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Search results for "Hospitals"

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Award

22 California hospitals earn top status for outstanding patient safety & health care quality.

San Francisco, CA: The Leapfrog Group; May 2, 2006.

This news release announces that 22 California hospitals have been recognized for their achievements in addressing The Leapfrog Group's standards of quality and safety.

Book/Report

HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.

Golden, CO: Health Grades, Inc.; April 2006.

This third annual report on the safety of hospitalized Medicare patients builds on past efforts to evaluate hospital performance. The report uses the Agency for Healthcare Research and Quality's Patient Safety Indicators to provide benchmarks for such performance, identify current trends in safety issues, and estimate preventable events nationally. The report suggests that the patient safety incidents captured account for more than $9 billion in excess cost during 2002-2004, and more than 250,000 potentially preventable deaths occurred during the same time period. Grading for all states and a selected group of highly rated hospitals is included with the implication that, if all hospitals performed at a level comparable to the ones acknowledged, more than 44,000 Medicare deaths could be avoided with a costs savings of $2.45 million. As with the second annual report, several methodological limitations exist, and the reports themselves did not receive external peer review.

Newspaper/Magazine Article

Medical errors still claiming many lives.

Weise E. USA Today. May 18, 2005.

This article highlights a commentary published in JAMA by two leading experts in patient safety which summarizes the progress made since publication of the landmark To Err is Human report in 2000.

Special or Theme Issue

The 2016 John M. Eisenberg Patient Safety and Quality Awards.

Jt Comm J Qual Patient Saf. 2017;43:315-337.

Spotlighting the accomplishments of the 2016 recipients of the John M. Eisenberg Patient Safety and Quality Awards, this issue includes an interview with Carolyn Clancy, MD, as well as articles on the I-PASS Study Group, and Christiana Care Health System, Wilmington, Delaware.

Journal Article > Study

Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings.

DeLancey JO, Softcheck J, Chung JW, Barnard C, Dahlke AR, Bilimoria KY. JAMA. 2017;317:2015-2017.

The Centers for Medicare and Medicaid Services (CMS) recently implemented the star rating system for hospitals as an overall measure of quality and safety. Although studies have found a correlation between the star ratings and clinical outcomes, this study found that high star ratings were more likely to be given to specialty or critical access hospitals. These hospitals are exempt from some of the CMS quality measure reporting requirements, and thus they did not report the same data as lower-rated hospitals. Other studies have also called into question the methodology behind the star rating system.

Newspaper/Magazine Article

Secret data on hospital inspections may soon become public.

Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017.

Summary data about serious errors in hospitals are available, but often details of accreditation investigation findings are not accessible to the public. This news article reports on efforts by the Centers for Medicare and Medicaid Services to make this information publicly available to augment transparency and enhance health care safety.

Award > Award Recipient

2016 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.

Joint Commission. April 4, 2017.

The Eisenberg Award honors individuals and organizations who have made vital contributions to improving patient safety and quality. The 2016 honorees are Dr. Carolyn Clancy, the I-PASS Study Group, and Christiana Care Health System, Wilmington, Delaware. The awards were presented at the National Quality Forum's annual conference on April 4, 2017, in Washington, DC.

Journal Article > Review

Measurement as a performance driver: the case for a national measurement system to improve patient safety.

Krause TR, Bell KJ, Pronovost P, Etchegaray JM. J Patient Saf. 2017 Apr 4; [Epub ahead of print].

The lack of effective measures of patient safety hinders sustained error reduction. This review examined published estimates of patient harm in health care and variations in measures used to determine those numbers. The authors suggest that a national nonpunitive approach to data collection would enhance opportunities for improvement.

Book/Report

The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level.

Slawomirski L, Auraaen A, Klazinga N. Organisation for Economic Co-operation and Development: Paris, France; 2017.

Failures in patient care are a global concern. Examining the literature on costs of unsafe care delivery, this report describes the financial impacts of medical error and reviews methods of addressing these issues in resource-limited environments to improve care value and efficiency while enhancing patient safety.

Journal Article > Study

From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system.

Austin JM, Demski R, Callender T, et al. Jt Comm J Qual Patient Saf. 2017;43:166–175.

Improving safety in health care organizations requires commitment from senior leadership and governance. It also requires an organizational structure that facilitates identifying and addressing safety issues. This study describes the organizational structure used at Johns Hopkins Medicine to prioritize improving quality, safety, and value. The organization developed a reporting and oversight framework using four key principles: governance from the hospital board's dedicated patient safety and quality committee, shared accountability between the board and clinical leadership, a consolidated quality performance statement to ensure transparency around goals and priorities, and internal audits to ensure reliability and accuracy of safety and quality data. The authors provide examples of how this framework was used to address safety issues such as health care–associated infections. An earlier article described Johns Hopkins' success at achieving consistently high performance on accountability measures.

Journal Article > Study

Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program.

Koenig L, Soltoff SA, Demiralp B, et al. Am J Med Qual. 2016 Dec 19; [Epub ahead of print].

