Quality

A Mayo Clinic medical center has landed the top spot as the nation’s best hospital, according to new rankings from U.S. News & World Report.
The U.S. has some of the highest healthcare costs in the world, but overall quality and cost can vary widely by state.
Prime Healthcare Services, a national hospital system with 45 locations in 14 states, and its CEO have agreed to pay $65 million to settle a whistleblower case alleging false claims.
Bayer has shot back after a documentary aired on Netflix took aim its controversial birth control implant, Essure.
The U.S. will soon spend close to 20 percent of its gross domestic product (GDP) on health, according to The Wall Street Journal, up from the current level of about 18 percent. In December 2017, the healthcare industry became the nation’s largest employment sector. 
California’s maternal death rates been halved as pregnancy-related deaths increase in the U.S. Safety experts and hospitals in California have worked together to implement improved practices. So why haven't other states done the same? A USA Today investigation looks for an answer.
The FDA released a warning Monday, July 30, about the safety and effectiveness of vaginal “rejuvenation” or vaginal cosmetic procedures. Companies have been offering services using lasers or similar energy-based devices to treat symptoms and conditions related to menopause, urinary incontinence and sexual function.
Physicians employed at small, independent primary care practices (SIPs) in New York City report dramatically lower levels of burnout, according to new research published July 9 in the Journal of the American Board of Family Medicine.
Higher occupancy rates in hospitals don’t necessarily mean more infections. Rather, a facility can have the highest risk for Clostridium difficile infections when capacity was in a Goldilocks zone—not too full, not too empty—between 25 and 75 percent, according to new research from the University of Michigan and RAND Corporation.
Emphasize program integrity in audits of state claims for federal match funds and medical loss ratios (MLRs). CMS will audit some states based on clinical services spending and quality improvements.
Individuals from Mississippi were indicted for defrauding insurance companies for $200 million with high-priced compounded formulations and bribing providers—including dentists, physicians and nurse practitioners—to prescribe those medications to patients they never examined.
After his appointment as CEO of the new Amazon-Berkshire Hathaway-JPMorgan Chase healthcare venture, Atul Gawande, MD, stated the undertaking will look to target wasteful spending, while providing better outcomes and satisfaction and removing “some of the middlemen" from the system.
CMS recently announced Medicare’s hospital insurance (HI) fund will be depleted by 2026—three years earlier than previously projected. A new report from the American Academy of Actuaries examined the numbers—finding eliminating the HI deficit would require an immediate 28 percent increase in standard payroll taxes.
Emergency departments, particularly in rural areas, are strained by shortages of physicians and other providers, including nonemergency doctors and advanced practice providers, according to a new study published in the Annals of Emergency Medicine.
The Agency for Healthcare Research and Quality (AHRQ) estimated 8,000 deaths were prevented and $2.9 billion was saved between 2014 and 2016 through successful initiatives to reduce hospital-acquired conditions, including infections, injuries from falls and adverse drugs events.
Jun 05, 2018 | Quality
CMS has released a new a “scorecard” tracking quality measures of states within Medicaid and the Children’s Health Insurance Program (CHIP), but the National Association of Medicaid Directors (NAMD) said it failed to offer a true apples-to-apples comparison of state performance.
Quality, Policy
May 25, 2018 | Quality
Hospitals will be expected to perform fewer unnecessary C-sections, cut down on imaging procedures for lower back pain and prescribe fewer opioids. If they don’t do so by the end of 2019, Covered California will try to get participating health insurers to exclude those hospitals from their networks.
Quality, Policy
May 17, 2018 | Quality
Baylor St. Luke’s Medical Center in Houston has long been touted as one of the top hospitals in the country for heart transplant and surgery. In recent years, however, its quality scores have plummeted and top physicians have left, all while the center was being led by a relatively inexperienced surgeon.
Quality, Leadership
May 16, 2018 | Quality
The report from Illinois' Cook County inspector general pinned much of the blame on the system’s bureaucracy, citing “a significant number of registration clerks, coders and billers who do not possess adequate self-motivation or the required skill sets and knowledge base” to do the jobs they’ve been assigned.
Quality, Healthcare Economics & Policy
May 14, 2018 | Quality
The Healthcare Facilities Accreditation Program (HFAP) has released the 2018 edition of its annual quality report, illustrating how deficiencies were most commonly found at the hospitals and ambulatory surgical centers (ASCs) it inspects.
Quality, Care Delivery
May 11, 2018 | Quality
The “Just Culture” model to encourage healthcare professionals to report mistakes to focus on improving processes, not punishment, hasn’t worked, according to a study authored by Marc Edwards, MD, MBA, of the QA to QI Patient Safety Organization.
Quality, Leadership