Get ready for interoperability, simplified meaningful use measures, and program alignment. These are the highlights of the proposed rule for Stage 3 of the incentive programs — with an estimated $1.6 billion in incentive payments for hospitals.
At a time when the Centers for Medicare & Medicaid Services is putting extreme value on high-quality data, the repeated delays to the implementation of ICD-10 are impeding progress toward that very goal.
Medication reconciliation is so important to the wellbeing of patients that proof it is done is something that is required by accreditors. But who should do it? Is there someone who is best placed to do it? And if there are multiple people who could do it, do any of them know who is doing it?
It has been five years since Martin Doerfler, MD, came to North Shore-Long Island Jewish Health System as senior vice president for clinical strategy and development and associate chief medical officer. When he started, the 18-hospital system based in Great Neck, NY, had a sepsis rate that was above the national average. Healthgrades noted the system was “underperforming” in the area. Before he started, sepsis was the largest single contributor to mortality in the health system. They created a task force to try to deal with it, he says.
At press time, ECRI released its annual list of top 10 patient safety issues. At the top again was alarms; something that has been a concern for ECRI over the course of several lists. This time, the issue list focuses on the policies and practices around alarms. Other familiar items on the list include Health IT — a concern to regulators like The Joint Commission, which issued Sentinel Event Alert related to Health IT last month.
The intensive care unit is that place you think of for the sickest patients, full of tubes and wires — patients who are comatose, unmoving, unaware. Yet a collaborative through Partners Healthcare in Massachusetts has created a program — now in its fifth year — that has critically ill patients getting up sooner rather than later, getting rid of those tubes and wires, and getting better sooner because of it.
It is hard to imagine health information technology as a potential safety hazard, but The Joint Commission is pointing out some of the ways hospitals and health care organizations should reconsider the potential risk to patients as a result of health information technology (HIT).