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Hospitals still using chargemaster markups to improve revenue

Editor's Note Since Medicare adopted its prospective payment system in 1985, many hospital executives and economists have suggested that the hospital chargemaster (list of prices for all hospital procedures and supplies) is irrelevant. However, in this study, researchers found that hospitals are systematically adjusting their charge-to-cost ratios (ie, chargemaster price…

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By: Judy Mathias
September 12, 2016
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Joint Commission releases 2017 ORYX reporting requirements

Editor's Note The Joint Commission on September 7 released its 2017 ORYX Performance Measurement Reporting Requirements for accredited hospitals. Hospitals will report on 5 chart-abstracted measures and a choice of 6 of 13 electronic clinical quality measures (eCQMs). Critical access and small hospitals may choose the six eCQMs from 13…

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By: Judy Mathias
September 12, 2016
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Effect of Lean on surgical wait times, efficiency in a VA hospital

Editor's Note The implementation of Lean system redesigns was associated with a significant and sustained wait list reduction from 33.4 days to 12.0 days for patients waiting for elective general surgery in a Veterans Affairs (VA) hospital, this study finds. Along with the three-fold decrease in wait times from 2014…

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By: Judy Mathias
September 9, 2016
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CMS to give providers more options for complying with MACRA

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 8 announced that it will give physicians and other clinicians more options in the first year to comply with the new Medicare Access and CHIP Reauthorization Act (MACRA) quality payment program.  During 2017, providers will be able to…

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By: Judy Mathias
September 9, 2016
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FDA extends UDI compliance date for certain Class II devices

Editor's Note In a September 6 letter to device labelers, the Food and Drug Administration (FDA) said it is extending unique device identifier (UDI) requirements for certain Class II devices from September 24, 2016 to September 24, 2018. The extension applies to repackaged single-use devices and device convenience kits. The…

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By: Judy Mathias
September 9, 2016
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CJR bundled payments may penalize hospitals that treat elderly, sickest patients

Editor's Note Hospitals that care for the oldest, sickest, and most complicated patients could suffer financially under Medicare’s Comprehensive Care for Joint Replacement (CJR) bundled payment program, this study finds. The study analyzed data from more than 23,000 Michigan patients who had hip or knee replacements at 60 hospitals in a…

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By: Judy Mathias
September 8, 2016
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CMS releases payment adjustments for 2017 EHR incentives

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has announced that starting October 1, 2016, hospitals that are still not meaningful users of electronic health records (EHRs) will be subjected to a reduced increase in their Inpatient Prospective Payment System rate, the September 2 Healthcare IT News reports.…

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By: Judy Mathias
September 8, 2016
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New STS website provides resources for surgical patients

Editor's Note The Society of Thoracic Surgeons (STS) on September 8 announced the launch of its new patient website that offers resources for individuals facing heart, lung, and esophageal surgery. The site allows patients and their families to research their conditions and gather information on treatment options and recovery.  …

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By: Judy Mathias
September 8, 2016
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Study: Physicians spend half their time on EHRs, desk work

Editor's Note In this study, researchers found that physicians spent 49.2% of their time during the day on electronic health records and desk work and 27% of their time with patients. In addition, they spent an extra 1 to 2 hours each night during their personal time on EHRs. While…

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By: Judy Mathias
September 7, 2016
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Joint Commission requesting VTE discharge instructions

Editor's Note The Joint Commission is asking hospitals to share their discharge instructions and educational materials for patients with venous thromboembolism (VTE) who are on anticoagulants. The Joint Commission’s Department of Health Services Research is soliciting this information as part of a research project. These materials may be used to develop…

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By: Judy Mathias
September 7, 2016
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