Opening of specialty cardiac hospitals associated with increase in rate of cardiac procedures

s opened (n = 151).

The researchers found that overall, rates of change for total revascularization were higher in HRRs after cardiac hospitals opened when compared with HRRs where new cardiac programs opened at general hospitals and HRRs with no new programs. "Four years after their opening, the relative increase in adjusted rates was more than 2-fold higher in HRRs where cardiac hospitals opened (19.2 percent) when compared with HRRs where new cardiac programs opened at general hospitals (6.5 percent) and HRRs with no new programs (7.4 percent)."

"Although we are unable to comment directly on the appropriateness of these procedures, these findings raise the concern that the opening of cardiac hospitals may lead to greater procedural utilization beyond the simple addition of capacity to a market. This is particularly worrisome since cardiac hospitals may not substantially improve clinical outcomes when compared with general hospitals with similar procedural volumes," the researchers write.

" our findings may have important policy implications. The Centers for Medicare & Medicaid Services recently issued their final report to Congress implementing a strategic plan for specialty hospitals. Their plan primarily involves revisions to the inpatient prospective payment systems to 'level the playing field' between specialty and general hospitals and limit financial incentives for investing in certain services simply due to profitability. It also proposes new 'gainsharing' and value-based payment approaches to better align physician and hospital incentives toward improving care at general hospitals. Reforms directly related to physician ownership include enhanced transparency of financial relationships. More stringent measures, such as limiting investments by physician owners, were not included. The extent to which additional measures are needed will require further data on appropriateness of care at specialty hospitals as well as the impact o

Contact: Bonnie Johnson
JAMA and Archives Journals

Page: 1 2 3 4

Related medicine news :

1. Opening windows may be the best way of preventing transmission of airborne infection
2. Opening windows effective way of preventing transmission of TB
3. The IOF World Congress on Osteoporosis (IOF WCO) Opening Media Briefing June 2
4. Opening wide for new clues about lupus
5. Do specialty heart hospitals drive up heart care use? Study suggests the answer is yes
6. Plastic surgery reflects on its past; Highlights innovations for the future of the specialty
7. HealthGrades identifies hospitals with highest-rated specialty practices
8. A broader look at cardiac CTA images often finds diseases/disorders beyond the heart
9. UT study reveals inaccuracies in cardiac PET-CT imaging, finds fixes
10. Clinical guidelines for blood conservation during cardiac procedures developed
11. Procedural changes may reduce cardiac arrests outside pediatric ICUs

Post Your Comments:

(Date:11/28/2015)... Aliso Viejo, CA (PRWEB) , ... November 28, 2015 , ... ... 30 new fully customizable media panels to choose from, the possibilities are endless. Users ... angle, and more. With the ProPanel: Pulse masking effects, users are sure to get ...
(Date:11/27/2015)... CO (PRWEB) , ... November 27, 2015 , ... According ... cities are not changing the way that they are handling security in light of ... police and security presence in an attempt to stop an attack from reaching U.S. ...
(Date:11/27/2015)... ... November 27, 2015 , ... ... were," said an inventor from Hillside, N.J. "Many people catch diseases simply from ... that individuals will always be protected from germs." , He developed the patent-pending ...
(Date:11/27/2015)... ... , ... MPWH, the No.1 Herpes-only dating community in the world, revealed that over 50% of ... than 3.7 billion people under the age of 50 – or 67% of the population ... global estimates of HSV-1 infection . , "The data shocks us highly!" said Michelle ...
(Date:11/27/2015)... , ... November 27, 2015 , ... ... Secura Consultants has prided itself for not only fulfilling the needs of advisers ... solutions at an affordable price and providing top-tier customer service. However, there's always ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... , November 26, 2015 ... addition of the "Radioimmunoassay Market by ... (Hospital, Pharmaceutical Industry, Academics, Clinical Diagnostic Labs), ... Global Forecast to 2020" report to ... has announced the addition of the ...
(Date:11/25/2015)... 25, 2015  Amgen (NASDAQ: AMGN ) today ... with the United States (U.S.) ... biosimilar candidate to Humira ® (adalimumab). Amgen believes ... to the FDA and represents Amgen,s first BLA submission ... Harper , M.D., executive vice president of Research and ...
(Date:11/25/2015)... On Tuesday, November 24, 2015, the ... Wright Medical Technology, Inc. for product liability and ... implant device, awarded $11 million in favor of ... and three days of deliberations, the jury found ... designed and unreasonably dangerous, and that Wright Medical ...
Breaking Medicine Technology:
Cached News: