A Health Affairs article reports that quality measure collection and reporting activities impose substantial costs on physician practices.
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Research published in the Journal of the American Medical Association compares data across seven developed countries regarding care for cancer patients who are dying.
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A paper published by NBER suggests that keeping patients in the hospital longer can improve outcomes.
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Research published in the Journal of the American Medical Association suggests that financial incentives may not do much to incent better quality.
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A study published in the British Journal of General Practice finds that physicians who don't prescribe antibiotics when patients think they should get them are likely to have lower satisfaction scores, demonstrating again the conflict between expecting physicians to have high satisfaction scores and punishing them for not following care guidelines.
http://www.upi.com/Health_News/2015/12/07/Study-Patients-less-satisfied-with-doctors-who-prescribe-fewer-antibiotics/6851449499931/Research sponsored by the Commonwealth Fund and published in Health Affairs finds that primary care physicians around the world struggle with care management for patients with multiple chronic conditions.
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According to a report from AHRQ, from 2010 to 2014 there was a 17% decrease in hospital acquired conditions, but reporting and other concerns make this analysis suspect.
http://www.ahrq.gov/professionals/quality-patient-safety/pfp/interimhacrate2014.html?utm_source=HHSPressRelease65&utm_medium=HHSPressRelease&utm_term=HAC&utm_content=65&utm_campaign=CUSP4CAUTI2015The Food and Drug Administration has noted serious concerns about use of laboratory developed tests.
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A report from the Health Care Cost Institute examines the competitiveness and cost status of various American communities.
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In a somewhat alarming report, research in the journal Anesthesiology finds a high rate of medication problems in connection with surgeries. In 277 operations there were 3671 medication administrations and 193 medication errors or adverse drug events, of which 70 were judged to have the potential for harm. 153 were preventable and 99 were considered serious.
http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2466532An analysis from HealthGrades reports on variable quality among hospitals in the same geography.
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The National Committee for Quality Assurance releases its health plan quality scores for 2015, on a 1 to 5 scale. Some interesting reading, most of the big players, including UnitedHealth, Cigna and Blue Cross, have some very poorly rated plans.
http://healthinsuranceratings.ncqa.org/2015/Default.aspxThe latest Institute of Medicine report regarding health care quality explores diagnosis issues.
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A Peterson-Kaiser tracking brief examines quality indicators for our health system and international comparisons.
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