dismiss

Clean Sweep Live Auction on Thur. March 28th. Click to view the full inventory

DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Comment
Advertisement

 

 

Business Affairs Homepage

Change Healthcare files for IPO Could raise as much as $100 million, listing on Nasdaq

Mergers do nothing for quality of care, lower patient satisfaction, says study Based on 29 data points and the assessment of 16 processes of care

GE Healthcare IPO on hold as new deal takes spotlight Selling biopharma business to Danaher for over $21 billion

Asheville Radiology Association joins Strategic Radiology The latest expansion by the imaging coalition brings 43 new physicians to the table

Johnson & Johnson to acquire Auris Health for $3.4 billion With possible $2.35 billion added if certain milestones are hit

Maybe competition is good for what 'ails' hospitals Mergers may be good for business, but what about patients?

Frost & Sullivan outline 10 growth factors for precision imaging market Market predicted to be more than $8 billion by 2027

RadNet buys Kern Radiology The Bakersfield, California imaging group includes four offices

More of GE healthcare unit could be on block: CEO CEO Culp speaks in post-earnings call after company exceeds Q4 expectations

Philips, Lunit, Vuno in healthcare AI deal Forging partnerships to advance AI applications

Higher upfront hospital inpatient spending reduces Medicare deaths and overall costs

by John W. Mitchell , Senior Correspondent
Hospitals that commit more resources to discharge emergency patients home — rather than to long-term care facilities — achieve lower complication, readmission and mortality rates, which reduces spending.

These were the findings of an MIT study just published in the July issue of the Journal of Health Economics.

Story Continues Below Advertisement

Free Marketplace where Lenders Compete Get Pre-Approved for up to $500,000

Get financing today. We say YES more! Easy, Fast, Application. Pick the payment that best works for you. Tax Benefits + Leasing = Huge Savings! NEVER BE OBSOLETE. NO DOWN PAYMENT. FIXED MONTHLY PAYMENT. MRI, CT, Ultrasound, Digital X-ray, Dental Equipment



"There is a sense that the U.S. could save roughly $1 trillion per year in wasteful health care spending, but knowing what spending is wasteful is difficult," co-author Joseph Doyle, the Erwin H. Schell Professor of Management Economics at the MIT Sloan School of Management told HCB News. "We find that for patients with emergency health conditions such as heart attacks and strokes, hospitals that provide more intensive levels of care during the inpatient stay have lower mortality and readmission rates."

Increased post-discharge complications and readmissions to hospitals are linked to both higher death rates and increased spending. Quality measures adopted as part of the Affordable Care Act both penalize hospitals with higher readmission rates and reward hospitals with lower readmission rates.

The study consisted of more than 1.5 million Medicare claims data from 2002 to 2011. In designing the study, the researchers focused on the ambulance charge field in the data. Because ambulance calls are assigned on a first available basis, and different ambulance companies have hospital preferences based on geographic locations and agreements, it offers a randomized sample, according to the researchers. Randomized sampling is key in eliminating research sampling bias.

The average 90-day spending on patients in the study is almost $27,500. For every additional increase in spending of roughly $8,500, the researchers found a reduction in mortality risk of about two percent. However, the study finds about a five percent increase in mortality at hospitals that have relatively high rates of spending on downstream nursing facilities.

There were about 2,500 ambulance companies and 3,000 hospitals represented in the study.

"We find that patients effectively randomly assigned to hospitals that have high levels of downstream spending, principally on nursing home care, have substantially higher mortality compared to patients who go to hospitals where more of their other patients return home after their hospital stays," said Doyle.

Doyle added that the study suggests that practices of the most intensive service hospitals are "best." He added, however, that there could be other characteristics of hospitals — such as better physicians and better nurses — that could also explain the relationship.

According to the researchers, the study suggests that a significant amount of waste in U.S. health care may come from this post-acute care, and this should be a fertile area to study how to improve efficiency. The study is one in a series of studies by Doyle and colleagues that trace patient assignment to hospitals based on ambulance call practices, to determine hospital quality.

Business Affairs Homepage


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2019 DOTmed.com, Inc.
ALL RIGHTS RESERVED