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  Quality Improvement Monitor Quality Improvement Monitor 
 
Get the latest developments in the CMS Quality Initiative and news on QI/PI issues with this informative weekly newsletter.

May 16, 2008   (Volume 6, Issue 19)
 
Gainsharing can control costs without hurting quality

Rewarding physicians who reduce hospital spending with financial bonuses controls costs without compromising quality, according to a new study.

 
Study: One-third of hospital toilets insufficiently cleaned
One third of patient toilets in a Canadian study of hospitals were found to be insufficiently cleaned. The study, published by BMC Infectious Diseases was done in an effort to see whether the toilets of patients with Clostridium difficile-associated diarrhea (CDAD) were being effectively cleaned, hence lowering the risk of spreading CDAD throughout the hospital. The study compared toilets of patients in isolation with CDAD with patients who were suffering from diarrhea unrelated to CDAD. This measurement was done by putting an ultraviolet visible marker, in the form of a substance called "Glitterbug" on the underside toilet seats of these patients. Glitterbug comes off easily with soap and water. Researchers measured to see how much of the substance was left 24 hours later.
 
Quality suffers at safety-net hospitals
Hospitals that treat poor and underserved patients lag behind other hospitals when it comes to quality of care, according to a new study by Journal of the American Medical Association.
 
CMS proposal would add 43 new quality measures
A new CMS proposal would add nine hospital-acquired conditions (HAC) to the list of conditions it will no longer pay for and require organizations to report on 43 more quality measures to receive their full Medicare reimbursement.
 

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