Uncategorized Editor's Note Vulnerable status of hospitals is linked to higher readmission rates after major cancer surgery, this study finds. Of 355 hospitals analyzed, safety net hospitals and high Medicaid hospitals had higher 30-day, 90-day, and repeated readmissions. The findings reinforce the need to account for socioeconomic variables in risk adjustments…
Editor's Note In patients having endoscopic retrograde cholangiopancreatography (ERCP) with a contaminated duodenoscope, biliary stent placement, a diagnosis of bile duct cancer, and hospital inpatient status were independently associated with an increased risk of carbapenem-resistant Enterobacteriaceae (CRE) transmission, this study finds. The findings were based on data from a 2015…
Editor's Note The Department of Veterans Affairs (VA) on May 25 published a proposed rule that would amend its medical regulations to permit full practice authority without the clinical oversight of physicians to all of its advanced practice registered nurses (APRNs). APRN categories include certified nurse practitioner, certified registered nurse…
Editor's Note Performing free colonoscopies for uninsured patients at high risk for colorectal cancer can identify cancers at an earlier stage and is cost neutral for a health system, this study finds. Of 682 uninsured patients screened, 9 cancers ( 1 stage 0, 3 stage I, 2 stage II, and…
Editor's Note The Agency for Healthcare Research and Quality (AHRQ) on May 23 released a new online toolkit to help healthcare organizations and providers respond when a patient is harmed. The toolkit is based on the Communication and Optimal Resolution (CANDOR) process, which is a patient-centered approach that emphasizes early…
Editor's Note Physicians Endoscopy, an ambulatory surgery center management company based in Jamison, Pennsylvania, is one of 12 outpatient-focused professional organizations and 10 ambulatory health care systems selected by the Joint Commission and Centers for Disease Control and Prevention (CDC) to participate in an infection prevention initiative. The initiative, called…
Editor's Note The number of colonoscopies reported through the GI Quality Improvement Consortium (GIQuIC) registry reached 3 million cases in April, PRNewswire reports. CIQuIC is a national registry that allows endoscopists and endoscopy facilities to benchmark themselves and encourages quality improvement. Participants contribute real-time, procedure-related data to the registry, which…
Editor's Note In this study from Johns Hopkins, Baltimore, payments for colectomy under Medicare’s Bundled Payments for Care Improvement Initiative were lower than a fee-for-service payment model, and the proportion of patients contributing to a net negative margin increased. Net negative margins were calculated as the difference between total hospital…
Editor's Note In this study, a nonpunitive and collaborative peer methodology for assessing endoscope reprocessing at five Johns Hopkins GI endoscopy sites (three hospital based and two ASCs) was successful in capturing and sharing best practices for cleaning, disinfection, and sterilization of endoscopes. The assessments showed that 20 (42%) of…
Editor's Note Common measures used to rate hospital safety, such as the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and the Centers for Medicare & Medicaid Services (CMS) Hospital-acquired Conditions, do not accurately capture the quality of care provided, this study finds. Only one measure out of…
