Take a walk down memory lane with the Q-Centrix Readmission Timeline. Our infographic is a snapshot of the events that created a few troubling trends in hospital readmissions.
White Paper - eCQMs: It's Time to Make Data Quality the No. 1 Priority Q-Centrix
This white paper will examine eCQM data quality issues and their implications. It will raise questions hospitals should consider when developing strategies to improve their eCQM capabilities. Lastly, it will outline how they can benefit from implementing better data quality control practices and present new developments in eCQM data collection and reporting.
Patient Registries: A New Pillar of Modern CareQ-Centrix
www.q-centrix.com
A vital resource for patient data are registries. This white paper examines the rise of patient registries, how hospitals are taking advantage of the data, the challenges hospitals face in submitting quality information, and the benefits of real-time registry reporting.
Q-Centrix conducted an anonymous survey of 320 C-suite, senior-level and quality professionals from hospitals around the country to learn their perceptions of the current state of readmissions at their hospitals and their strategies for readmission reduction. Learn more: http://www.q-centrix.com/readmission-reduction
Guide to CMS Comprehensive Care for Joint Replacement modelQ-Centrix
On April 1, the CMS Comprehensive Care for Joint Replacement (CCJR) model went into effect for nearly 800 hospitals in 67 markets nationwide. Essentially, CMS converted its voluntary payment model—Bundled Payment for Care Improvement (BPCI)—into a regulatory mandate that will hold hospitals accountable for spending by all healthcare providers for 90 days following the initial episode of care.
Infographic: A Day in the Life of Infection PreventionistsQ-Centrix
A look at a day in the life of a hospital Infection Preventionist (IP). As IPs' roles expand, their hectic day includes making rounds on the hospital floor, enforcing procedures, educating staff, providing proactive counsel...and sometimes spending 5+ hours/day collecting and reporting data to federal health agencies.
.
How a 5 Hospital System Reduced Infection Rates, Saved Over $2 million and In...Innovations2Solutions
In a collaborative effort, Cone Health and Sodexo Health Care embarked on an initiative to reduce hospital-acquired infections (HAIs) and increase patient satisfaction. As a result, the system achieved a 64% decrease in MRSA infections from 2010 to 2012 and a 56% decrease in all device- related HAIs during the period. In addition, the system’s HCAHPS scores improved 14%, while more recent Press Ganey scores have gained 63 percentile points.
White Paper - eCQMs: It's Time to Make Data Quality the No. 1 Priority Q-Centrix
This white paper will examine eCQM data quality issues and their implications. It will raise questions hospitals should consider when developing strategies to improve their eCQM capabilities. Lastly, it will outline how they can benefit from implementing better data quality control practices and present new developments in eCQM data collection and reporting.
Patient Registries: A New Pillar of Modern CareQ-Centrix
www.q-centrix.com
A vital resource for patient data are registries. This white paper examines the rise of patient registries, how hospitals are taking advantage of the data, the challenges hospitals face in submitting quality information, and the benefits of real-time registry reporting.
Q-Centrix conducted an anonymous survey of 320 C-suite, senior-level and quality professionals from hospitals around the country to learn their perceptions of the current state of readmissions at their hospitals and their strategies for readmission reduction. Learn more: http://www.q-centrix.com/readmission-reduction
Guide to CMS Comprehensive Care for Joint Replacement modelQ-Centrix
On April 1, the CMS Comprehensive Care for Joint Replacement (CCJR) model went into effect for nearly 800 hospitals in 67 markets nationwide. Essentially, CMS converted its voluntary payment model—Bundled Payment for Care Improvement (BPCI)—into a regulatory mandate that will hold hospitals accountable for spending by all healthcare providers for 90 days following the initial episode of care.
Infographic: A Day in the Life of Infection PreventionistsQ-Centrix
A look at a day in the life of a hospital Infection Preventionist (IP). As IPs' roles expand, their hectic day includes making rounds on the hospital floor, enforcing procedures, educating staff, providing proactive counsel...and sometimes spending 5+ hours/day collecting and reporting data to federal health agencies.
.
