Trust HealthTrust’s team of clinicians to bring you the latest on nursing, pharmacy, laboratory and medical device topics related to the supply chain, as well as strategies for strengthening patient safety and clinical protocols.

Knee and hip prosthesis

AAOS 2017: Implant Manufacturers Now Eying Entire Episodes of Care

The exhibit hall floor at the American Academy of Orthopaedic Surgeons (AAOS) 2017 annual meeting in San Diego, California was buzzing with new product launches beyond the metal and plastic on display in years past. With the inaugural mandatory bundled payment program for lower extremity joint replacement entering year two, major implant manufacturers have shifted […]

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Hand with the stent

ACC 2017: Positive Results for Fully Humanized PCSK9 Drug and Medtronic’s CoreValve

In addition to the reported results of  Abbott Vascular’s bioresorbable stent (which Felix Lee, M.D., will report on separately), five late-breaking trials caught my attention at the American College of Cardiology’s 2017 meeting in Washington, D.C., which will also be of interest to many HealthTrust member facilities. A summary of these studies and the implications […]

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Orthopedics Traumatology surgical operation

Demand-matching Orthopedic Implants to Patients: Opportunities and Obstacles

A handful of topics dominated the conversation during the first educational collaborative hosted by the inSight Advisory – Clinical Performance team at HealthTrust, among them: Knowing whether or not a medical device new to market warrants an upcharge The shortage of clinical, utilization and trend data to guide decision-making and benchmark physicians Uncertainty among administrators […]

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Roll of dollar banknotes

The Essential Guide to Bundled Payments

In 2015, the U.S. Department of Health and Human Services set an ambitious goal of tying 50 percent of traditional, fee-for-service Medicare payments to an alternative payment model by 2018. To reach that goal, the Centers for Medicare & Medicaid Services (CMS) continues to expand its episode payment models. Also known as bundled payments, these […]

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Doctor checking on a patient at the ER

The Sepsis Detectives

Despite advances in modern medicine, sepsis—a life-threatening condition whereby the body responds to infection by injuring its own tissues and organs—continues to be the leading cause of preventable death in U.S. hospitals. More than 1 million Americans are diagnosed each year. But detecting sepsis early can be challenging, experts say, because the symptoms often mimic […]

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Going Over a Patients Charts

Beyond HCAHPS Scores

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) has become a vital predictor of a hospital’s bottom line. That’s because the patient satisfaction survey required by the Centers for Medicare & Medicaid Services (CMS) is an important determining factor for agency reimbursements—and hospitals with lower scores are financially penalized. Patient satisfaction rates make […]

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Update on Value-based Care

For years, the Centers for Medicare & Medicaid Services (CMS) has researched and developed new care reimbursement models in hopes of achieving better healthcare outcomes at a lower cost. Among the most discussed of these currently is the bundled payment—shifting more risk to hospitals but also rewarding them for collaborating with other providers to reduce […]

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Precise Prevention?

One out of every 25 hospital patients will contract a hospital-acquired infection (HAI) during their stay, according to data from the Centers for Disease Control and Prevention. These infections may result in severe health problems or require readmissions that drive up healthcare costs. While healthcare facilities have detailed processes in place for disinfecting rooms, the […]

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Patient Safety Strides

The inadequate cleaning of reusable instruments ranks as one of the top 10 health technology risks for providers in 2017. In fact, it has been identified as a hazard for the past six years in a row by the ECRI Institute, a nonprofit that researches approaches to improving patient care. Meanwhile, between 2,000 and 4,000 […]

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Always Ready, Always Vigilant

Infection prevention is both a challenge and an urgent priority for healthcare organizations. As threats emerge, the latest research identifies—or disproves—new infection prevention strategies. Payers, meanwhile, are increasing the pressure on providers to prevent healthcare-acquired infections (HAIs). Knocking Out HAIs Over the past decade, the healthcare industry has made significant progress in preventing hospital-acquired infections. […]

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PHYSICIAN Q&A: Virginia Newman, M.D.

