Physician groups plan on being major factor in reform debate

Article Abstract:

The American Hospital Assn's (AHA) medical care reform plan, which proposes managed care and capitated provider payments, is opposed by the American Medical Assn and other physician groups. While both hospitals and physicians agree on universal access to medical care and employer-provided insurance, physicians fear losses of autonomy and finance from the AHA plan. The American Society of Internal Medicine and other physician groups, as well as state medical societies, also propose medical care reform plans.

Management, Planning, Economic policy, American Medical Association, Hospital administration, American Hospital Association

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Is new OIG physician fraud alert precursor to enforcement action?

Article Abstract:

The Department of Health and Human Services' Office of the Inspector General has distributed a list of hospital incentives that may be subject to prosecution under the Medicare and Medicaid anti-kickback provisions. Incentives such as discounted office space and low-interest loans are used by hospitals to recruit physicians. It is anticipated that this fraud alert is a precursor to enforcement.

Admin. of public health programs, Human resource management, Investigations, Compensation and benefits, Medicaid fraud, Medicare fraud, Incentives (Business), United States. Department of Health and Human Services

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Using CQI methods to lower postsurgical wound infection rate

Article Abstract:

Intermountain Health Care's LDS Hospital used continuous quality improvement (CQI) methods of statistical analysis to reduce their postsurgical wound infection rate from 1.8% to 0.4% in six years. The analysis revealed that the wound infection rate more than doubled when less than 24 hours or more than three hours elapsed between the surgery and the administration of antibiotics.

Psychiatric hospitals, Prevention, Clinical medicine, Quality management, Surgical wound infections, Intermountain Healthcare Inc.

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