How a 5 Hospital System Reduced Infection Rates, Saved Over $2 million and In...Innovations2Solutions
In a collaborative effort, Cone Health and Sodexo Health Care embarked on an initiative to reduce hospital-acquired infections (HAIs) and increase patient satisfaction. As a result, the system achieved a 64% decrease in MRSA infections from 2010 to 2012 and a 56% decrease in all device- related HAIs during the period. In addition, the system’s HCAHPS scores improved 14%, while more recent Press Ganey scores have gained 63 percentile points.
Is the financial penalty for readmissions a true incentive to improve care?
Indeed, research shows that reducing readmissions can have an outsized
effect on hospital finances.
Hospital executives working to reduce the cost of readmissions should note that:
The penalty imposed by the Centers for Medicare & Medicaid Services (CMS) for excess readmissions can be disproportionately high
The true cost of readmissions goes beyond the CMS penalty
Even small reductions in readmissions can substantially reduce penalties
Changes to healthcare reimbursement, such as bundled payments, will also incentivize hospitals to reduce readmissions
Too many times, patients have to be readmitted within a month of being discharged for issues connected to their initial admittance. The federal program is designed to reduce the rate of readmittance during that initial 30-day post-discharge period.
Mercer Capital's Value Focus: Healthcare Facilities | Mid-Year 2015Mercer Capital
Mercer Capital's Healthcare Facilities Industry newsletter provides perspective on valuation issues. Each newsletter also includes a macroeconomic trends, industry trends, and guideline public company metrics.
ORIGINAL RESEARCHDemographic Factors and Hospital Size Pre.docxgerardkortney
ORIGINAL RESEARCH
Demographic Factors and Hospital Size Predict Patient Satisfaction
Variance—Implications for Hospital Value-Based Purchasing
Daniel C. McFarland, DO1*, Katherine A. Ornstein, PhD2, Randall F. Holcombe, MD1
1Division of Hematology/Oncology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, Mount Sinai Medical Center, New York, New
York; 2Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Medical Center, New York, New York.
BACKGROUND: Hospital Value-Based Purchasing (HVBP)
incentivizes quality performance-based healthcare by link-
ing payments directly to patient satisfaction scores
obtained from Hospital Consumer Assessment of Health-
care Providers and Systems (HCAHPS) surveys. Lower
HCAHPS scores appear to cluster in heterogeneous
population-dense areas and could bias Centers for Medi-
care & Medicaid Services (CMS) reimbursement.
OBJECTIVE: Assess nonrandom variation in patient satis-
faction as determined by HCAHPS.
DESIGN: Multivariate regression modeling was performed
for individual dimensions of HCAHPS and aggregate
scores. Standardized partial regression coefficients
assessed strengths of predictors. Weighted Individual (hos-
pital) Patient Satisfaction Adjusted Score (WIPSAS) utilized
4 highly predictive variables, and hospitals were reranked
accordingly.
SETTING: A total of 3907 HVBP-participating hospitals.
PATIENTS: There were 934,800 patient surveys by the
most conservative estimate.
MEASUREMENTS: A total of 3144 county demographics
(US Census) and HCAHPS surveys.
RESULTS: Hospital size and primary language (non–English
speaking) most strongly predicted unfavorable HCAHPS
scores, whereas education and white ethnicity most strongly
predicted favorable HCAHPS scores. The average adjusted
patient satisfaction scores calculated by WIPSAS approxi-
mated the national average of HCAHPS scores. However,
WIPSAS changed hospital rankings by variable amounts
depending on the strength of the predictive variables in the
hospitals’ locations. Structural and demographic characteris-
tics that predict lower scores were accounted for by WIPSAS
that also improved rankings of many safety-net hospitals and
academic medical centers in diverse areas.
CONCLUSIONS: Demographic and structural factors (eg,
hospital beds) predict patient satisfaction scores even after
CMS adjustments. CMS should consider WIPSAS or a simi-
lar adjustment to account for the severity of patient satisfac-
tion inequities that hospitals could strive to correct. Journal
of Hospital Medicine 2015;10:503–509. VC 2015 Society of
Hospital Medicine
The Affordable Care Act of 2010 mandates that gov-
ernment payments to hospitals and physicians must
depend, in part, on metrics that assess the quality and
efficiency of healthcare being provided to encourage
value-based healthcare.1 Value in healthcare is defined
by the delivery of high-quality care at low cost.2,3 To
this end, Hospital Value.
