Tag: "health care quality"
Patients — and physicians — say they feel the time crunch as never before as doctors rush through appointments as if on roller skates to see more patients and perform more procedures to make up for flat or declining reimbursements. It’s not unusual for primary care doctors’ appointments to be scheduled at 15-minute intervals. Some physicians who work for hospitals say they’ve been asked to see patients every 11 minutes. And the problem may worsen as millions of consumers who gained health coverage through the Affordable Care Act begin to seek care — some of whom may have seen doctors rarely, if at all, and have a slew of untreated problems. (KHN)
This is from Chris Conover:
Since the evidence is equivocal at best, let us — for purposes of discussion — average the point estimates from 4 studies…and compare this relative mortality risk (1.22) to other factors that elevate the annual probability of death.
Patients who are hospitalized for pneumonia at a low-scoring facility were 67 percent more likely to die within 30 days of admission than pneumonia patients at a top-scoring hospital, according to the Consumer Reports analysis. Of 1,000 surgical patients who develop a serious surgical complication in a top-rated hospital, 87 or fewer die, compared to more than 132 in a low-rated one — a 52 percent higher fatality risk. (Reuters)
Hint: Don’t get care at Bolivar Medical Center in Cleveland, Mississippi.
We find that a surgeon’s additional day away from the operating room raised patients’ inpatient mortality risk by up to 0.067 percentage points (2.4% relative effect) but reduced total hospitalization costs by up to 0.59 percentage points…Our findings are consistent with the hypothesis that after returning from temporal breaks surgeons may be less likely to recognize and address life-threatening complications, in turn reducing resource use. (NBER Working Paper)
This is Gov. Bobby Jindal:
The federal government provides funds to states matching their Medicaid contributions. But ObamaCare includes a twist: The law provides a richer federal match for states’ coverage of childless adults than Medicaid programs receive for covering individuals with disabilities. I’ll say that again: ObamaCare prioritizes Medicaid coverage of childless adults over care for persons with disabilities. That’s a case of skewed priorities if I ever heard of one.
…[M]y proposed budget for this year directs $26 million in new funding to home and community-based services for elderly individuals and persons with disabilities. We’re focused on improving the quality of care, and giving individuals with disabilities more choices. We’ve already increased the number of individuals receiving home and community-based care by 5,000, and this year’s funding increase will ultimately reduce our waiting list for services by over 4,000.
But while we’re focused on improving the quality of care provided and reducing waiting lists for persons with disabilities, Liberals would rather our state use those resources to participate in ObamaCare’s Medicaid expansion. Liberal groups like MoveOn.org won’t say one word about caring for individuals with disabilities, or how ObamaCare prioritizes coverage of childless adults ahead of the most vulnerable — they just want to intimidate states into accepting ObamaCare’s massive new spending programs.