In research from Sweden, privatizing certain health services appeared to lead to better quality.
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Patient falls in hospitals are not uncommon, but are often considered as "never" events. An Australian study finds that implementation of common interventions to reduce such falls had no effect on their occurrence, indicating a waste of hospital staff time.
https://psnet.ahrq.gov/resources/resource/30134A grand list of researchers evaluate the first two years of Medicare's comprehensive primary care initiative.
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Another misfire for CMS' quality efforts, as one such program actually rewards low-quality hospitals.
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A study in JAMA finds that small, generally rural hospitals, seem to provide generally similar surgical outcomes to more urban facilities.
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Research in the Journal of the American Medical Association explores the relationship between income and life expectancy.
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Large numbers of patients are using virtual visits for routine and urgent care due to convenience. Research in JAMA Internal Medicine finds that guideline adherent care is not delivered in a significant fraction of these virtual visits and there is substantial variation in care across virtual visit websites.
http://archinte.jamanetwork.com/article.aspx?articleid=2511324Work released by the Healthcare Association of New York State illustrates the burden quality measure reporting places on providers and recommending changes.
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Research in JAMA Internal Medicine finds that hospital star ratings and some patient outcomes appear correlated.
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The Health Care Cost Institute releases a set of reports using its impressive trove of commercial and Medicare claims data.
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Primary care doctors often prescribe drugs in questionable circumstances and a NEJM article discusses how to reduce this practice.
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A brief from the Agency for Healthcare Research & Quality presents useful information on how to design good physician feedback reports.
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According to a study in JAMA Internal Medicine, the number of clinical messages generated by electronic medical records is beginning to overwhelm physicians. Reading and responding takes substantial time and is leading to information overload.
http://medcitynews.com/2016/03/physicians-clinical-messaging/?utm_source=MedCity+News+Subscribers&utm_campaign=f1086a8cce-MCN+Daily+Email&utm_medium=email&utm_term=0_5092836c41-f1086a8cce-408793005&rf=1About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.
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