quality
Courant editorial critical of CT physician oversight
Authorities in CT are too lax in approving physicians to practice here, according to the Hartford Courant’s editorial page. The editorial was based on an article by the CT Health I-Team. The authors highlight numerous cases of disciplined doctors who’ve lost their license in neighboring states who are later approved to practice in CT. Hospital…
Read MoreYNHH surgeries under scrutiny after wrong site operation
The New Haven Independent is reporting that on June 9th a car crash victim had a skeletal traction pin surgically inserted into the wrong leg at Yale-New Haven Hospital. The error was the result of poor communication between surgeons during a “handoff” of the patient and had to be corrected in another surgery. The mistake…
Read MoreCSG/ERC meeting slides online
Health panel slides from last week’s CSG/ERC annual meeting in Maine are online. They include Sen. Richard Moore (MA) and Trish Riley/Karynlee Harrington (ME, Dirigo) on payment reform, Lisa Letourneau (ME Quality Counts) on patient-centered medical homes, and Alan Weil (NASHP) on state roles in national health reform.
Read MoreMore evidence that doctors and patients are not communicating
A new study by Yale and Waterbury Hospital researchers finds that despite the fact that physicians believe that they are completely explaining hospital discharge plans, many patients do not understand very basic information. 90% of patients report that they were never advised about side effects when prescribed new medications; in fact, only 25% report being…
Read MoreNew report on states and quality-based purchasing
Health care consumes 17% of America’s economy and, sometime this year, government’s share of that spending will pass 50%. A consensus is growing that the way we pay for health care is driving costs. The current fee-for-service system encourages utilization and does nothing to improve quality. States have important and unique roles in the health…
Read MoreCT hospitals score well in quality
The Hartford Courant is reporting that new data from Medicare’s Hospital Compare site rate CT hospitals highly in quality. For example, the national average time for patients with chest pain to get an electrocardiogram is 43 minutes; in CT patients wait only 19 minutes. However, we pay more than 38 other states; hospital expenses per…
Read MoreCT hospitals left out of Medicare bonuses
No CT hospitals are among hospitals nationally receiving Medicare bonuses under the new national health reform act. The bonuses were designed to equalize payments between high and low cost hospitals – none of CT’s 30 hospitals qualified as lower cost. The provision was prompted by research led by Dartmouth Atlas showing no link between high…
Read MoreAre hospitals more dangerous in July?
Anyone who has worked around hospitals has heard the warning to stay away in July when new residents start. But is it true? The Wall Street Journal examines the evidence, which is mixed. The bottom line is that it’s always wise to be an informed consumer. For tips on making your hospital stay safer and…
Read MoreHearing on hospital error reporting proposal
Yesterday the Public Health Committee heard SB-248, An Act Concerning Adverse Events at Hospitals and Outpatient Surgical Facilities. Proponents argue that the bill would close important loopholes in the current weak hospital system reporting including public reporting of errors — so consumers could use the information in their medical decisions and put pressure on hospitals…
Read MoreQuality and Valerie Jarrett at Families
Regions of the US with higher health care spending actually have worse health outcomes, according to Elliott Fisher from Dartmouth. Friday’s Families conference started with a fascinating plenary about the disconnect between what we spend on health care and what we get, followed by concrete guidance for providers who want to improve the quality of…
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