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Like many other institutions, the Children's Hospital of Philadelphia often struggled to get and keep good IRB members. Its roster was full of busy physicians who couldn't make all the meetings, and some had to rotate off the board because of the demands of their work.
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Several legal cases decided in recent months have rendered material discoverable that doctors thought was protected. These cases in places as varied as New York, New England, and Illinois have caused some physicians to question whether they should participate in peer review processes if their comments and discussions can end up being used against them in civil litigation.
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In a first-of-its-kind survey, The Leapfrog Group graded more than 2,600 hospitals of all sizes and types in the United States on how they performed in more than two dozen weighted patient safety measures both process and outcomes.
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As the National Committee for Quality Assurance hopes that all-cause readmission rate reporting by health plans will assist in creating more consideration of patient care across the continuum, the National Quality Forum (NQF) hopes a new measurement framework for multiple chronic conditions will likewise help improve care in and out of the hospital.
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Everyone knows that in order to have the kind of hospital that gets an A grade in safety from The Leapfrog Group, you need to have an organization whose culture values safety. But how do you know that you do? And is there a way you can measure it?
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For years, the Centers for Medicare & Medicaid Services (CMS) state operations manual has had guidelines for surveyors to assess issues related to patient safety at hospitals.
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The National Committee for Quality Assurance (NCQA) has created a new measure now endorsed by the National Quality Forum (NQF) that will require health plans for the first time to report all readmissions that occur within 30 days of discharge something that happens to about a fifth of Medicare patients.
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Electronic health records (EHRs) offer a rich resource for facilitating clinical research by identifying patients who fit the eligibility requirements for a study and allowing researchers to collaborate with primary care physicians to recruit them.
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Some of the latest versions of electronic health records have created logistical dilemmas for research institutions as they find that providing access to information is more difficult for research monitors, researchers browsing for information about potential subject pools, and other activities.