About six years ago, to combat what she saw as a dip in physician morale among her colleagues at Franciscan Alliance Michigan City, Virginia Newman, M.D., started the Enigma Series, a continuing medical education program in which physicians discuss medical cases with their peers. The program’s successes have been far-reaching—not only helping physicians beat burnout, […]

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Prioritizing Antimicrobial Stewardship

In 2014, California became the first state to require acute care hospitals to implement antimicrobial stewardship programs in their facilities. Nearly three years later, it remains the only state in the nation with such a law—but that is set to change. In June 2016, the Centers for Medicare & Medicaid Services (CMS) announced proposed changes […]

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Getting an ‘A’ in Patient Safety

Accreditation by the Joint Commission—the largest and most prestigious of the healthcare industry’s accreditation agencies—is not mandatory, but it’s highly desirable. About 77 percent of hospitals in the United States currently have Joint Commission accreditation. Every three years, to maintain their Joint Commission accreditation, healthcare organizations must prove that they’ve met the commission’s rigorous standards […]

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9-1-1 Emergency

You can’t always anticipate a disaster or emergency—in a moment’s notice, a normal day can transform into a dramatic, movie-like scene. When it comes to natural disasters, such as hurricanes and tornadoes, and man-made emergencies, such as multivehicle accidents and mass shootings, it’s paramount that nurses, clinicians and support staff are well-trained and prepared to […]

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Despite Disappointing Trial Results, Not the Death Knell for ABSORB Stent

Year three clinical trial results on Abbott Vascular’s next-generation dissolvable stent were discouraging across the board, but the device still has promise—as investigators participating in ongoing trials in the U.S. should help demonstrate. These researchers are more familiar with the unique requirements regarding vessel preparation/sizing prior to stent deployment.  The uniformly poor performance of Abbott […]

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Surgical Robot

NASS 2016: Spotlight on Robotics

This year’s meeting introduced 19 new-to-market products, highlighted by three robotics systems designed to improve surgical precision.  From the exhibit hall to educational break-out sessions, surgical guidance systems were front and center at the 2016 North American Spine Society (NASS) annual meeting held Oct. 26-29 in Boston, Massachusetts.  Simply keeping up with all happenings in […]

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Medical professor using human heart model to teach college class

TCT 2016: Big Crowd Hears Breaking Results from Major Studies

The annual Transcatheter Cardiovascular Therapeutics conference featured scientific presentations that highlighted clinical approaches no better and no worse than the alternatives, although in the ILLUMENATE Pivotal Trial a novel paclitaxel-coated balloon was found to be superior to routine percutaneous transluminal angioplasty (PTA) in patients with peripheral arterial disease. Scientific presentations and educational sessions at this […]

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Error Proofing Enteral Feeding Connectors for Safety

The delivery of medicine, nutrition and gasses via medical device tubing saves lives. Misconnections, however, can have tragic consequences. New designs in enteral feeding connectors are safeguarding patients and improving healthcare. In any patient setting, adverse events including death can result if medical device tubing is misconnected. A global safety initiative is underway aimed at […]

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Cardiac Bundle Payments

Eight Best Practices for Coping with Cardiac Bundles

Sage advice for hospitals struggling with how to meet the seemingly impossible demands of value-based care—and transform their organization into a truly evidence-based, collaborative, efficiency-minded and patient-centered center of excellence. Although it has been 25 years since the Centers for Medicare & Medicaid Services (CMS) launched its first-ever bundled payment experiment for coronary artery bypass […]

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Sun between fingers

Smart Sustainability Practices Reap Sizable Returns

According to a study published in the Journal of the American Medical Association in 2009, U.S. healthcare facilities generate an average of 7,000 tons of waste a day—per patient, that’s 26 pounds a day. Healthcare is also responsible for 8 percent of the country’s carbon footprint. While healthcare facilities are expected to improve the overall […]

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Know Your Inventory Story

Cardiovascular surgeons at TriStar Centennial Medical Center in Nashville, Tennessee, don’t worry about running out of supplies. When they go into an operating room, the sterile kits, clamps, retractors, needles and other surgical instruments they need are always on hand, thanks to the heart and vascular center’s automated inventory management system. Each time an item […]

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