Nearly 8 million hospital patients in 2013 were discharged for postacute care in another setting such as a skilled nursing facility or home-based care, according to newly released data from AHRQ. Those patients represented 22 percent of all hospital discharges that year. AHRQ’s analysis of such care is the first based on a nationally representative all-payer dataset, the Healthcare Cost and Utilization Project 2013 National Inpatient Sample. According to the analysis, Statistical Brief #205: An All-Payer View of Hospital Discharge to Postacute Care, 2013, the medical conditions for which patients most often need postacute care were total hip/knee joint replacement, followed by septicemia or severe sepsis, and heart failure and shock.
Data on the Illinois Hospital Report Card and consumer guide to health care Web site (healthcarereportcard.illinois.gov) has been updated. Data updates included updates to quality, infection, procedures, nurse staffing and patient safety data, was published. Hospital quality measures reported are for time-period July 1, 2014 to June 30, 2015.
Also included in this data update were:
- Updated healthcare-associated infection data on Methicillin-resistant Staphylococcus Aureus (MRSA) and Clostridium difficile events from January 1, 2015 through December 31, 2015. A statewide aggregate report of these infections is also provided.
- Updated health care-associated infection data on central line-associated blood stream infections, based on data from January 1, 2015 through December 31, 2015. Also included is a statewide aggregate report of these infections and major contributing organisms.
- Updated the adult inpatient conditions and procedures for hospitals to include data from October 1, 2014 to September 30, 2015.
- Updated the Agency for Health Research and Quality (AHRQ) “Inpatient Quality”, “Patient Safety”, and “Pediatric Quality” measures to report data from October 1, 2014 to September 30,2015.
- Updated composite “Process of Care Measures” from the Center for Medicare and Medicaid Services Hospital Compare performance measure data from July 1, 2014 to June 30, 2015.
- Updated all Process of Care measures that are used to calculate the composite data and provided state/national average for July 1, 2014 to June 30, 2015 except for those measures with insufficient data.
- Updated “Satisfaction Survey Responses” data to report the Center for Medicare and Medicaid Services Hospital Compare satisfaction measure data from July 1, 2014 to June 30, 2015.
- Updated Surgical Care Improvement Project measure data from July 1, 2014 to June 30, 2015.
- Updated nurse staffing data for the intensive care units, medical-surgical units, and maternal – child care units for hospitals to report data from October 1, 2014 to September 30, 2015. Updates include nursing hours per patient day and nursing skill mix. Also updated data on hospital employed and contract nurse staffing for each of the three unit types. For maternal-child care units, nurse staffing levels for Level III designated Neonatal Intensive Care Units is delineated in facilities with such designations.
- Updated Emergency Department measures on wait time from the Center for Medicare and Medicaid Services Hospital Compare performance measure data from July 1, 2014 to June 30, 2015.
- Updated data on the total volume of hospital emergency department visits, including the volume of patient visits admitted to hospital as well as those treated as outpatients only (treated and released) from October 1, 2014 to September 30, 2015. Also updated hospital emergency department bypass hours and the percentage of emergency department visits where patients left before being seen or against medical advice for October 1, 2014 to September 30, 2015.
- Updated state hospital designations for Trauma center and Emergency Department Approved for Pediatrics, as well as Magnet hospital designation, Baby Friendly hospital status, and Perinatal designation.
- Updated ambulatory surgical treatment centers outpatient conditions and charges on the Services page from October 1, 2014 to September 30, 2015.
Updated clinical performance and quality measures for treating adult patients with atrial fibrillation (AFib) or atrial flutter have been expanded to include the inpatient setting, and now address care domains that were not previously included, such as patient safety, effective clinical care, communication and care coordination. The updated measure set was released June 27 by the ACC and the American Heart Association (AHA), and published in the Journal of the American College of Cardiology.
The LA Times cites examples of the lack of transparency in medical pricing, and the fact that hospital charges for routine tests and procedures can be orders of magnitude more expensive than those of specialized clinics – although patients typically will find that out only after they have paid their bill. Such huge price disparities show how uncompetitive the healthcare market is. High-deductible health plans give patients an incentive to find the best price but the reality is that it is very hard to shop around.
The Oregon Health Authority released Thursday its fourth annual Coordinated Care Organization (CCO) Metrics Report. The report details CCO performance on a variety of quality measures, and shows the incentive payments the 16 health plans will receive based on each plan’s results in serving Oregon Health Plan members. For 2015, CCOs received a combined total of $168 million in incentive payments. These pay-for-performance funds mark a continued movement toward paying for quality and access to care–not just services delivered–in Oregon’s health care system.
View full report: http://www.oregon.gov/OHA/Metrics/Pages/index.aspx
Fierce Healthcare writes: Hospitals are still struggling to use their electronic health records to accurately report electronic clinical quality measures (eCQMs), according to a recent summary of findings published by the Centers for Medicare & Medicaid Services from a 2015 validation pilot. CMS conducted a hospital inpatient quality reporting (IQR) validation pilot project, in the spring and summer of 2015 with 29 hospitals, to better understand how EHRs vary for supporting eCQM reporting.
The US News & World Report released its 2016-17 Best Children’s Hospitals rankings, identifying 78 hospitals with demonstrated expertise in one or more of 10 pediatric specialties. To create the pediatric rankings, key clinical data was gathered from approximately 180 pediatric centers through a detailed survey. In addition, part of each hospital’s score is derived from surveys of more than 10,000 pediatric specialists who are asked where they would send the sickest children in their specialty. In 2016, only 78 children’s hospitals were ranked in at least one of the pediatric specialties evaluated. Eleven hospitals garnered high scores in three or more specialties and were named to the Honor Roll.
View pediatric rankings: http://health.usnews.com/best-hospitals/pediatric-rankings
The National Health Council will be collaborating with the National Quality Forum and University of Maryland to create a patient-specific curriculum on health care quality. The purpose of the collaboration is to help patient advocacy organizations and people with chronic diseases and disabilities understand the importance of their engagement in health quality discussions; the terms and definitions of quality measurement research, development, testing, and evaluation; how quality programs are implemented and their impact on patients; and how patients can be meaningful participants in quality engagement opportunities.
The Patient-Centered Outcomes Research Institute (PCORI) has awarded the National Health Council (NHC) $246,300 through the PCORI Eugene Washington Engagement Award program to create a patient-specific curriculum on health care quality.
Health Data Management writes: A recent JAMA study of employer-provided healthcare price transparency completely upends the widespread belief that consumer insight into cost will help reduce our nation’s healthcare bill. Instead, the study found, employers failed to save any money at all by directing employees to an insurer-provided price calculator. What’s more, some employees may have actually chosen higher cost options by correlating them with higher quality of care.
- Health Data Management: http://www.healthdatamanagement.com/opinion/why-consumers-will-expect-price-transparency
Second Annual Report on Health Services Performance and Outcomes Released by Irish Department of HealthMartina Dolan | June 17, 2016
The Department of Health in Ireland has released its second annual report of the National Healthcare Quality Reporting System (NHQRS) which publicly reports measures of health service performance and outcomes of care for Irish health services.This report contains information on health care quality using performance measures or indicators and presents them at national, regional, and hospital level to allow for national and international comparison. The NHQRS annual report aims to provide information on the quality and safety of health care services that can be easily understood and used by patients, members of the public, policy makers and service providers to assist them in making informed decisions about health care services in Ireland.
Read full report: National Healthcare Quality Reporting System (NHQRS) Second Annual Report 2016 (PDF)