1. National Quality Forum cautions hospital performance measures must adjust for patient sociodemographic status or risk widening the care gap
Hospital performance measures must be adjusted to consider patient sociodemographic status (SDS) factors or disparities in outcomes and access will only worsen for low income and disadvantaged patients, writes Steven H. Lipstein, MHA and W. Claiborne Dunagan, MD, MS, in a commentary being published in Annals of Internal Medicine (http://www.
Not everyone agreed with the NQF Expert Panel. When the NQF's draft recommendations were released, the Centers for Medicare and Medicaid Services (CMS) Director of Quality Measurement and Health Assessment publicly opposed them, suggesting that such adjustments may mask disparities in the quality of care provided.
Quality measures matter because Medicare has already reduced payments to hospitals with poor outcomes under provisions of the Affordable Care Act (ACA) Act of 2010, the Budget Control Act of 2011 (the "Sequester"), and the Taxpayer Relief Act of 2013 (the "Fiscal Cliff"). Resource-restrained hospitals who disproportionately serve disadvantage patients, also known as safety net providers, may incur an unfair proportion of outcome measure financial penalties when SDS factors are not factored into the equation.
The Annals of Internal Medicine commentary is being published in time with the July 23 NQF board meeting, at which the Expert Panel will discuss its recommendation to include SDS factors in hospital performance measures and the potential for trial implementation. The meeting will be open to the public. In the meantime, the authors encourage the public to read the NQF Expert Panel Report and consider the consequences of not adjusting performance metrics for SDS factors.
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2. Long-term remission of HIV returns after patients stop antiretroviral treatment
Two patients achieved long-term remission of HIV following allogeneic hematopoietic stem cell transplantation (HSCT) with HIV-susceptible donor cells, but the virus returned when they stopped taking antiretroviral therapy, according to an article being published in Annals of Internal Medicine (http://www.
Note: The URL will go live at 5:00 p.m. on Monday, July 21 and can be included in news stories. For an embargoed PDF, please contact Megan Hanks. To speak with an author, please contact Lori Schroth Ljschroth@partners.org or (617) 525-6374.