(Press-News.org) CHICAGO --- For-profit hospitals are out-performing other hospitals when treating stroke, heart attack and pneumonia patients in emergency departments and, thus, will be more likely to receive bonuses under Medicare's new payment rules, according to a new Northwestern Medicine® study.
Though nonprofit and public hospitals are lagging behind in performance, many are making noticeable improvements and also many will be eligible for bonuses, too.
The findings give an early look at how hospitals are measuring up under the new, mandatory Hospital Inpatient Value-Based Purchasing Program that went into effect October 2012. Hospitals receive financial rewards or penalties according to achievement or improvement on several publicly reported quality measures.
The study was published online March 13 in the Annals of Emergency Medicine.
"Hospitals owned by for-profits are hitting their quality markers frequently and, therefore, will fare well under the program," said Rahul Khare, M.D., one of the study authors. "And though nonprofit and public hospitals scored lower on quality, many won't lose out because they are improving."
Khare is an assistant professor in the department of emergency medicine at Northwestern University Feinberg School of Medicine and an emergency medicine physician at Northwestern Memorial Hospital.
Researchers merged 2008 to 2010 performance data from nearly 3,000 hospitals nationwide. They calculated a score for each hospital based on its performance on four different emergency department measures for stroke, heart and pneumonia.
For-profit and public hospitals had the biggest difference in performance scores. The average performance scores were 50 for for-profits, 35 for nonprofit hospitals and 30 for public hospitals. The scores of for-profit hospitals were more often driven based on achievement of quality targets. The scores for public hospitals were often driven based on improvement rather than achievement.
"The government recognizes that some public or non-profit hospitals don't have adequate resources and is saying, 'if you can improve you won't be punished for lower quality scores,'" Khare said.
Other authors of this study included: Megan McHugh, Jennifer Neimeyer, Emilie Powell, M.D., and James G. Adams, M.D., all of the Feinberg School.
Hospitals measure up for Medicare reimbursement
New study finds for-profit hospitals outscore public/non-profit on performance measures
ELSE PRESS RELEASES FROM THIS DATE:
Can meditation make you a more compassionate person?
Scientists have mostly focused on the benefits of meditation for the brain and the body, but a recent study by Northeastern University's David DeSteno, published in Psychological Science, takes a look at what impacts meditation has on interpersonal harmony and compassion. Several religious traditions have suggested that mediation does just that, but there has been no scientific proof—until now. In this study, a team of researchers from Northeastern University and Harvard University examined the effects meditation would have on compassion and virtuous behavior, and ...
Shedding light on early Parkinson's disease pathology
Amsterdam, NL, April 1, 2013 – In a mouse model of early Parkinson's disease (PD), animals displayed movement deficits, loss of tyrosine-hydroxylase (TH)-positive fibers in the striatum, and astro-gliosis and micro-gliosis in the substantia nigra (SN), without the loss of nigral dopaminergic neurons. These findings, which may cast light on the molecular processes involved in the initial stages of PD, are available in the current issue of Restorative Neurology and Neuroscience. "The most intriguing finding of our study was the lack of a significant decrease of TH levels ...
Over-diagnosis of reflux in infants leads to needless medication
Ann Arbor, Mich. — Medications used to treat gastroesophageal reflux disease, or GERD, are some of the most widely used medications in children less than one year old. But in a new study, researchers from the University of Michigan and the University of Missouri concluded that physicians often label common symptoms in infants, such as crying and spitting up, as disease. Frequent use of the GERD label can lead to overuse of medication, according to study published today online ahead of print in the journal Pediatrics. The study found that doctors' use of the label GERD ...
Soils in newly forested areas store substantial carbon that could help offset climate change
ANN ARBOR—Surface appearances can be so misleading: In most forests, the amount of carbon held in soils is substantially greater than the amount contained in the trees themselves. If you're a land manager trying to assess the potential of forests to offset carbon emissions and climate change by soaking up atmospheric carbon and storing it, what's going on beneath the surface is critical. But while scientists can precisely measure and predict the amount of above-ground carbon accumulating in a forest, the details of soil-carbon accounting have been a bit fuzzy. Two ...
Sorting out the structure of a Parkinson's protein
CAMBRIDGE, MA -- Clumps of proteins that accumulate in brain cells are a hallmark of neurological diseases such as dementia, Parkinson's disease and Alzheimer's disease. Over the past several years, there has been much controversy over the structure of one of those proteins, known as alpha synuclein. MIT computational scientists have now modeled the structure of that protein, most commonly associated with Parkinson's, and found that it can take on either of two proposed states — floppy or rigid. The findings suggest that forcing the protein to switch to the rigid structure, ...
