Watch Jean Rexford’s February 10th interview with Eric Parker,WFSB’s iTeam Investigative reporter. The discussion centered on the recently released CT Adverse Event report which addressed a total of 471 reports of adverse events in Connecticut 2014. Included are 15 wrong site surgeries, 4 wrong surgical procedures performed and 24 instances of foreing objects being left in the patient after surgery amongst many others. In the published report this year is a new section, “a patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families,” bringing the patient voice into the report. The CT State report can be seen at: http://www.wfsb.com/l…/762860/quality-in-health-care-program.
On December 2nd I presented the keynote speech at the Hartford Business Journal Health Care Heroes Award Luncheon. The subject was patient-centered care, a topic that I am very passionate about. Following that presentation, I was asked by the Universal Health Care Foundation of Connecticut to write a guest blog for them based on my presentation. By following this link, you can read my guest blog on person-centered care, based on my own, and others experiences in our healthcare system. Read more
Modern Healthcare By Virgil Dickson | October 26, 2015
Under the value-based purchasing program, the CMS imposed an across-the-board 1.75% reduction in Medicare payments (up from 1.5% for fiscal 2015) for most inpatient acute-care hospitals. The reduction created a budget-neutral bonus pool of about $1.5 billion to reward hospitals that perform well on certain metrics and patient surveys. The hospitals that performed the worst won’t see any of the reduction restored. Read more
Kaiser Health News By Michelle Andrews
When the health insurance marketplaces open on Sunday, consumers shopping for 2016 coverage may encounter steeper premium increases than last year and more plans that offer no out-of-network coverage.
According to an analysis released Monday evening by the Health and Human Services Department, the cost of the second-lowest silver plan in states using the federal marketplace will rise an average of 7.5 percent for 2016 coverage. Silver plans are the most popular type of marketplace plan. They pay 70 percent of medical costs, on average, leaving consumers to cover 30 percent. And premium tax credits that are available to people with incomes up to 400 percent of the federal poverty level — about $47,000 for one person — are benchmarked to the second-cheapest silver plan. Read more
CMS reports these outcomes for patients who are admitted to the hospital for a heart attack, heart failure, pneumonia, chronic obstructive pulmonary disease (COPD), stroke, coronary artery bypass grafting (CABG) surgery, and for total elective hip and knee replacement. CMS also The Centers for Medicare & Medicaid Services (CMS) updated hospital performance results on its consumer-oriented Hospital Compare website (www.medicare.gov/hospitalcompare/search.html).
One of CMS’s goals is to improve health care for patients. CMS evaluates hospital quality of care and gives incentives to hospitals to make improvements that can impact patients’ wellbeing. Continue reading
Triaging the Transitions — It’s time to fix the broken process for transitions of care, says Fred N. Pelzman, MD.
Fred N. Pelzman, MD.
It seems that our transitions of care leave something to be desired.
These delicate tipping points, when patients are sometimes at their most fragile, need to be set up with exquisite attention to detail, and often leave our patients at high risk for bad outcomes…..
…. The best discharge summary I ever got was written by a nurse practitioner at an unnamed hospital in Boston, who sent a patient home for follow-up in our practice after a prolonged hospitalization.
This thing read like a short story, the prose was succinct and informative, and after I finished it I felt like I had been there through his entire hospitalization, and I was ready to continue taking care of him. A successful, warm handoff. Read more
With providers moving to electronic medical record systems, they often still don’t “talk” to each other. Just think how much safer your care could be if all of your providers could see the same complete data and know what each other is doing. There would be less duplication of testing, everyone would be on the same page, and we would expect that much less information would fall through the cracks. Read Lisa Freeman’s comments in this CT Mirror article, Can the state build a better system to get your medical records to your doctors?.
In response for the call to reduce the costs associated with health care, hospitals are trying new ways to treat patients without the higher costs by providing hospital-level treatment at home. Treating patients at home may be a win-win solution for everyone. This is Patient-Centered care taken to another level. Wouldn’t it be nice to be able to be followed closely in your own home? You would have open “visiting hours”, the love of family, comfortable clothing, home cooked food, less disruptions and still be getting the needed care. Something you may want to ask about should you find yourself in the emergency room one day. Read more