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Wednesday, Feb 4 2015

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'Quality' Is New Health Care Buzzword, But Does Tracking It Improve Outcomes?

Some new studies in the Journal of the American Medical Association suggest that tracking and comparing hospitals' surgical complications and deaths doesn't necessarily improve patient outcomes. Elsewhere, Medicare is approving fewer pricey drugs and procedures.

Amid growing interest in rewarding 鈥渜uality鈥 health care, two new studies found that tracking and comparing hospitals鈥 rates of surgical complications and deaths doesn鈥檛 necessarily improve outcomes. Hundreds of U.S. hospitals voluntarily report data on surgical complications, readmissions, length of stay and mortality to a registry run by the American College of Surgeons, one of the oldest and largest in the country. In return, they receive risk-adjusted data showing how they rank with other hospitals. The surgeons鈥 group says that each year a hospital participates in its National Surgical Quality Improvement Program 鈥渋t has the opportunity to reduce the number of complications by 250 to 500 and save 12 to 36 lives.鈥 (Beck, 2/3)

Getting big-ticket medical devices, drugs and procedures covered by Medicare is getting harder, according to a new analysis of national coverage decisions between 1999 and 2012. The CMS was about 20 times more likely to say no in the more recent years. (Rice, 2/3)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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