Morning Rounds (05.20.13)

The Texas Medical Association has elected a Fort Worth physician as its president and a Frisco psychiatrist as its speaker.

The Obama administration has announced a $1 billion initiative to fund health innovations.

About 3 out of 4 physicians say health information technology will improve healthcare quality.

A recent proposal from the CMS would allow patients with hospital stays longer than two midnights to qualify for coverage under Medicare Part A. Full Story

U.S. Sets Up $1 Billion Innovation Fund

The Obama administration has announced a $1 billion initiative to fund innovations in aimed at cutting costs while improving the health outcomes. The Department of Health and Human Services said the money would be spent on projects that test new payment and delivery models for federal healthcare programs such as Medicare, Medicaid and the Children’s Health Insurance Program.

UT Southwestern Study Looks to Identify Which Bladder Cancer Patients Need Follow-up Chemotherapy

Certain patients with surgically removed bladder cancers may need additional therapy to prevent the cancer from returning, according to a UT Southwestern study. The five-year international study, that was published in European Urology, used a marker panel to predict which patients are more likely to have a recurrence of cancer after bladder removal by monitoring 216 patients to track if their cancers recurred by using five commercially available markers. “It is well known that bladder cancer tumors have certain molecular alterations, but the problem is that there has been little data regarding which patients should get additional therapy, especially if… Full Story

UT Southwestern Rolls Out Quality Data for Hospitals, Clinics

At the beginning of 2013, UT Southwestern quietly began to roll out its quality data for public inspection on its website. UTSW groups its performance into four broad categories: Best practices and core measures, which includes heart attack, heart failure, pneumonia and surgical care. Clinic outcomes, such as patient readmissions and patient mortality rates for specific conditions. Patient safety, including infection rates, hand hygiene and patient falls that result in injury. Patient satisfaction ratings by Press Ganey. For each measure, the system indicates whether it is in the top 10 percent of U.S. hospitals, within 5 percent of the hospital… Full Story

UTSW Research Unveils Possible Cancer Therapy Target

Researchers at UT Southwestern Medical Center have found that alternative splicing—a process that allows a single gene to code for multiple proteins—appears to be a new potential target for anti-telomerase cancer therapy. The enzyme telomerase is overexpressed in almost all cancer cells, and previous research efforts have failed to identify good telomerase inhibitors. The study by Dr. Woodring Wright and UT Southwestern colleagues in the April 4 issue of Cell Reports identifies a new approach for inhibiting telomerase, which is an enzyme that drives uncontrolled division and replication of cancer cells.

Morning Rounds (04.19.13)

UT Southwestern researchers have identified a specific gene that regulates the heart’s ability to regenerate after injuries.

Huguley Memorial Medical Center in south Fort Worth has been renamed Texas Health Huguley Hospital Fort Worth South.

The Bipartisan Policy Center proposed reforms to the nation’s healthcare system that could reduce the federal deficit by about $560 billion over 10 years. Full Story

UT Southwestern Researchers Discover Gene That Regenerates Heart Tissue

UT Southwestern researchers have identified a specific gene that regulates the heart’s ability to regenerate after injuries. A team of scientists discovered the function of the gene, called Meis1. “We found that the activity of the Meis1 gene increases significantly in heart cells soon after birth, right around the time heart muscle cells stop dividing. Based on this observation we asked a simple question: If the Meis1 gene is deleted from the heart, will heart cells continue to divide through adulthood? The answer is ‘yes’,” said Dr. Hesham Sadek, assistant professor of internal medicine in the division of cardiology, and… Full Story

JAMA Study Uses THR Data to Gauge Financial Effect of Surgical Complications

An analysis of Texas Health Resources (THR) 2010 data shows that privately insured patients who had one or more surgical complications had more than triple the contribution margin, compared without a complication. THR was the focus of a Harvard School of Public Health study in the April 17 edition of the Journal of the American Medical Association. The contribution margin—defined as revenue minus variable costs—was 330 percent for privately insured patients and 190 percent for Medicare patients. THR had a surgical complication rate of 5.3 percent in 2010. The surgical complication rate varies widely, from 3 percent to more than… Full Story

Morning Rounds (04.16.13)

Pennsylvania-based Post Acute Medical Friday announced the purchase of Twin Creeks Hospital, a 40-bed inpatient rehabilitation facility in Allen.

The Fort Worth Foundation and JPS Health Network will build and operate an adult medical clinic and social services complex near the East Lancaster Avenue homeless shelters.

Giving price information to providers at the time lab orders were placed resulted in a decrease in the numbers of ordered tests. Full Story