Becker’s Hospital Review published an article by Paul Paul R. Sierzenski, MD entitled Smarter Use of Imaging Technology Helps Reduce Hospital Errors and Healthcare Costs
February 9, 2015
The Good News About Healthcare Reform: Smarter Use of Imaging Technology Helps Reduce Hospital Errors, Healthcare Costs
Paul Sierzenski, MD …
A $330 Million Risk: What Boards Should Know About New Medicare Penalties for Hospital Errors
In his article that advises American Hospital Association member trustees, Rodney Hockman, MD warns that hundreds of hospitals are likely to be penalized by Medicare for patient injuries under the Hospital-Acquired Condition (HAC) Reduction Program starting in October 2014. He points out that each penalized hospital stands to lose nearly $434,000 in Medicare reimbursements on average, with large hospital systems and those with a high volume of Medicare payments potentially facing much greater losses should they provide unsafe care.
Dr. Hochman points to institutions using a bundle of best practices to address this, including 353-bed White Memorial Hospital, part of the Adventist Health System in Los Angeles, to eliminate two of the serious complications used to determine penalties under Medicare’s HAC Reduction Program: pneumothorax and central line-associated bloodstream infections (CLABSIs). Both conditions are now included on AHRQ’s list of patient safety indicators. …
Becker’s Hospital Review published an article by Paul Paul R. Sierzenski, MD entitled Smarter Use of Imaging Technology Helps Reduce Hospital Errors and Healthcare Costs
Medical errors continue to be a major problem in the US healthcare system, with hospital acquired infections (HAC) becoming an area of greater focus and where significant financial penalties are being incurred. Medicare has added one especially dangerous--or even potentially fatal--adverse event, iatrogenic pneumothorax during central line placement, to its HAC list. Along with putting patients in peril, the mistake can also increase hospital costs by up to $45,000 per incident, according to a study by the Agency for Healthcare Quality and Research (AHRQ).
Many excellent studies show that ultrasound guidance can powerfully improve the safety and success of this very common procedure. In fact, in one randomized study of 900 critical care patients, use of ultrasound visualization reduced the rate of collapsed lung during central line placement to zero, compared to 2.4 percent for blind placement.
Dr. Sierzenski is the Director of Emergency, Trauma and Critical Care Ultrasound for Christiana Care Health System’s Department of Emergency Medicine. He is also the Chair, Government Policy & Public Relations for the American College of Emergency Physicians Ultrasound Section and a Master's Candidate in Health Quality and Safety at the Jefferson School of Population Health. …
A $330 Million Risk: What Boards Should Know About New Medicare Penalties for Hospital Errors
In his article that advises American Hospital Association member trustees, Rodney Hockman, MD warns that hundreds of hospitals are likely to be penalized by Medicare for patient injuries under the Hospital-Acquired Condition (HAC) Reduction Program starting in October 2014. He points out that each penalized hospital stands to lose nearly $434,000 in Medicare reimbursements on average, with large hospital systems and those with a high volume of Medicare payments potentially facing much greater losses should they provide unsafe care.
Dr. Hochman points to institutions using a bundle of best practices to address this, including 353-bed White Memorial Hospital, part of the Adventist Health System in Los Angeles, to eliminate two of the serious complications used to determine penalties under Medicare’s HAC Reduction Program: pneumothorax and central line-associated bloodstream infections (CLABSIs). Both conditions are now included on AHRQ’s list of patient safety indicators. …
Becker’s Hospital Review published an article by Paul Paul R. Sierzenski, MD entitled Smarter Use of Imaging Technology Helps Reduce Hospital Errors and Healthcare Costs
Medical errors continue to be a major problem in the US healthcare system, with hospital acquired infections (HAC) becoming an area of greater focus and where significant financial penalties are being incurred. Medicare has added one especially dangerous--or even potentially fatal--adverse event, iatrogenic pneumothorax during central line placement, to its HAC list. Along with putting patients in peril, the mistake can also increase hospital costs by up to $45,000 per incident, according to a study by the Agency for Healthcare Quality and Research (AHRQ).
