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What are the Top Pathogens Impacting CLABSI Infections in Hospitals

Central Line-Associated Bloodstream Infections (CLABSI) remain a significant challenge in healthcare settings, directly influencing patient outcomes and healthcare costs. CLABSI, a severe infection occurring in patients with central venous catheters, poses risks that extend beyond immediate health concerns, impacting hospital ratings and reimbursement rates.

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Dexur Acquires Chart Abstraction Software and Operations from Indiana Hospital Association, Enhancing AI-Driven Quality and Risk Management

Dexur, a leading provider of AI-driven unified quality and safety, risk, and incident management software, will acquire the Comparative Outcome Profile (COP) chart abstraction software from the Indiana Hospital Association (IHA). This strategic move aims to bolster Dexur's capabilities in offering comprehensive, AI-powered solutions to healthcare organizations.

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How Medical Coding Can Impact Your Risk Adjusted Rates and Ultimately your CMS Star Ratings, HRRP, VBP and other Quality Programs

Medical coding plays a crucial role in determining risk-adjusted rates, directly influencing a hospital's performance in quality programs like CMS Star Ratings, HRRP, and VBP. Risk adjustment is essential for equitable evaluations, especially in treating complex patient cases. Detailed coding impacts these risk-adjusted metrics, as seen in a case study of Acme Hospital, where coding accuracy significantly affects quality measures and assessments. A comparative analysis of Acme and Vibrant Hospitals further highlights the importance of precise coding practices in reflecting patient care complexity and ensuring fair evaluations in healthcare quality programs.

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The Median Critical Access Hospital Needs to Reduce COPD Mortality by 1 per Year to get to the Top 90th Percentile

Critical Access Hospitals (CAHs) are essential to the healthcare infrastructure, particularly in rural and remote areas. They often serve as the primary, and sometimes only, source of healthcare for their communities. One of the key performance indicators for these hospitals is the management of Chronic Obstructive Pulmonary Disease (COPD) mortality. This measure not only reflects the quality of care provided but also significantly influences the CMS Star Rating's mortality domain.

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How Saving One AMI Mortality Per Year Can Help a Typical Hospital Move To the Top Percentile

Hospitals across the United States, from rural facilities in rural areas to large-scale Acute Care centers in urban areas, are continually striving to enhance the quality of their services. A key focus for these hospitals is to reduce mortality from AMI (Acute Myocardial Infarction), an essential goal for improving their CMS Star ratings and benefiting from the Value-based Purchasing (VBP) program. This objective is a significant indicator of care quality and heavily influences the mortality group within the CMS Star rating system.

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How Rural Hospitals Can Leverage Telehealth to Improve Mortality Measures Impacting CMS Star Ratings

For rural hospitals mortality measure group weightings could range from 22%-39% and therefore have a significance on CMS Star Ratings. Specifically, measures related to heart failure, Acute Myocardial Infarction (AMI), Coronary Artery Bypass Grafting (CABG), Chronic Obstructive Pulmonary Disease (COPD), and Pneumonia are integral to the mortality measure group in CMS Star Ratings. Addressing these specific conditions effectively can lead to improved outcomes, directly impacting a hospital's CMS Star Rating. Telehealth strategies emerge as innovative solutions to confront these challenges, offering rural hospitals a pathway to enhance patient outcomes in these critical areas and, subsequently, improve their CMS Star Ratings.

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A Deep Dive into CMS's Excess Days in Acute Care (EDAC) Methodology

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The Centers for Medicare & Medicaid Services (CMS) developed the Excess Days in Acute Care (EDAC) methodology as a critical tool for assessing and managing healthcare efficiency, particularly in relation to post-discharge care. This methodology is a significant element in the CMS Star Rating system, especially in the Readmission Group, which carries a substantial weight of 22%. By evaluating excess days spent in acute care settings, EDAC offers insights into the effectiveness of hospital discharge planning and post-discharge care coordination.

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All MBQIP Measures in One Place

The Medicare Beneficiary Quality Improvement Project (MBQIP) is a voluntary quality improvement initiative aimed at promoting better healthcare outcomes for patients treated in critical access hospitals (CAHs), which are often located in rural areas. MBQIP provides an opportunity for small hospitals to report on quality and outcomes data, fostering a culture of quality improvement and enhancing rural healthcare delivery.

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Ultrashort Readmissions are 30-40% of CMS 30 Day Readmission Measures

Ultrashort hospital readmissions, defined as patient readmissions within 7 days of discharge, present a significant challenge in healthcare management. These early readmissions not only reflect on the quality of care provided but also have substantial implications for patient safety and healthcare costs.

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Small Size as an Advantage for Rural Hospitals: Providing Individualized Patient Care is Easier to Achieve

The capacity for individualized patient care is a significant metric for healthcare quality and outcomes. In smaller rural hospitals, the scale of operations lends itself to a more personalized approach, particularly when managing chronic conditions such as heart failure (HF), acute myocardial infarction (AMI), pneumonia (PN), and chronic obstructive pulmonary disease (COPD). For these conditions, a typical rural hospital may see fewer than 200 patients over three years as per Centers for Medicare & Medicaid Services (CMS) measures, averaging about five patients monthly. This volume is distinctly manageable compared to larger systems, which often struggle to provide individualized follow-up care due to higher patient numbers.

