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BCBS pilots hip, knee bundled model

Editor's Note Blue Cross Blue Shield (BCBS) of Michigan is piloting a bundled payment program for hip and knee replacements, the March 27 HealthcareDive reports. The pilot, which includes 64 surgeons at seven healthcare systems, will use a mix of inpatient and outpatient settings in an effort to reduce the…

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By: Judy Mathias
April 4, 2018
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AHRQ: Increased revenues, not cost reductions linked to improved profits

Editor's Note Increased revenues had a greater impact than decreased costs in hospitals that became more profitable between 2003 and 2013, finds this Agency for Healthcare Research and Quality (AHRQ) study published February 14 online ahead of print in the Journal of General Internal Medicine. In this analysis of 2,824…

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By: Judy Mathias
April 3, 2018
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ECRI Institute issues free white paper on purchased services best practices

Editor's note The ECRI Institute on April 2 issued a free white paper on “5 Ways to Drive Savings and Quality on Your Purchased Services.” The 5 key areas to consider when developing a best practice process to evaluate purchased services, reduce spending, and make informed vendor selections are: Making…

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By: Judy Mathias
April 3, 2018
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Influence of traffic, other factors on OR microbial load

Editor's Note Movement in the OR is associated with microbial load, this study finds. Researchers determined areas in the OR with high and low numbers of people in transit and placed air samplers and settle plates in representative locations during 21 surgical procedures, in four ORs, during two seasons of…

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By: Judy Mathias
April 2, 2018
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FDA: Class I recall of BD Vacutainer® blood collection tubes

Author's Note The Food & Drug Administration on March 23 announced the Class I recall of Becton Dickinson (BD) Vacutainer® EDTA (ethylenediaminetetraacetic acid) blood collection tubes with lavender, tan, pink, and green rubber tube stoppers. Class I recalls are the most serious. The recall was initiated because of a chemical…

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By: Judy Mathias
April 2, 2018
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Association of frailty with failure to rescue after inpatient surgery

Editor's Note Frailty is an important risk factor for postoperative complications and failure to rescue, after both low-risk and high-risk surgical procedures, this study finds. In this study of 984,550 patients in the American College of Surgeons National Surgical Quality Improvement Program, there was a dose-response association between increasing patient…

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By: Judy Mathias
March 22, 2018
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Joint Commission announces first hospital to earn TSC certification

Editor's Note The Joint Commission on March 21 announced that the first hospital to earn its Thrombectomy-Capable Stroke Center (TSC) certification is St Joseph Mercy Oakland, Pontiac, Michigan, a member of Saint Joseph Mercy Health System. In collaboration with the American Heart Association/American Stroke Association (AHA/ASA), the TSC certification signifies…

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By: Judy Mathias
March 22, 2018
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Study: Surgeon performance benefits from ‘warm-up’

Editor's Note In this study from the UK, researchers found a robust relationship between a surgeon’s daily OR schedule and surgical performance (indexed by duration of procedure). The researchers say surgeons should reorder their OR schedule, starting their days with the simpler cases and building up to the more difficult…

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By: Judy Mathias
March 21, 2018
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Joint Commission deletes EP on pain management

Editor's Note The Joint Commission on March 20 announced the deletion of RI.01.01.01, element of performance (EP) 8: “The hospital respects the patient’s right to pain management” because it is no longer relevant and necessary to ensure quality of care and safety. The deletion is effective immediately. The Joint Commission’s…

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By: Judy Mathias
March 21, 2018
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Spinal fusion devices poised for growth

Editor's Note Transparency Market Research predicts the global spinal fusion devices market will reach more than $10.97 billion by 2025, with a compound annual growth rate of 4.65%, the March 19 Becker’s Spine Review reports. Growth will be driven by the aging US population that is susceptible to degenerative spine…

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By: Judy Mathias
March 21, 2018
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