- AHRQ: Now Available: ICD-9-CM WinQI v6.0.1 and SAS QI v6.0 for the IQI Module
- Nationwide Survey Results Show Pediatric Patient Experience Varies Greatly
- Report Finds N.J. Hospitals Averted 77.342 Cases of Patient Harm Through Quality Improvement Initiative
- Release of New County Health Rankings March 29 2017
- AHRQ Stats: Decline in Hospital-Acquired Conditions
- Study Finds Link Between Hospital Quality and Readmission Rates for COPD, Other Diseases
- NQF’s Measure Applications Partnership Identifies Opportunities to Reduce Measure Burden in Federal Healthcare Programs
- Recently Released: HCUP Additional 2014 State Databases
- The Commonwealth Fund Releases Scorecard on State Health System Performance
- Hospital Satisfaction Following Hip Replacement Surgery: For Women Staff Responsiveness and Communication; For Men, Pain Management, Study Finds
INPATIENT QUALITY INDICATORS (IQIS): The Agency for Healthcare Research and Quality (AHRQ) has released ICD-9-CM v6.0 SAS QI and ICD-9-CM v6.0.1 WinQI software for the IQIs. SAS QI and WinQI ICD-9-CM software improvements include: * Enhancements to select indicators for IQI * APR-DRG Grouper version 33 * Application files now organized into separate folders for user Programs, Macros and Parameter Files for IQI (SAS QI only) * Revised program and file names for improved usability (SAS QI only) The software is available for download at: https://www.qualityindicators.ahrq.gov/Software/ UPDATES FOR OTHER QUALITY INDICATORS (QI) MODULES * PSIS: The PSI module of the v6.0 ICD-9-CM SAS QI and WinQI software has been temporarily removed from the AHRQ QI website. The PSI module will be re-released in spring 2017. The updated PSI module will be released in v6.0.2 ICD-9-CM. Additional information related to this release is available at https://www.qualityindicators.ahrq.gov/News/PSI_v6.0_SASQI_WinQI_Memo.pdf * PQIS: The PQI module for v6.0 ICD-9-CM SAS QI and WinQI will be re-released in spring 2017 in v6.0.3 ICD-9-CM to update POVCAT values. For users running the risk adjustment program and using the optional feature of including poverty in the risk adjusted rates (instead of risk adjustment) calculations on v6.0 ICD-9-CM, the 2010 poverty rates are being used in the calculations. * PDIS: The PDI module for v6.0 ICD-9-CM SAS QI and WinQI will be released in late spring 2017. * THE ICD-10 V7.0 ICD-10 CM/PCS software for SAS QI and WinQI will be released in late spring 2017. Please note that v7.0 of the software will not include risk adjustments and only supports data coded in ICD-10-CM. * THE VERSION 5.0.3 Limited License APR-DRG Grouper package has been updated on the AHRQ QI website. The discharges from the fourth quarter 2013 through the third quarter 2015 assigned the grouper version 20 instead of the grouper version appropriate for the year and quarter, such as version 31 and 32. This only impacts the users who used “Version 5.0.3 (Limited License APR-DRG Grouper), February 2016” package to impute APR-DRG values to be used with SAS QI v5.0.x IQI module.
_Beckers Hospital Review writes:_ Responses to a nationwide survey show that inpatient family experience at pediatric hospitals across the country varies significantly. The survey, conducted by the Center of Excellence for Pediatric Quality Measurement at Boston Children's Hospital, includes responses from more than 17,000 parents whose children have been hospitalized. The parents completed the survey from December 2012 to February 2014. Read more: http://www.beckershospitalreview.com/quality/quality-of-patient-experience-at-us-pediatric-hospital-varies-greatly-5-survey-insights.html
New Jersey's hospitals and health systems averted 77,342 cases of patient harm and saved $641 million in healthcare costs between 2012 and 2016, thanks to their participation in a national quality improvement program. The results reflect five years of progress under Partnership for Patients-New Jersey, part of a national initiative from the U.S. Department of Health and Human Services. HHS selected the New Jersey Hospital Association and its affiliate, the Health Research and Educational Trust of New Jersey, to lead the effort in the Garden State. Working Together to Make Healthcare Better: Partnership for Patients-NJ 2012-2016 is a progress report released by NJHA today that details five years of data documenting the improvements in care and the resulting healthcare cost savings. In 13 different categories, reflecting concerns such as post-surgical infections, patient falls, adverse drug events and hospital readmissions, New Jersey hospitals have achieved double-digit improvement in occurrence rates. Read more: * Working Together to Make Healthcare Better: Partnership for Patients-NJ 2012-2016 (PDF) * Related press release from New Jersey Hospital Association (NJHA): http://www.prnewswire.com/news-releases/report-nj-hospitals-reduced-healthcare-costs-by-641-million-through-quality-improvement-initiative-300427857.html
New County Health Rankings will be released next Wednesday, March 29. The release will include new measures, changes to existing measures, and new website features. The County Health Rankings & Roadmaps is a Robert Wood Johnson Foundation program. The County Health Rankings show that where people live matters to their health. The Rankings can also help to better understand how health can vary if you live in a city, suburb, or rural area. Read more: http://www.countyhealthrankings.org/webinars/county-health-rankings-2017-measures-and-new-features
Improvements in patient safety led to fewer deaths from hospital-acquired conditions (HACs) from 2010 to 2015. Compared with the HAC rate in 2010, more than 37,000 fewer patients died from HACs in 2015. The improvement saved about $8.3 billion in 2015. * Source: Agency for Healthcare Research and Quality, National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer.