Mercer Capital's Value Focus: Healthcare Facilities | Year-End 2015 | Sub-Sec...Mercer Capital
Mercer Capital's Healthcare Facilities Industry newsletter provides perspective on valuation issues. Each newsletter also includes a macroeconomic trends, industry trends, and guideline public company metrics.
A benefits case study describing how Diabetes UK has used HSCIC's data and statistical outputs to inform the Putting Feet First campaign. https://www.diabetes.org.uk/Get_involved/Campaigning/Our-campaigns/Putting-feet-first/
The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact ...marcus evans Network
Troy Trosclair, HCA MidAmerica Division - Speaker at the marcus evans National Healthcare CNO Summit, held in Hollywood, FL, April 26-28, 2012, delivered his presentation entitled The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact on Nursing
The Uncertain Future of Medicare Add-Ons and Pass-ThroughsBESLER
With so many changes resulting from the Patient Protection and Affordable Care Act (ACA) and other potential initiatives under consideration, a significant amount of your organization’s future Medicare revenue may be at risk. The trend to reduce and/or revamp payment methodologies comes at a time when hospitals face shrinking or non-existent margins. Revenue sources potentially on the chopping block include Medicare Bad Debt, Nursing Allied Health, Graduate Medical Education, Wage Index adjustments, and transplant, to name a few. Additionally, the Office of Inspector General (OIG) continues to add reimbursement-related topics to its annual Work Plan, expanding the areas for potential paybacks or penalties.
Is the financial penalty for readmissions a true incentive to improve care?
Indeed, research shows that reducing readmissions can have an outsized
effect on hospital finances.
Hospital executives working to reduce the cost of readmissions should note that:
The penalty imposed by the Centers for Medicare & Medicaid Services (CMS) for excess readmissions can be disproportionately high
The true cost of readmissions goes beyond the CMS penalty
Even small reductions in readmissions can substantially reduce penalties
Changes to healthcare reimbursement, such as bundled payments, will also incentivize hospitals to reduce readmissions
Too many times, patients have to be readmitted within a month of being discharged for issues connected to their initial admittance. The federal program is designed to reduce the rate of readmittance during that initial 30-day post-discharge period.
Mercer Capital's Value Focus: Healthcare Facilities | Mid-Year 2015Mercer Capital
Mercer Capital's Healthcare Facilities Industry newsletter provides perspective on valuation issues. Each newsletter also includes a macroeconomic trends, industry trends, and guideline public company metrics.
ORIGINAL RESEARCHDemographic Factors and Hospital Size Pre.docxgerardkortney
ORIGINAL RESEARCH
Demographic Factors and Hospital Size Predict Patient Satisfaction
Variance—Implications for Hospital Value-Based Purchasing
Daniel C. McFarland, DO1*, Katherine A. Ornstein, PhD2, Randall F. Holcombe, MD1
1Division of Hematology/Oncology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, Mount Sinai Medical Center, New York, New
York; 2Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Medical Center, New York, New York.
BACKGROUND: Hospital Value-Based Purchasing (HVBP)
incentivizes quality performance-based healthcare by link-
ing payments directly to patient satisfaction scores
obtained from Hospital Consumer Assessment of Health-
care Providers and Systems (HCAHPS) surveys. Lower
HCAHPS scores appear to cluster in heterogeneous
population-dense areas and could bias Centers for Medi-
care & Medicaid Services (CMS) reimbursement.
OBJECTIVE: Assess nonrandom variation in patient satis-
faction as determined by HCAHPS.
DESIGN: Multivariate regression modeling was performed
for individual dimensions of HCAHPS and aggregate
scores. Standardized partial regression coefficients
assessed strengths of predictors. Weighted Individual (hos-
pital) Patient Satisfaction Adjusted Score (WIPSAS) utilized
4 highly predictive variables, and hospitals were reranked
accordingly.
SETTING: A total of 3907 HVBP-participating hospitals.
PATIENTS: There were 934,800 patient surveys by the
most conservative estimate.
MEASUREMENTS: A total of 3144 county demographics
(US Census) and HCAHPS surveys.
RESULTS: Hospital size and primary language (non–English
speaking) most strongly predicted unfavorable HCAHPS
scores, whereas education and white ethnicity most strongly
predicted favorable HCAHPS scores. The average adjusted
patient satisfaction scores calculated by WIPSAS approxi-
mated the national average of HCAHPS scores. However,
WIPSAS changed hospital rankings by variable amounts
depending on the strength of the predictive variables in the
hospitals’ locations. Structural and demographic characteris-
tics that predict lower scores were accounted for by WIPSAS
that also improved rankings of many safety-net hospitals and
academic medical centers in diverse areas.
