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Media, News & Topics on prevention, diagnosis & treatment of cardiovascular disease
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The Hazards of Leaving the Hospital

The Hazards of Leaving the Hospital | Heart and Vascular Health | Scoop.it

After being discharged from the hospital, patients may feel relief—and a false sense of security that they are home free

Instead, studies show, patients are vulnerable to a wide range of adverse health events and complications, and they often end up back in the hospital within weeks. Annually, nearly one-fifth of Medicare patients—about 2.6 million older adults—end up readmitted within 30 days, a problem so costly that the federal health program now penalizes hospitals for any readmission deemed to be preventable for heart attack, pneumonia and heart failure. A New England Journal of Medicine report identified the condition as "post-hospital syndrome" that might derive as much from the physical and emotional stress patients experience in the hospital as from lingering effects of the original illness.

Seth Bilazarian, MD's insight:

This is a real problem and is very complex.  Less than half of readmissions are for the reason (diagnosis) of the original hospitalization.  Family support and patient's willingness to comply with medical treatment are big contributors to readmission.  Massive efforts are underway to improve the readmission problem. We have very little data on what will work but CMS is mandating many changes.

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Leapfrog grades hospitals on patient safety

Leapfrog grades hospitals on patient safety | Heart and Vascular Health | Scoop.it

To judge hospital safety, Leapfrog Group graded hospitals across the US on how well they do preventing medical errors.  One-third of major teaching hospitals & 28%  of non-teaching hospitals received an A grade, nationally.

Sixty-two Massachusetts hospitals (76%) got an A.  15 received a B or C. No Massachusetts hospital received a grade lower than a C. All Boston teaching hospitals received A’s.

 

My take: In our community we have 2 A hospitals, 1 B and 1 C. Grading system is an oversimplification, but will become a standard & hosptials will invariably change their efforts to make good marks. Studies have shown that this reporting can improve what is measured, but may cause problems in areas that are not measured. Continued vigilence.

 

Check out you hospital at  http://hospitalsafetyscore.org/ ;

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Profits, Quality, and U.S. Hospitals - Are For-Profits worse?

Profits, Quality, and U.S. Hospitals - Are For-Profits worse? | Heart and Vascular Health | Scoop.it

Ashish Jha – physician, health policy researcher comments on quality  and ratings.  For-profits make up about 20% of all hospitals & many of them are part of large chains (such as HCA). Critics of for-profit hospitals have argued that these institutions sacrifice good patient care in their search for better financial returns. Supporters argue that there is little evidence that their behavior differs substantially from non-profit institutions or that their care is meaningfully worse.

His conclusion "The best part of looking at data is that you get to draw your own conclusions. Here are mine. Public hospitals are struggling on nearly every metric. For-profit hospitals outside of the HCA are a mixed bag – they do worse on patient experience (as we’ve found before), better on processes measures, & somewhat worse on mortality and readmission rates. They are about average on the Leapfrog safety score."

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