Best read of the week


The secret to higher inpatient satisfaction: ‘BATHE’

Advisory Board: When providers spent a few minutes asking hospital patients about their overall wellbeing—in addition to routine questions about medical symptoms—patients reported significantly higher satisfaction scores, according to a new study published in Family Medicine.


Additional news media reports on MLH physicians and the health care industry, excerpted from MLH’s daily Morning News Report:


Main Line Health News

15 Myths About Women’s Health

Main Line Today: Dr. Lynn Wang, a Main Line Health gynecologist and certified sexuality counselor; Dr. Christine Stanko of Bryn Mawr Dermatology; and Elizabeth Bland, director of Main Line Health Women’s Emotional Wellness Center help tackle some of the myths about women’s health.


Facebook LIVE video chat with Main Line Health, October 23rd, 6-6:30pm

6ABC:  The topic: How the change in season can affect your sleep, with Gaurav Patel, MD, pulmonologist at Riddle Hospital.


Abramson Center Opens Memory Care Program

Jewish Exponent: Located on the Bryn Mawr Hospital campus, the program includes the state-of-the-art Edna Young Gordon Healthy Brain and Memory Center, which provides support for dementia patients and their family members, and a primary care practice.


Hospital Impact—How Main Line Health chipped away at supply chain costs

FierceHealthcare:  Christine Torres, the system vice president of supply chain management for Main Line Health, and Rob Austin, an associate director at Navigant, write,Main Line Health was focused on reducing variation when it set out to develop a sustainable model to bend the Medicare cost curve while maintaining high-quality outcomes.”



Regional Health Care News

Philly region’s drug deaths are soaring faster than ever, new data show

Philadelphia Inquirer: Across Philadelphia and the seven surrounding counties, 1,314 people died of overdoses between January and June this year, up from 874 in the same period of 2016, about a 50 percent increase.



Patient Care News…

Stem cells to fix aching knees, backs: Promising, but no panacea

Philadelphia Inquirer:  A vast stem-cell industry has exploded in the United States in recent years, promising to fix everything from autism to blindness. Orthopedic applications are the fastest-growing segment, according to a study published last year. None of these treatments has been proven safe or effective by rigorous studies, and none has been approved by the U.S. Food and Drug Administration, which is facing increasing pressure to crack down.


Diabetics May Be Scrambling After Insulin Pump Maker Calls It Quits

KYW Newsradio: West Chester based Animas Corporation has decided to exit the insulin pump business, leaving thousands scrambling for a different product. Dr. Daniel Rubin, Associate Professor of Medicine at Temple University School of Medicine, says patients should be able to quickly find a replacement.


Geisinger’s Dr. John Bulger: Keeping the Patient as Our ‘True North’

U.S. News and World Report: Launched in 2006, ProvenCare identifies and then uniformly implements best practices in surgery, disease prevention efforts and chronic care. If certain patients are readmitted to the hospital with a preventable complication within 90 days of a procedure, they are cared for at no cost.


New radiation treatment for breast cancer proves better for heart

The Times: Using a technique called the Deep Inspiration Breath Hold, breast cancer patients receive less radiation to the heart.


The Latest: FDA advisers endorse gene therapy for blindness

ABC News: A panel of experts to the Food and Drug Administration voted unanimously in favor of Spark Therapeutics’ injectable therapy, which aims to improve vision in patients with a rare mutation that gradually destroys normal vision.


Virtual Reality Helping Ease The Pain For Patients

CBS3: Researchers say the virtual reality technology could also be helpful for other patients, with things like dental procedures or childbirth. Some doctors are also using virtual reality to help hypnotize patients before procedures to help reduce anxiety levels.


UPMC test detects dangerous pancreatic cysts without surgery

Post-Gazette: That means it can prevent unnecessary surgeries to remove cysts with little or no chance of causing cancer and avoid serious surgical side effects.


Scientists Say Your Brain Still Works After Death, And You Know When You’re Dead

CBS: Studies at the University of Michigan have shown that there is a sudden burst of brain activity when the body dies. The brain waves are associated with consciousness, which lead scientists to conclude the person, on some level, knows they’ve died before their brain shuts down.


New guidelines to reduce unnecessary lab testing focus on EHR prompts, clinician feedback

FierceHealthcare: The new evidence-based guidelines recommend EHR-enabled restrictive ordering along with clinician training, and auditing and provider feedback to limit routine and often wasteful laboratory tests that account for approximately two-thirds of all medical decisions.


Emergency departments provide nearly half of medical care in the U.S., study finds

FierceHealthcare: Over the 14-year period of the study, more than 3.5 billion healthcare contacts were made in the ER, outpatient facilities and hospitals. Over that time, emergency care visits increased by nearly 44%. Outpatient visits accounted for nearly 38% of contacts. Inpatient care accounted for almost 15% of visits.


Inappropriate Caths Nearly Eliminated With Education, Screening Program

MedPage Today: PCPs there brought down their rate of inappropriate cardiac catheterizations from 17.3% to 0% (P=0.002), James Blankenship, MD, and colleagues of Geisinger Medical Center in Danville, Pennsylvania, reported in research correspondence published in the October 23 issue of JACC: Cardiovascular Interventions.



Quality and Safety News…

Report: Opioids lead in medication-related liability claims

Healthcare DIVE: Of the opioid-related claims, close to half (46%) involved primary care prescribers, while 15% alleged that the doctor acted inappropriately toward the patient seeking the drug.


Egg Allergies and the flu vaccine: What do I need to know?

Philadelphia Inquirer: Children with egg allergy can be safely vaccinated in any inpatient or outpatient setting where the provider feels comfortable recognizing and managing allergic reactions, according to a recent CDC recommendation.


Infections by C.diff bacteria are on the rise and can cause serious problems

Washington Post: After analyzing the medical records of more than 38 million hospital patients, University of Pennsylvania researchers discovered that “multiply recurrent” Clostridium difficile infections increased by almost 200 percent between 2001 and 2012. The rate of standard, more easily treated C. diff infections rose by 40 percent during that time.



Health Care Business News…

Bill Tracker: Preventing “surprise balance billing” in health care

Carlisle Sentinel: One bill that has not received widespread attention is the “Surprise Balance Bill Protection Act.” Among its provisions, the bill requires out-of-network providers working in in-network facilities to bill consumers no more than what an in-network provider would.


FDA approves second gene-altering treatment for cancer

Philadelphia Business Journal: Companies have been racing to develop new forms of immunotherapy. The new therapy, Yescarta, is made by Kite Pharma. (Subscription required; contact MLH campus Medical Library for full text.)


Anthem Joins With CVS to Start Its Own Pharmacy Business

New York Times: The insurer said it will start the new business in 2020 after its contract with Express Scripts expires, estimating the savings from the new arrangement to be about $4 billion a year, the bulk of which it said would flow to customers in the form of lower drug costs.


Why Care Organizations Must Embrace an Analytical Approach

HealthTech: Analytics represents a core element of healthcare today. Organizations increasingly collect information on both their processes and patients, which drives decision-making. By harnessing timely and accurate data, providers can save patients’ lives while cutting unnecessary costs.


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