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Sensing Savvy

Our CABG Patency Assessment Program Improves Outcomes

Posted by Anna Mueller, MS on Apr 17, 2018 7:55:00 AM

The Hospital Readmissions Reduction Program (HRRP) established in the Affordable Care Act has further focused hospital efforts to improve quality and patient outcomes.

In a Medicare Payment Advisory Commission (MedPAC) report to Congress, coronary artery bypass graft (CABG) surgery was ranked as having the highest potentially preventable readmission rate. Volume flow measurement provides an objective, intraoperative assessment of the quality and patency of grafts and could help prevent costly re-operations and readmissions.

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Topics: CABG Surgery, Outcomes

Does Physician Gender Influence Patient Outcomes?

Posted by Thomas Gole, DO, FAAFP on Apr 5, 2017 7:00:00 AM

You’ve probably seen the headlines:

“Female Doctors May be Better than Male Doctors”

“Having a Female Doctor Might Save Your Life”

“New Study Says Female Doctors Save More Lives than Male Doctors.”

The study that spawned the above headlines was conducted by a team of Harvard researchers who sought to answer the question: Does physician gender influence patient outcomes?

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Topics: Outcomes

Is Physician Leadership Right for Me?

Posted by Thomas Gole, DO, FAAFP on Mar 13, 2017 6:30:00 AM

When you started your career in medicine, were you thinking about eventually making the transition to a leadership role? Many physicians begin their careers knowing they want to take this step, and as a result pursue degrees like a Master of Public Health or Master of Business Administration, in addition to a Doctor of Medicine.

However, only about 5 percent of the 6,500 hospitals in the country are led by physicians. Issues like patient outcomes and safety, reducing readmissions and quality of care all require the expertise and leadership of physicians, according to Medscape.

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Topics: Outcomes

Study: Surgical Residents Can Safely Work Longer Shifts

Posted by Thomas Gole, DO, FAAFP on Mar 23, 2016 6:30:00 AM

Are sleep-deprived surgical residents more likely to make serious medical errors? According to the Accreditation Council for Graduate Medical Education (ACGME) they were, and as a result, the council implemented changes in 2003 limiting the number of hours residents can work per week and increasing the amount of time off between 24-hour shifts.

However, those work restrictions may soon be a thing of the past thanks to new research published in the New England Journal of Medicine. Researchers wanted to discover if loosening the 80-hour workweek restriction and time off between 24-hour shifts had any effect on patient outcomes. What they found was surprising.

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Topics: Clinical Trends, Outcomes

Tips for Creating a Successful Patient Experience Strategy

Posted by Susan Eymann, MS on Mar 18, 2016 6:30:00 AM

Reducing readmissions and improving your hospital’s patient experience strategy might seem like an odd pairing. After all, healthcare has traditionally focused on evidence-based care rather than the patient experience.

Now, healthcare organizations are seeing a shift. Patients have the power to broadcast their experiences in real time from their hospital rooms, and thanks to provisions in the Affordable Care Act, a hospital’s reimbursement is now partly affected by how patients rate it.

Hospitals that don’t meet the standards of experiential and conformance quality will see their reimbursements reduced by 2 percent in 2017, so if making improvements to your hospital’s patient experience strategy hasn’t been near the top of your list, it needs to be.

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Topics: Hospital Administration, Outcomes

In-hospital Outcomes Predicted by Intraoperative Graft Flow Measurements during CABG

Posted by Roger DeLong, CP, PE, MBA on Feb 29, 2016 6:30:00 AM

Intraoperative-Graft-Flow-Measurements-CABG.jpgHalifax, Nova Scotia surgeons wanted to assess the predictive value of measured graft flows on early and medium-term outcomes. Over the course of three years they measured flow intraoperatively in 985 patients at a single institution. Abnormal flow values were defined as having a PI >5. Patients were followed up to 1.8 years after discharge.

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Topics: CABG Surgery, Outcomes

CABG or PCI for 3-Vessel Disease Patients: SYNTAX Trial

Posted by Susan Eymann, MS on Feb 19, 2016 7:00:00 AM

Coronary artery bypass grafting (CABG) has been considered the standard of care for patients with three-vessel disease (3VD), but long-term comparative results from randomized trials of CABG vs. percutaneous coronary intervention (PCI) using drug-eluting stents (DES) are limited.

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Topics: CABG Surgery, Outcomes

Cost, Quality and Value in CABG

Posted by Susan Eymann, MS on Feb 17, 2016 7:00:00 AM

Pay-for-performance measures, as part of the Affordable Care Act, aim to reduce healthcare costs by linking value to Medicare payments. In order to define value in coronary artery bypass grafting (CABG) and provide a framework to identify high-value centers, a group of researchers matched clinical patient-level data from multi-institutional statewide databases of 42,839 patients undergoing CABG with cost data.

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Topics: CABG Surgery, Outcomes

University of Singapore Surgeon Champions TTFM During CABG

Posted by Susan Eymann, MS on Feb 10, 2016 6:30:00 AM

Dr. D.K.H. Leong at the University of Singapore measured flow after constructing a CABG anastomosis in 116 patients of various Asian ethnic backgrounds. The surgeons used a combination of diastolic flow profiles, mean flow values and pulsatility indices measured with a transit-time ultrasound flowmeter (TTFM) to detect grafts with problems.

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Topics: Outcomes

Can Flow Measurement Improve CABG Graft Patency & Clinical Outcomes?

Posted by Roger DeLong, CP, PE, MBA on Feb 8, 2016 7:00:00 AM

In the most comprehensive analysis of publications about intraoperative transit-time measurement of bypass graft flow during coronary artery bypass grafting (CABG), Gabriele Di Giammarco from Chieti, Italy, sought an answer to a clinical question: Whether transit-time flow measurement (TTFM) can improve graft patency and clinical outcomes in patients undergoing coronary artery bypass grafting surgery using evidence-based information. Reviewed were 102 papers from which 10 that represented the best evidence to answer the clinical question were selected for analysis.

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Topics: Outcomes

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