hospitals—the frequency with which patients get hurt during their stays and the large number who are readmitted—have decreased as government penalties and other programs targeting them kick in.”

“The Obama administration credited the new quality initiatives created by the federal health law. But some of the improvements in patient safety preceded that law. Even with the improvements, one out of eight patients is injured during their time in the hospital.” (more…)

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