CONCLUSIONS: Demographic and structural factors (eg,
hospital beds) predict patient satisfaction scores even after
CMS adjustments. CMS should consider WIPSAS or a simi-
lar adjustment to account for the severity of patient satisfac-
tion inequities that hospitals could strive to correct. Journal
of Hospital Medicine 2015;10:503–509. VC 2015 Society of
Hospital Medicine
The Affordable Care Act of 2010 mandates that gov-
ernment payments to hospitals and physicians must
depend, in part, on metrics that assess the quality and
efficiency of healthcare being provided to encourage
value-based healthcare.1 Value in healthcare is defined
by the delivery of high-quality care at low cost.2,3 To
this end, Hospital Value.
Mercer Capital's Value Focus: Healthcare Facilities | Year-End 2015 | Sub-Sec...Mercer Capital
Mercer Capital's Healthcare Facilities Industry newsletter provides perspective on valuation issues. Each newsletter also includes a macroeconomic trends, industry trends, and guideline public company metrics.
A benefits case study describing how Diabetes UK has used HSCIC's data and statistical outputs to inform the Putting Feet First campaign. https://www.diabetes.org.uk/Get_involved/Campaigning/Our-campaigns/Putting-feet-first/
The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact ...marcus evans Network
Troy Trosclair, HCA MidAmerica Division - Speaker at the marcus evans National Healthcare CNO Summit, held in Hollywood, FL, April 26-28, 2012, delivered his presentation entitled The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact on Nursing
The Uncertain Future of Medicare Add-Ons and Pass-ThroughsBESLER
With so many changes resulting from the Patient Protection and Affordable Care Act (ACA) and other potential initiatives under consideration, a significant amount of your organization’s future Medicare revenue may be at risk. The trend to reduce and/or revamp payment methodologies comes at a time when hospitals face shrinking or non-existent margins. Revenue sources potentially on the chopping block include Medicare Bad Debt, Nursing Allied Health, Graduate Medical Education, Wage Index adjustments, and transplant, to name a few. Additionally, the Office of Inspector General (OIG) continues to add reimbursement-related topics to its annual Work Plan, expanding the areas for potential paybacks or penalties.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)blessyjannu21
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
Readmission Timeline
1. A report from the Robert Wood Johnson
Foundation puts early readmissions in the
spotlight: “The US healthcare system suffers
from a chronic malady—the revolving door
syndrome at its hospitals.”
HOSPITAL READMSSION PROGRAM
CMS launches HRRP to incentivizelower hospital readmissions. Hospitalswith readmissions exceeding theexpected rate will be penalizedfinancially.
GROWING PENALTIES
2,000 HOSPITALS PAY PENALTIES
CMS ADDS MORE CATEGORIES
2008
A Snapshot of Troubling Trends in Readmissions
CMS BEGAN MEASURING READMISSIONS
2010
2012
ROBERT JOHNSON FOUNDATION REPORT
2013
2015
2017
Measurement started with congestive
heart failure, pneumonia and acute
myocardial infarction. Performance is
measured in three-year increments
and then reported.
CMS adds new readmissions for
COPD, heart attack, and hip/knee
replacements, diagnosis groups
which contribute substantially to
overall hospital readmissions.
2,000 hospitals penalized for
excess readmissions in first
year of HRRP. The penalty
reduces Medicare
reimbursement for all patients
discharged in the affected
year.
Poor hospital performance and the
addition of new penalty groups leads to
more than 2,600 hospitals facing a
penalty for excess readmissions.
Hospital reimbursement is reduced by
$428 million, up from $227m in 2014.
CMS Announces Bundled Payment
CMS ADDS MORE CATEGORIES
CMS to penalize hospitals for excess
coronary artery bypass graft (CABG)
readmissions, which is expected to
increase size of penalties even more.
Visit www.q-centrix.com/readmission-reduction for
readmission reduction resources and best practices.
linkedin.com/company/q-centrix
twitter.com/qcentrix
Though % of hospitals penalized continues
to increase, Q-Centrix survey reveals that
hospital executives are confident in their
ability to reduce readmissions.