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The reimbursement spotlight is shifting to pay-for-performance, and this year's moderators for the update in hospital medicine at Internal Medicine 2007 in San Diego discussed its impact on physicians.
https://acphospitalist.acponline.org/archives/2007/06/med-update.htm
15 Jun 2007
Adopting P4P early vs. late didn't affect hospitals' mortality rates
The observational study used Medicare claims and looked at clinical process scores and 30-day mortality in patients cared for at hospitals that voluntarily participated in pay-for-performance programs or those that later participated in the Hospital Value-Based Purchasing program.
https://acphospitalist.acponline.org/weekly/archives/2018/01/10/2.htm
10 Jan 2018
June 2007
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2007/06/
Excess days in acute care may improve performance measurement for hospitals
A study found that replacing 30-day readmission rates with a measure of excess days in acute care would change about a quarter of penalties for targeted conditions under the Hospital Readmissions Reduction Program.
https://acphospitalist.acponline.org/weekly/archives/2020/10/21/4.htm
21 Oct 2020
Hospitals with higher proportion of Black patients hit with value-based Medicare penalties
Mortality rates for myocardial infarction and pneumonia were consistently higher at hospitals that treated a high proportion of Black patients, and that didn't change after implementation of Medicare's value-based payment program, a 10-year study found.
https://acphospitalist.acponline.org/archives/2024/01/10/hospitals-with-higher-proportion-of-black-patients-hit-with-value-based-medicare-penalties.htm
10 Jan 2024
Coding change may explain half of reduction in readmissions seen under the HRRP
Either Medicare's Hospital Readmissions Reduction Program (HRRP) had no effect on readmissions or it led to a systemwide reduction in readmissions, even in conditions and hospitals not targeted by the program, according to the authors of a new study.
https://acphospitalist.acponline.org/weekly/archives/2019/01/16/1.htm
16 Jan 2019
Position paper calls on CMS to revise plan to pay for sepsis performance
Paying hospitals based on the SEP-1 bundle would divert attention and resources from more effective ways to provide comprehensive sepsis care, said medical groups including the Infectious Diseases Society of America and the Society of Hospital Medicine.
https://acphospitalist.acponline.org/archives/2023/10/25/position-paper-calls-on-cms-to-revise-plan-to-pay-for-sepsis-performance.htm
25 Oct 2023
ACC and AHA update performance measures for STEMI and NSTEMI
The update has 17 performance measures, including four new ones, and seven quality measures, all of them new.
https://acphospitalist.acponline.org/weekly/archives/2017/09/27/2.htm
27 Sep 2017
Asymptomatic bacteriuria treatment averted due to fewer urine cultures, study finds
Michigan hospitals successfully reduced their use of antibiotics in asymptomatic patients with positive urine cultures, and the difference could be tied to less culturing, since use of antibiotics among asymptomatic patients who got cultures didn't change significantly.
https://acphospitalist.acponline.org/archives/2023/07/12/asymptomatic-bacteriuria-treatment-averted-due-to-fewer-urine-cultures-study-finds.htm
12 Jul 2023
High-value care, tele-ICUs, and more
Research summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2021/02/in-the-news.htm
15 Feb 2021