University of Tennessee professor links massive prehistoric bird extinction to human colonization
Research by a University of Tennessee, Knoxville professor has found that about a thousand bird species became extinct following human colonization. Research by Alison Boyer, a research assistant professor in ecology and evolutionary biology, and an international team studied the extinction rates of nonperching land birds in the Pacific Islands from 700 to 3,500 years ago. Some of the birds studied included birds of prey and ducks. The team uncovered the magnitude of the extinctions and insight into how and why human impacts varied across the region. The findings are ...
African Americans experience longer delay between prostate cancer diagnosis and treatment
African American men on average wait a week longer than their Caucasian counterparts between the initial diagnosis of prostate cancer and treatment, according to University of North Carolina researchers. The study was published online March 28 in Cancer, the journal of the American Cancer Society, by a team led by Ronald Chen, MD, MPH, assistant professor with the UNC Lineberger Comprehensive Cancer Center. The study is the first published population-based examination of racial disparities in prostate cancer treatment delay. Using data from Medicare patients, Dr. Chen ...
Personalized brain mapping technique preserves function following brain tumor surgery
PHILADELPHIA - Neurosurgeons can visualize important pathways in the brain using an imaging technique called diffusion tensor imaging (DTI), to better adapt brain tumor surgeries and preserve language, visual and motor function while removing cancerous tissue. In the latest issue of Neurosurgical Focus, researchers from the Perelman School of Medicine at the University of Pennsylvania review research showing that this ability to visualize relevant white matter tracts during glioma resection surgeries can improve accuracy and, in some groups, significantly extend survival ...
Organic labels bias consumers perceptions through the 'health halo effect'
The word "organic" can mean many things to consumers. Even so, the power of an organic label can be very strong: studies have shown that this simple label can lead us to think that a food is healthier, through what is known as the 'health halo effect'. But can this bias go further? A study by Cornell University's Food and Brand Lab researchers Lee, Shimizu, Kniffin and Wansink set out to answer this question. Their study shows that an organic label can influence much more than health views: perceptions of taste, calories and value can be significantly altered when a food ...
Feeding corn germ to pigs does not affect growth performance
URBANA - Inclusion of corn germ in swine diets can reduce diet costs, depending on the local cost of corn germ and other ingredients. Recent research conducted at the University of Illinois indicates that corn germ can be included at up to 30 percent in diets fed to growing pigs. "In previous research, we had seen that pigs do very well on diets containing 10 percent corn germ, so we wanted to investigate if higher inclusion rates can be used," said Hans Stein, professor of animal sciences at Illinois. The corn germ used in this study came from the ethanol, or dry grind, ...
LAST 30 PRESS RELEASES:
Scientists model 'true prevalence' of COVID-19 throughout pandemic
New breakthrough to help immune systems in the fight against cancer
Through the thin-film glass, researchers spot a new liquid phase
Administering opioids to pregnant mice alters behavior and gene expression in offspring
Brain's 'memory center' needed to recognize image sequences but not single sights
Safety of second dose of mRNA COVID-19 vaccines after first-dose allergic reactions
Changes in disparities in access to care, health after Medicare eligibility
Use of high-risk medications among lonely older adults
65+ and lonely? Don't talk to your doctor about another prescription
Exosome formulation developed to deliver antibodies for choroidal neovascularization therapy
Second COVID-19 mRNA vaccine dose found safe following allergic reactions to first dose
Plant root-associated bacteria preferentially colonize their native host-plant roots
Rare inherited variants in previously unsuspected genes may confer significant risk for autism
International experts call for a unified public health response to NAFLD and NASH epidemic
International collaboration of scientists rewrite the rulebook of flowering plant genetics
Improving air quality reduces dementia risk, multiple studies suggest
Misplaced trust: When trust in science fosters pseudoscience
Two types of blood pressure meds prevent heart events equally, but side effects differ
New statement provides path to include ethnicity, ancestry, race in genomic research
Among effective antihypertensive drugs, less popular choice is slightly safer
Juicy past of favorite Okinawan fruit revealed
Anticipate a resurgence of respiratory viruses in young children
Anxiety, depression, burnout rising as college students prepare to return to campus
Goal-setting and positive parent-child relationships reduce risk of youth vaping
New research identifies cancer types with little survival improvements in adolescents and young adul
Oncotarget: Replication-stress sensitivity in breast cancer cells
Oncotarget: TERT and its binding protein: overexpression of GABPA/B in gliomas
Development of a novel technology to check body temperature with smartphone camera
The mechanics of puncture finally explained
Extreme heat, dry summers main cause of tree death in Colorado's subalpine forests[Press-News.org] Hospitals measure up for Medicare reimbursement
New study finds for-profit hospitals outscore public/non-profit on performance measures