Healthcare ECONOMIST

APRIL 11, 2023

Public reporting of hospital quality of care could improve the care patients receive through at least two pathways. First, patients (or their physicians) could send patients to higher quality hospitals (i.e., A key question is, how well does public reporting of quality of care actually improve outcomes.

Hospitals 52

Hospitals Quality Improvement Quality of Care Medicare 52

Healthcare It News

OCTOBER 3, 2023

Our ability to effectively communicate the value of the services we deliver (or the value of any chronic care management program) is pivotal, particularly as these models emphasize outcomes and the quality of care over volume. First, these leaders must recognize the profound transformation that virtual care represents.

Telemedicine 262

Telemedicine Quality Improvement Healthcare Providers Healthcare 262

HIT Consultant

MARCH 17, 2024

Arming providers with a longitudinal patient summary for conducting comprehensive risk assessments improves patient outcomes while lowering the cost of care. Equipping providers to assess member risk, increase diagnosis accuracy, and close care gaps takes risk adjustment and quality improvement to a new level.

Quality Improvement 64

Quality Improvement Medicare Quality of Care Regulations 64

Healthcare It News

DECEMBER 15, 2021

Digital transformation also is essential in making an impact on quality improvement and cost containment goals associated with value-based care initiatives." UnityPoint Health will leverage b.well to improve the efficiency of value-based care initiatives, he added. " PROPOSAL.

Integration 266

Integration Quality Improvement Quality of Care Population Health 266

Briggs Healthcare

APRIL 7, 2022

“Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. The 1986 Institute of Medicine report Improving the Quality of Care in Nursing Homes identified a range of challenges to the quality of care in nursing homes.

Nursing 52

Nursing Quality of Care Quality Assurance Home Care 52

NCQA

JUNE 27, 2023

Service Coordination and Monitoring: “MCOs did not adequately coordinate or monitor beneficiaries’ quality of care.” Measuring and Improving Performance: Organizations perform continuous quality improvement of their LTSS program and identify actionable steps to improve care for their members.

Medicaid 52

Medicaid Care Transition Quality Improvement Regulations 52

Healthcare It News

DECEMBER 15, 2022

Additionally, beyond the financial and operational ramifications of not adequately leveling up the patient experience, we know clinical outcomes can suffer when patients have poor perceptions of their care – and patient expectations aren't lowering. Healthcare organizations have their work cut out for them.

Patient Experience 244

Patient Experience Healthcare Analytics Quality Improvement Quality of Care 244

Home Health Care

AUGUST 4, 2023

Identify your VBP fixes With the new Interim Performance Reports (IPR) out as of the last week of July, providers have a much better look into where exactly they need to make improvements to shore up performance under VBP. Striving to create a culture of quality is an important goal for home health organizations.

Medicare 86

Medicare Performance improvement Quality Assurance Quality Improvement 86

Home Health Care

MAY 19, 2022

“If we do well under HHVBP, that should help prove the value of home health care,” one executive recently told me. Yet with roughly seven-and-a-half months to go, more questions about HHVBP’s broader impact on quality of care and patient access are starting to pop up. Medicare Advantage [plans] can see all of that information.”.

Medicare 98

Medicare Regulations Quality Improvement Quality of Care 98

HIT Consultant

OCTOBER 1, 2023

Unlocking data silos using Federated Computing (FC) has the potential to achieve a positive impact across the healthcare industry, ranging from clinical care quality improvement and accreditation to population health management, precision public health and equitable drug development.

Life Sciences 64

Life Sciences Quality Improvement Population Health Healthcare Providers 64

Healthcare ECONOMIST

JANUARY 27, 2023

First, they provide a nice overview of the program: The EOM is a voluntary 6-month, 2-sided, risk-based payment model for clinicians caring for Medicare patients with 7 common cancer types beginning on July 1, 2023, for 5 years. Small end-of-life cost savings were derived from a 1% reduction in hospitalizations.

Medicare 70

Medicare Quality Improvement Quality of Care Patient Experience 70

Healthcare It News

NOVEMBER 29, 2021

Further, an integrated platform allows the organization to track telehealth visits within the same quality improvement framework that it uses for in-person visits. Having a well-integrated telehealth platform enabled City of Hope to develop consistent workflows around telehealth that supported an enhanced patient experience.

Telemedicine 307

Telemedicine Integration Patient Experience Quality Improvement 307

Briggs Healthcare

AUGUST 22, 2022

The American Academy of Hospice and Palliative Medicine (AAHPM) developed this implementation guide to help palliative care teams implement and collect data for two patient-reported outcome performance measures (PROPMs) for quality improvement (QI) and regulatory reporting efforts. Description of the Measures.

