This large analysis compared coded data and data from prevalence surveys; it found coded data overall significantly underreported the rate of hospital acquired pressure ulcers, compared to prevalence surveys, but the data was so variable that some hospitals performed better on prevalence surveys and some performed better on coded data. This study questions the validity of using coded hospital acquired pressure ulcer data for public reporting and value based purchasing (abstract).
“We Need Creative Solutions” When I read or hear the sentence above, I think of one thing and one thing only. The solution is long in coming, involves input from multiple parties, has no obvious fix, is costly–in either money or time, and we undergird it by a whopper of a collective action problem. How […]
By: Win Whitcomb, MD, MHM Hospitalist groups have been among the highest volume participants in Medicare’s Bundled Payments for Care Improvement (BPCI) demonstration project, initiating almost 200,000 episodes representing over $4.7B in spending since the model began1. On January 9, the Centers for Medicare and Medicaid Services (CMS) announced BPCI’s follow-on model, ‘BPCI Advanced’,2 which starts […]
Last week I was in Dunkin’ Donuts and noticed something odd—although the oddness did not strike me immediately. The woman who was serving me could have been my grandmother. Ditto that when I was at Home Depot in the lighting aisle yesterday. And ditto it again in Walmart this morning. I would never dream of […]