quality
CT has second highest rate of 2013 hospital Medicare readmission penalties
CT was behind only NJ last year in the percent of hospitals receiving Medicare readmission penalties and the average penalty for CT hospitals more than doubled from 2012. Medicare fines hospitals for patients who return unplanned to the hospital for treatment within 30 days of discharge compared to an expected readmission rate, adjusted for severity…
Read MoreCSG/ERC Hopkins tour highlights patient safety, care coordination and cancer innovations
Yesterday’s off-site trip to Johns Hopkins from the CSG/ERC annual meeting was impressive. We heard about out of the box thinking by a clinical scientist that led to a breakthrough in treating lung cancer – that very low, but longer term doses of chemotherapy drugs worked better than full doses in shrinking tumors and helped…
Read MoreNew SIM under service survey — please help protect consumers
The SIM Equity and Access Committee is working to develop a monitoring system for inappropriate underservice as CT’s health system moves toward shared savings payment models. Underservice can be denial of appropriate care, limiting expensive treatment options, limiting access to certain providers, avoidance of consumers that may not generate savings, or cost shifting to consumers.…
Read MoreComparative effectiveness opportunity guide for New England OB-Gyn services
The Institute for Clinical and Economic Review (ICER) has produced a comprehensive analysisof opportunities to reduce overtreatment from the Choosing Wisely list of five overused treatments identified by the American College of Obstetricians and Gynecologists. ICER’s report focuses on New England including analysis of current regional utilization patterns, the feasibility of practice change, resources for…
Read MoreCHC quality conference: Reimagining primary care
Yesterday’s ninth annual Weitzman Institute conference on improving the quality of care did not disappoint. National and CHC, Inc. speakers touched on workforce and technology innovations to build primary care capacity and improve quality of care, engaging youth in coverage expansions, connecting medicine to community services to stop the expensive treadmill of treating preventable health…
Read MoreCT hospitals safety rankings lower than surrounding states
New rankings of hospital safety by the Leapfrog Group outline sharp differences between CT’s hospitals. St. Francis and Backus earned an A grade. However Charlotte Hungerford received a D and Windham received an F. CT hospitals underperformed compared to surrounding states. MA and RI have no hospitals with D or F grades. 70% of MA…
Read MoreWebinar posted: Measuring quality and value at Crystal Run ACO
Video and slides from yesterday’s webinar with Crystal Run ACO have been posted. There are important lessons for CT policymakers implementing shared savings payment models. Crystal Run was one of the first Medicare shared saving ACOs and is one of seven NCQA certified ACOs. Hear the physician leaders explain how they monitor the quality of…
Read MoreMedicaid update
Yesterday’s Medicaid Council focused on improving enrollment and quality performance in the program. From the new ConneCT Dashboard we learned that there is no longer a backlog of enrollment documents waiting to be scanned into the system, that waiting times for the call center are down from 75 to 39 minutes, but that the hours…
Read MoreUnderservice committee starts work
Yesterday’s first meeting of the MAPOC Complex Care Committee underservice workgroup was very productive. (We need a shorter name). The committee is charged with designing a framework for monitoring under service in CT’s plan for health neighborhoods to cover people eligible for both Medicare and Medicaid. Advocates have raised concerns that a shared savings payment…
Read MoreDense breast tissue screening consumer guide available
I don’t believe CEPAC has addressed as sensitive an issue as supplemental screening for dense breast tissue. We heard very moving public testimony from survivors and advocates at the December meeting. About half of women have dense breast tissue and face the questions of determining their risks, whether to have supplemental screening, and if so,…
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