The Centers for Medicare and Medicaid Services (CMS) decision to withhold payment for certain hospital-acquired conditions has prompted widespread efforts to prevent such events, including health care–associated infections. Prior research suggests that academic centers and safety-net hospitals may be disproportionately affected by financial penalties imposed by CMS through various pay-for-performance initiatives. In this study, investigators analyzed how hospital size affected performance in the Hospital-Acquired Condition Reduction Program. They concluded that hospital size leads to bias when evaluating hospital performance, disproportionately penalizing larger hospitals when the expected complication rate for a particular event is low. The authors provide numerous suggestions for improving the evaluation of hospital performance within the program.

Journal Article > Review

Impact of Medicare's nonpayment program on hospital-acquired conditions.

  • Classic

Thirukumaran CP, Glance LG, Temkin-Greener H, Rosenthal MB, Li Y. Med Care. 2017;55:447-455.

The Centers for Medicare and Medicaid Services policy on nonpayment for certain hospital-acquired conditions serves as a strong incentive to prevent adverse events during hospitalization. This observational study examined Medicare's nonpayment policy for conditions such as health care–associated infections. As with prior studies, investigators determined that the incidence of hospital-acquired conditions declined following implementation of nonpayment. For certain conditions, such as catheter-associated urinary tract infections, hospitals with a larger proportion of Medicare patients had greater improvements. The authors note the variation in rates of hospital-acquired conditions and differing magnitude of improvement. They recommend further study to understand how to achieve similar successes in reducing hospital-acquired conditions.

Journal Article > Commentary

The new CMS hospital quality star ratings: the stars are not aligned.

Bilimoria KY, Barnard C. JAMA. 2016;316:1761-1762.

The usefulness of current hospital quality ratings has been called into question. This commentary outlines weaknesses in the Centers for Medicare and Medicaid Services (CMS) star rating system. The authors offer recommendations to CMS to improve their comparison program, including reducing the number of measures tracked, investing more in quality measurement at a national level, and developing a "rate-the-ratings" system.

Journal Article > Study

Case outcomes in a communication-and-resolution program in New York hospitals.

Mello MM, Greenberg Y, Senecal SK, Cohn JS. Health Serv Res. 2016;51(suppl 3):2583-2599.

Communication-and-resolution programs underscore the importance of early disclosure of medical error to patients and families. Prior research highlights implementation challenges associated with these efforts. Investigators analyzed 125 adverse event cases from 5 New York City hospitals over a 22-month period following the implementation of communication-and-resolution programs. The majority of cases did not involve substandard care, and disclosure occurred in more than 90% of cases.

Award > Award Announcement

Leape Ahead Award.

American Association for Physician Leadership.

Efforts to incorporate respect and patient safety concepts into medical training have been inspired by the work and leadership of Dr. Lucian Leape, Chairman of the Lucian Leape Institute of the National Patient Safety Foundation. This annual award was established to recognize individuals and organizations that focus on developing medical student and resident skills in quality and safety improvement.

Grant > Government Resource

Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections.

Rockville, MD: Agency for Healthcare Research and Quality; October 13, 2016. PA-17-007 and PA-17-008.

Health care–associated infections occur across various health care settings. AHRQ seeks to support large research (R01) and dissemination (R18) projects working to develop strategies and approaches for preventing and reducing health care–associated infections. Applications will be accepted on a standard submission schedule through January 26, 2021 for the R18 funding and March 6, 2021 for the R01 funding.

Grant > Fact Sheet/FAQs

Partnership for Patients and the Hospital Improvement Innovation Networks: Continuing Forward Momentum on Reducing Patient Harm.

Fact Sheets. Baltimore, MD: Centers for Medicare & Medicaid Services; September 29, 2016.

The Partnership for Patients program is credited with supporting harm reduction in hospitalized patients across the United States through the Hospital Engagement Networks (HEN). This fact sheet summarizes the next round of funding that will build on HEN accomplishments to support innovation with a goal of reducing hospital-acquired conditions and preventable readmissions by 2019.

Journal Article > Commentary

Building a highway to quality health care.

Watson SR, Pronovost PJ. J Patient Saf. 2016;12:165-166.

Substantial progress has been made in improving health care safety, but more work is needed to optimize those efforts. Advocating for the development of an infrastructure that supports safety improvement, this editorial suggests that performance measures, initiative coordination, and recognition of local successes are ways to advance patient safety.

Newspaper/Magazine Article

Many well-known hospitals fail to score high in Medicare rankings.

Rau J. National Public Radio. July 27, 2016.

Although quality rating systems have yet to receive approval across the health care industry, they still serve as a way for consumers to select hospitals and providers. The developers of rating services continue to refine metrics to hone their effectiveness. This news article reports on the latest set of ratings from the Hospital Compare program and concerns associated with the results.

Journal Article > Commentary

Patient safety: disclosure of medical errors and risk mitigation.

Moffatt-Bruce SD, Ferdinand FD, Fann JI. Ann Thorac Surg. 2016;102:358-362.

Although error disclosure is increasingly encouraged in health care, challenges to achieving transparency include liability and risk considerations, particularly for surgeons. This commentary describes the experiences of two health care systems that have implemented approaches to support transparent disclosure of medical errors.

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