Under the Patient Protection and Affordable Care Act, change for patients with end stage renal disease is in the wings in the form of bundled payments and tighter scrutiny.
3. Central Line Infections
The battle against central line infections rages on for healthcare leaders in 2011. Will safer infection control practices (such as minimal catheter use and checklists) make a difference in quality of care?
Mandatory reporting now in place in 17 states was said to be the reason for an 18% decline in central line-associated bloodstream infections during the first six months of 2009, according to the Centers for Disease Control and Prevention.
In a May news conference, Peter Pronovost, MD, medical director of the Center for Innovations in Quality Patient Care at Johns Hopkins University called central line infections "the polio campaign for the 21st century." He said the CDC's efforts mark a turning point for healthcare transparency and accountability."
And while CDC would not release hospital specific CLABSI rates, they said those numbers are coming soon in future reports.
4. Patient Involvment in Care
Donald Berwick, Centers for Medicare & Medicaid Services Administrator, predicts that putting the patient first will become a theme for medicine in 2011 along with transparency.
In the new year, Medicare will be reimbursing hospitals in part on a formula based on patient satisfaction, which is anathema under the old school way of thinking about things.