Many excellent studies show that ultrasound guidance can powerfully improve the safety and success of this very common procedure. In fact, in one randomized study of 900 critical care patients, use of ultrasound visualization reduced the rate of collapsed lung during central line placement to zero, compared to 2.4 percent for blind placement.
Dr. Sierzenski is the Director of Emergency, Trauma and Critical Care Ultrasound for Christiana Care Health System’s Department of Emergency Medicine. He is also the Chair, Government Policy & Public Relations for the American College of Emergency Physicians Ultrasound Section and a Master's Candidate in Health Quality and Safety at the Jefferson School of Population Health. …
Final 2016 Medicare Inpatient Rule Contains Provisions to Promote Patient Safety
2015-09-28T07:00:00Final 2016 Medicare Inpatient Rule Contains Provisions to Promote Patient SafetyJill RathbunJill Rathbun of Galileo Consulting, in her continuing contribution to Dot.Med, explains key points for the FY 2016 CMS Inpatient Prospective Payment Final Rule. Ultrasound plays a role in the Hospital Acquired Condition Program and may contribute to lowering complications.Read article …
Ultrasound-Guided Procedures: Financial and Safety Benefits
2015-09-28T04:00:00ICU ManagementDiku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at Sonosite, and clinical associate professor of emergency medicine at the University of Southern CaliforniaDr. Mandavia discusses how ultrasound guidance adds value to both patient safety and removing costs from healthcare delivery.Read article …
An Active September in the Nation's Capital
2015-11-23T08:00:00DOT.MedJill RathbunContinuing in a series of Federal policy updates, Jill Rathbun of Galileo Consulting provides the latest news on imaging policy and paymentsRead article …
Studies Indicate CT Scan Overuse, Radiation Overexposure
Recently the medical literature has documented the growing use of CT scans. It is certainly no secret that, when circumstances warrant, Sonosite advocates for the consideration of ultrasound first over other imaging modalities. A CT scan is a powerful and valuable test when used appropriately and—as with all medical procedures—when its therapeutic value is carefully weighed against its potential harm. Yet, while acknowledging CT’s value, I can’t ignore mounting evidence indicating CT scans are being ordered more often than are necessary or safe. …
Morocco Trial Shows Remote Ultrasound Can Expand Access and Improve Maternal Care.
In the remote reaches of rural areas and developing countries there is continuous demand to accessible solutions that provide reliable, faster, and affordable clinical care. Every day, around the world, approximately 800 women die from preventable causes related to pregnancy and childbirth. Of those deaths, 40 percent are due to injuries or conditions related to placenta complications. The only way to detect abnormal placenta challenges is through an ultrasound exam. …
Think “Ultrasound First” When Evaluating for—and Preventing—Pneumothorax
I find it ironic that one of the most efficient ways to detect pneumothorax in patients is also one of the most effective ways to prevent two of its more common clinical causes.
While scenarios that might trigger the suspicion of pneumothorax are too numerous to list, screening for it has included the standard trinity of chest-imaging procedures: x-rays, tomography, and ultrasound. In “Think Ultrasound When Evaluating for Pneumothorax” (featured in AIUM’s Journal of Ultrasound in Medicine), author Vicki E. Noble, MD, of Massachusetts General, proposes that ultrasound is the ideal screening modality due to its portability and lack of “risk associated with repeated measures as clinical scenarios change.”
Dr. Noble’s article goes on to provide instruction for performing the examination, incorporates excellent research citations, and then concludes: “Using thoracic sonography as a screening tool may lead to decreased ordering of chest radiographs, thus saving time and money and improving the efficiency of treatment.”
It may come as no surprise that my colleagues and I at Sonosite enthusiastically support Dr. Noble’s conclusion. The entire article—a part of AIUM’s “think ultrasound first” Sound Judgment Series—is available here and is worth a thorough read. …