Yale News writes: Nearly one in five patients admitted to hospitals in the United States are readmitted within 30 days, at a cost of $17 billion annually. To reduce readmission rates, the federal Centers for Medicare & Medicaid Services (CMS) tracks readmissions for certain conditions, including heart failure, pneumonia, and most recently, chronic obstructive pulmonary disorder (COPD), a disease of the lungs. To understand the relationship between hospital quality and readmissions for COPD, a Yale-led research team analyzed data from more than 3,700 hospitals. They compared COPD readmissions to several quality measures, ranging from mortality rates to patient care experiences. Examples of patient experience measures include communication with nurses, staff responsiveness, pain management, and discharge information. The researchers report two key results. They found that readmissions for COPD correlate with readmissions for other diseases, suggesting that high readmissions rates may be due to the health status of the patient population affected by COPD. The researchers also uncovered an association between COPD readmission rates and patient experiences. The researchers concluded that hospital organizational factors may play a role in readmissions for a number of diseases — not just COPD. Read more: * Chronic Obstructive Pulmonary Disease Readmissions and Other Measures of Hospital Quality. American Journal of Respiratory and Critical Care Medicine. February 2017. * Yale News: http://news.yale.edu/2017/03/20/hospital-quality-linked-readmission-rates-copd-and-other-diseases
The National Quality Forum’s (NQF) Measure Applications Partnership (MAP) is defining new ways to ensure quality measurement is improving healthcare for patients while reducing burden for clinicians and other providers. In a recently released report, MAP recommends significant improvements to measure sets used in federal programs. The U.S. Department of Health and Human Services (HHS) annually seeks out and considers MAP’s analyses and guidance in the federal rulemaking process for quality and efficiency measures used in various payment and public reporting programs. Specifically, MAP recommends that HHS consider the future removal of 51 of 240 measures currently used in seven federal healthcare value-based purchasing, public reporting, and other programs. MAP also provides recommendations for improving measure sets used in nine additional federal programs. In order for CMS to act on these recommendations, it will likely need to engage in rulemaking as well as consider other programmatic needs not taken into account by the MAP process. MAP guidance on future removal of measures includes: * ESRD QUALITY INCENTIVE PROGRAM: 4 measures suggested for removal; 18 current measures * PPS-EXEMPT CANCER HOSPITAL QUALITY REPORTING PROGRAM: 4 measures suggested for removal; 17 current measures * AMBULATORY SURGERY CENTER QUALITY REPORTING PROGRAM: 2 measures suggested for removal; 15 current measures * INPATIENT PSYCHIATRIC FACILITY QUALITY REPORTING PROGRAM: 7 measures suggested for removal; 20 current measures * OUTPATIENT QUALITY REPORTING PROGRAM: 13 measures suggested for removal; 29 current measures * INPATIENT QUALITY REPORTING PROGRAM: 6 measures suggested for removal; 62 current measures * HOME HEALTH QUALITY REPORTING PROGRAM: 15 measures suggested for removal; 79 current measures Read more: * NQF Report: Maximizing the Value of Measurement: MAP 2017 Guidance * Related press release: http://www.qualityforum.org/News_And_Resources/Press_Releases/2017/NQF_s_Measure_Applications_Partnership_Identifies_Opportunities_to_Reduce__Measure_Burden_in_Federal_Healthcare_Programs.aspx
Since December 2016, the following 2014 State databases have been released: * State Inpatient Databases (SID) ○ 2014: South Carolina * State Ambulatory Surgery and Services Databases (SASD) ○ 2014: New York and South Carolina * State Emergency Department Databases (SEDD) ○ 2014: New York and South Carolina In addition, the 2014 Nationwide Emergency Department Sample (NEDS) has been released.
The Commonwealth Fund (CMWF) released its latest state health system scorecard. The scorecard - Aiming Higher: Results from the Commonwealth Fund Scorecard on State Health System Performance 2017 Edition - ranks the health care system in every state and the District of Columbia based on 44 indicators of health care access, quality, cost, and outcomes. In addition to the interactive digital report, an accompanying data center enables users to compare the performance of their state with that of other states. Vermont is the top-ranked state overall, followed by Minnesota, Hawaii, Rhode Island, and Massachusetts. Lowest-ranked are Arkansas, Louisiana, Oklahoma, and Mississippi. California climbed the most in the rankings between 2013 and 2015, from 26th to 14th. Colorado, Kentucky, New York, and Washington also made big jumps. Kentucky improved on 21 scorecard indicators, more than any other state. Read more: * Aiming Higher: Results from the Commonwealth Fund Scorecard on State Health System Performance 2017 Edition. The Commonwealth Fund. * Related press release: http://www.commonwealthfund.org/publications/press-releases/2017/mar/state-scorecard-release
_Healthcare Finance: _ A new study from the American Academy of Orthopaedic Surgeons found that hospital satisfaction scores for total hip replacement surgery can hinge on different points depending on gender. For women, responsiveness and clear communication from nurses and doctors dictate satisfaction. For men, it's optimal pain management, the study found. Researchers examined survey results from 692 patients who had undergone total hip replacement surgery from November 2009 through January 2015, including 277 men and 414 women. Both groups had a mean age of 62 years old. Read more: * Study: Hospital satisfaction following hip replacement surgery: Women say staff responsiveness and communication are most important; men, pain management. American Academy of Orthopaedic Surgeons. * Healthcare Finance: http://www.healthcarefinancenews.com/news/hospital-satisfaction-depends-patent-gender-hip-replacement-surgery-study-says