Perhaps no one person embodies the advancements in the surgical treatment of cardiovascular diseases during the 20th century more than Dr. Michael Ellis DeBakey. As a world-renowned scientist, innovator, medical educator, administrator, author, medical statesman and humanitarian, his name has become synonymous with firsts in surgery, biomedical innovations and the establishment of several educational and medical institutions.
The Left Internal Mammary Artery (LIMA), also known as the Left Internal Thoracic Artery (LITA), has been the gold standard conduit of choice for coronary artery bypass grafting (CABG) for several decades.
More than 30 years ago, Boylan et al published a study in the Journal of Thoracic Cardiovascular Surgery in which the long-term results of 200 patients who underwent CABG, 100 of whom received a LIMA — left anterior descending coronary artery (LAD) bypass graft and the second 100 who received a saphenous vein (SVG) to LAD bypass graft, were analyzed.
Doctors from Inova Heart & Vascular Institute, Falls Church, Virginia, recently published their findings after comparing the precision of three risk scores used to measure the quality of cardiac surgical care. They compared the Society of Thoracic Surgeons (STS) surgical risk score, primarily used in the United States, with the European System for Cardiac Operative Risk Evaluation (EuroSCORE II, EuroSCORE I).
The original EuroSCORE I was developed between 1995 and 1999 from data of 19,000 cardiac surgery patients, most of whom had undergone coronary artery bypass grafting (CABG) surgery. About a third underwent valve surgery. The EuroScore I was updated in 2012 to be more user-friendly and applicable to a greater number of procedures.
Turn on the TV or open your internet browser and you’ll likely be confronted with a story or two about a local or national disaster. And while your hospital has likely prepared for disaster, it’s difficult to gauge how your staff will respond until it faces an adverse event.
Topics: Hospital Administration
Think back to the last time you visited your physician. How much time did you actually spend speaking with your doctor? For a portion of the appointment, your doctor was likely reading through a file or typing information into an EHR. Researchers at the Annals of Internal Medicine wanted to see how physicians were interacting with patients. They found that doctors spent slightly over half the time in the exam room providing direct clinical facetime. The rest of the time was spent updating EHRs or reading files. They also found that during a typical workday, physicians only spent 27 percent of the day face to face with patients. The rest — you guessed it — was spent on administrative tasks.
It’s no wonder then that patients and doctors can feel frustrated by the state of their doctor-patient relationships.
Here are a few things you can do to strengthen your relationships with your patients.
Since October, growth in rural physician practices owned by hospitals has increased by 102 percent, and the number of urban physician practices owned by hospitals increased by 77 percent.
The Centers for Medicare & Medicaid Services (CMS) wants to slow the trend of hospitals purchasing physician practices and highlight the broader health care reform changes that were adopted by President Obama and Congress.
In early November, CMS released its finalized updated payment rates and policy changes for the 2017 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System.
Here is what hospital leaders should know about CMS’s hospital payments final rule:
Topics: Hospital Administration
ASN Kidney Health Workforce Analysis Shows Mixed Picture
A new report on the nephrology workforce from the American Society of Nephrology shows a decrease in new nephrologists this year, but a possible increase next year. Other notable findings include:
In mid-October, CMS released the Medicare Access and CHIP Reauthorization Act final rule. As a refresher, healthcare delivery is shifting from a fee-for-service model to a value-based model, which means physicians will be reimbursed differently.
The legislation will take effect January 1, 2017. Here’s what you need to know about the MACRA final rule.
Technology can have many benefits. It can shorten the time spent on tasks, make finding information easier and make communication easier.
Think back to an unforgettable experience in your life. Maybe it was that time you ate one of the most delicious dinners you’ve ever had. Maybe it was a concert where the arena was full of energy and excitement. Maybe it was simply a perfect cup of coffee from your favorite coffee shop that brightened your day.
What made that experience so special? Whether it was the chef who prepared your meal, the band members who put on a show or the barista who made your drink, every one of these people loved their jobs — and it showed.