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CLABSI Case Study: Integrating Safety Huddles & Best Practices with Risk & Incident Management

Central Line-Associated Bloodstream Infections (CLABSIs) present a significant challenge in healthcare settings, critically impacting patient safety and care quality. These infections, often associated with the use of central lines in medical treatments, pose substantial risks, influencing key quality measures such as the NHSN (National Healthcare Safety Network) CLABSI metrics. This metric is integral to quality programs like the CMS Hospital CMS Star Rating, Hospital-Acquired Condition Reduction Program (HACRP). Leapfrog and other quality programs that influence hospital ratings and funding. CLABSIs are not only a patient safety risk concern but also a quality indicator, affecting a hospital's performance evaluation and reputation.

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Patient Falls: Case Study: Quality and Risk are Two Sides of the Same Coin

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Patient falls within healthcare settings are a significant concern due to their implications on patient safety and quality of care. These incidents have an impact on risk management and also have an impact on measures like PSI 08 (In-Hospital Fall with Hip Fracture Rate) which is part of PSI 90, which influence crucial quality programs including CMS Star Ratings, the Hospital-Acquired Condition Reduction Program (HACRP), and Leapfrog standards. PSI 90, or the Patient Safety and Adverse Events Composite, encompasses a range of hospital-acquired conditions, among which patient falls are a critical component. The impact of falls on these quality measures is profound, as they directly affect a hospital's reputation, funding, and overall performance evaluation.

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The Big Picture in Infection Prevention: Beyond Day-to-Day Operations

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Infection Prevention teams in hospitals play a critical role in maintaining patient safety and healthcare quality. Their work, often seen through the lens of daily tasks and immediate outcomes, holds a far greater significance in the broader context of healthcare delivery and institutional reputation. To fully grasp the impact of their efforts, it's essential for these teams to understand the big picture, much like the famous story of a civil engineer who, when asked about their job, said they were not just building walls and roofs but a beautiful building. This narrative underscores the importance of seeing beyond the immediate task to appreciate the larger purpose and impact of one’s work.

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Hospitals Need To Introduce and Adopt The Concept of Readmission and Mortality Huddles

Hospitals seeking to enhance healthcare quality and patient safety have adopted strategies like the 'Safety Huddle,' a collaborative session focusing on patient safety concerns. Evolving from this concept is the 'Readmission and Mortality Huddle,' an interdisciplinary team meeting specifically aimed at analyzing readmissions and mortalities. This focused approach is crucial in the light of Dexur's findings about the narrow scope for improvements in healthcare metrics. The goal of these huddles is to identify patterns, discern root causes, and devise prevention strategies, with frequent and concise meetings enabling prompt interventions and ongoing monitoring, marking a significant advancement in hospital management.

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Dexur's AI Advisor Shows Quality Improvement is a Game of Inches

Dexur had already previously published that the difference between the Bottom 10th & top 90th Performance Percentiles of CMS Readmission and Mortality Measures is Very Small. Dexur’s AI Advisor can automatically analyze a Hospital’s data and give very specific goals and counts on what it takes for Hospitals to get to the top 90th percentile. Dexur’s AI Advisor's findings suggest that for many hospitals, reducing readmissions and mortalities by less than 10 per year can significantly boost their percentile ranking. This revelation is crucial as it indicates that even minor improvements can lead to substantial gains in a hospital's performance metrics.

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Hospital Incident Management Systems: A Wasted Opportunity to Integrate Quality Metrics

Hospital Incident Management Systems are widely adopted across healthcare organizations to capture, track, and manage events that could potentially harm patients, employees, or the institution. Although these systems play a crucial role in identifying and mitigating risk, they often function in isolation from Quality Management Systems. As a result, there's a missed opportunity to integrate quality goals and measures such as the CMS Star Rating, Leapfrog Hospital Safety Grade, Hospital Readmissions Reduction Program (HRRP), Hospital-Acquired Condition Reduction Program (HACRP), and Value-Based Purchasing (VBP).

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Small Size as an Advantage for Rural Hospitals: Smart Use of Technology + Manual Approaches

In the healthcare industry, large organizations face significant challenges due to their size and complexity. Cross-departmental coordination is a critical requirement to mitigate risk, often leading to bureaucratic inertia. Large hospitals rely on massive, centralized systems designed for economies of scale, but these can be slow and costly to alter. When faced with problems, these institutions typically turn to technology as a solution, inflating capital expenditure (Capex) budgets and return on investment (ROI) benchmarks, thus creating barriers to change.

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Small Size as an Advantage for Rural Hospitals: Achieve Scale at the Organization Level Not at the Functional Department

Rural hospitals, with their smaller size, often face the challenge of limited budgets and resources compared to larger healthcare institutions. Large organizations typically have the luxury to allocate distinct technology and application budgets across various functional departments like Quality, Compliance, Risk, and Learning. Each department independently evaluates and selects applications tailored to its unique needs, an approach that often leads to additional spending on system integration to ensure cross-departmental compatibility.

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All MBQIP Measures in One Place

The Medicare Beneficiary Quality Improvement Project (MBQIP) is a voluntary quality improvement initiative aimed at promoting better healthcare outcomes for patients treated in critical access hospitals (CAHs), which are often located in rural areas. MBQIP provides an opportunity for small hospitals to report on quality and outcomes data, fostering a culture of quality improvement and enhancing rural healthcare delivery.

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Rural Health and The Challenges of Low Case Volume: MRSA Case Study

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Rural hospitals are essential cornerstones of the communities they serve, yet they face unique challenges in assessing the quality of healthcare services they offer. One significant challenge arises from low patient volumes which, while potentially indicative of effective healthcare or healthier populations, can distort quality metrics. This distortion makes benchmarking performance against national standards a complex endeavor. Through the lens of MRSA (Methicillin-resistant Staphylococcus aureus) infections, we can gain valuable insight into this issue.

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