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Key Pathogens Influencing CAUTI Infections in Hospitals

Catheter-associated Urinary Tract Infections (CAUTI) greatly influence both patient outcomes and the financial aspects of healthcare, with Dexur being a key contributor in data analytics to improve healthcare safety and quality. Leveraging hospital data reported to the CDC's NHSN, Dexur identifies key pathogens contributing to CAUTI, highlighting the top five: Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae, Enterococcus faecalis, and Proteus mirabilis. Each of these pathogens poses distinct challenges in their treatment and prevention. Through Dexur's detailed analysis, the development of targeted infection control protocols is facilitated, and the process supports both Root Cause Analysis (RCA) and the implementation of Corrective and Preventive Actions (CAPA). Such a strategy is crucial for the effective management of CAUTI, with the ultimate goal of enhancing patient outcomes and the efficiency of healthcare services.

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Texas Hospital Association Endorses Dexur to Provide Quality, Safety, and Risk Solutions to Texas Hospitals

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The Texas Hospital Association (THA) has endorsed Dexur, an AI-driven unified Quality, Safety, Risk, and Incident Management software, to support its member hospitals. This partnership is highlighted by THA's Alex Huff and Dexur's CEO, Nik Rao, who emphasize the alignment of Dexur's advanced technological capabilities, including AI-driven analytics and comprehensive data management, with THA's goals for enhancing healthcare quality and efficiency. Dexur's platform will offer THA hospitals a suite of tools for detailed program-to-case analysis, predictive insights, and strategic planning aimed at improving patient care outcomes and operational performance at a dramatically cost-effective price.

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A Significant Portion of Readmitted Patients Stay for only 1 or 2 Days

Readmissions are a critical quality metric for hospitals, significantly impacting financial and reputational outcomes under the Hospital Readmissions Reduction Program (HRRP) and the Centers for Medicare & Medicaid Services (CMS) Star Rating system. The HRRP imposes penalties on hospitals with higher-than-expected readmission rates for specific conditions, aiming to incentivize improvements in hospital discharge planning and post-discharge care. Similarly, the CMS Star Rating system evaluates hospitals on various performance measures, including readmission rates, to help consumers compare hospitals more easily. High readmission rates can lead to reduced Medicare payments and lower star ratings, which may influence patient choice and hospital revenue.

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How Clinical Peer Reviews Can Not Only Meet Accreditation Requirements but Also Drive Improvements in Quality Program Outcomes

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Peer review is a critical component in the accreditation and quality assurance processes for healthcare organizations. The Joint Commission (TJC), the Centers for Medicare & Medicaid Services (CMS), Det Norske Veritas (DNV), and the National Committee for Quality Assurance (NCQA) each have specific expectations regarding peer review processes.

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Webinar: Dexur Releases its Annual 2024 CMS Star Rating Predictions

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Dexur makes its annual predictions on CMS Star Ratings before CMS Star Ratings are published in July of every year. In 2023, Dexur had a 98% accuracy rate in its annual prediction rate. To get an understanding of your Hospital’s increase in decrease of your Star Rating, you can search for your Hospital’s prediction via the Hospital Search Function or you can also go through any Hospital’s CMS Star Rating predictions direction by browsing through state pages. To get the actual Star Rating prediction and a glimpse of the key drivers of the performance, you can also reach out to Dexur by email dexur@dexur.com.

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Emergency Departments Play a Critical Role In Managing Readmissions

Readmissions to hospitals, particularly within 30 days of discharge, serve as a critical measure for evaluating the quality and effectiveness of healthcare services. The Hospital Readmission Reduction Program (HRRP) and the Centers for Medicare & Medicaid Services (CMS) Star Rating system place significant emphasis on readmission rates as indicators of hospital performance. These measures directly impact hospitals' financial health through penalties and influence their reputation through public reporting.

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Why are Inpatient THA / TKA Readmissions and Complications Increasing?

Total Hip Arthroplasty (THA) and Total Knee Arthroplasty (TKA) are critical measures in assessing the quality of care provided by healthcare facilities, particularly in the context of Medicare's value-based care models. These procedures are common among the elderly population, who are the primary beneficiaries of Medicare. The rates of 30-day readmission and complications after THA/TKA are significant indicators of the quality and effectiveness of perioperative care, postoperative management, and the overall health system's ability to provide coordinated care. These metrics directly impact various Centers for Medicare & Medicaid Services (CMS) Quality Programs, such as CMS Star Rating and the Hospital Readmissions Reduction Program (HRRP), which penalizes hospitals with higher than expected readmission rates for certain conditions and procedures, including THA/TKA.

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How the SEP1 Chart Abstraction Measure can be Integrated into CMS Star Ratings and VBP

The SEP1 chart abstraction measure, a critical component in healthcare quality assessment, plays a pivotal role in evaluating the efficiency and effectiveness of sepsis management in healthcare facilities. Sepsis, a life-threatening response to infection leading to tissue damage, organ failure, and potentially death, requires timely and precise treatment. The SEP1 measure is designed to quantify the quality of this treatment by tracking various parameters, such as the timeliness of antibiotic administration and the completeness of sepsis care.

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Dexur Quality Measure Regulatory and Compliance Reporting

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Dexur’s Quality Measure reporting includes Chart Abstraction Software, which eliminates repetitive data entry, centralizing these functions into a single, efficient platform. With the unified approach, the primary focus shifts from data entry to improving quality outcomes. The Dexur’s Quality Reporting Module's original basis came from acquiring IHA’s Chart Abstraction software. Senior Vice President of IHA, Matt Browning, commented on the acquisition: "Dexur stands out as the best AI-driven solution to scale quality and risk management for hospitals. In the healthcare sector, there's a repetitive cycle of managing quality events, risk/incident management, and evaluating performance in programs like CMS Star Ratings. Dexur's innovative platform is uniquely positioned to unify these activities, offering a modern and efficient approach to managing these critical healthcare functions."

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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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