Patient Experience 52

Patient Experience Quality Improvement Quality of Care Medicare 52

HIT Consultant

AUGUST 17, 2023

Healthcare decision-makers must identify the solutions that address today’s most crucial needs — variability in care, budgets (and clinicians) stretched too thin, and slow, reactive, outdated quality improvement methodologies — while recognizing the difference between legitimate concern and unfounded panic.

Healthcare 98

Healthcare Quality Improvement Regulations Hospitals 98

Cloud Blogs

FEBRUARY 28, 2022

Today, regulatory and market forces have led to improved transparency and enhanced consumerization, changing the face of healthcare. These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care.

Integration 140

Integration Healthcare Quality of Care Regulations 140

Healthcare ECONOMIST

JUNE 30, 2023

One reason to use the private sector is their potential ability to deliver cost savings and/or quality improvement. Alternatively, it may be difficult for the government to link reimbursement to quality. Because part of any sunk costs that are incurred may be difficult to redeploy (e.g., Market test.

Quality Improvement 63

Quality Improvement Quality of Care Hospitals 63

HIT Consultant

FEBRUARY 12, 2024

High-quality PDM on the front end translates to higher-quality care and better outcomes on the back end. With a comprehensive PDM solution, healthcare organizations can achieve continuous data-driven quality improvements to their processes.

Hospitals 52

Hospitals Quality Improvement Quality of Care Healthcare 52

HIT Consultant

AUGUST 17, 2023

Burnout has been linked to decreased quality of care and increased safety incidents, and it can adversely impact the bottom line if physicians leave their posts and providers have to foot the bill to fill the gaps in care.

Healthcare 98

Healthcare Prevention Quality Improvement Quality of Care 98

Briggs Healthcare

MAY 30, 2023

The concept is intended for use at the state level, with the goal of providing data to facilitate quality improvement and planning on HCBS placement of inpatient facility discharges. MEASURE INTENT: The measure concept intends to assess rates of discharges for Medicaid participants from inpatient facilities to home-based settings.

Medicaid 40

Medicaid Rehabilitation Quality Improvement Quality of Care 40

NASHP

MARCH 29, 2024

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

Medicaid 123

Medicaid Quality of Care Quality Assurance Nursing 123

NASHP

APRIL 20, 2023

State Medicaid agencies are taking proactive steps to ensure quality of care and access to behavioral health services. MCOs may earn the withheld amount by performance on six measures that have been divided into three categories: quality improvement (three measures), care management (one measure), and behavioral health (two measures).

Medicaid 96

Medicaid Quality Improvement Quality of Care Integration 96

Briggs Healthcare

MARCH 9, 2023

The program will be funded with CMS’ Civil Money Penalty (CMP) funds, which come from collected CMPs that are imposed against nursing homes and other long-term care facilities when they are not in substantial compliance with one or more Medicare and Medicaid program participation requirements for long-term care facilities.

Nursing 52

Nursing Prevention Performance improvement Medicaid 52

NASHP

AUGUST 15, 2022

Recently, Pennsylvania shared their work with managed care organizations (MCO)s to improve access to oral health care services through quality improvement projects, measures, and incentives. Medicaid Managed Care Dental Performance.

Medicaid 52

Medicaid Quality Review Prevention Quality Improvement 52

Briggs Healthcare

MARCH 20, 2023

CMS deploys a range of quality measures to encourage transparency in public reporting of the quality of care in facilities and to increase accountability. These programs aim to prioritize value in health care delivery and, if a provider does not commit to improve and show results, they can face financial penalties.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Cloud Blogs

FEBRUARY 28, 2022

Today, regulatory and market forces have led to improved transparency and enhanced consumerization, changing the face of healthcare. These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care.

Integration 88

Integration Healthcare Quality of Care Regulations 88

KHN

FEBRUARY 8, 2022

“CMS is committed to ensuring safety and quality of care for hospital patients through a variety of initiatives,” CMS said. ” She said the hospital-acquired conditions penalty program, along with other quality-improvement programs created by the ACA, feels “very ready for a refresh.”

Medicare 136

Medicare Hospital IT Hospitals Patient Safety 136

Briggs Healthcare

JANUARY 10, 2022

Staffing in nursing homes has a substantial impact on the quality of care and outcomes residents experience. The information announced in this memorandum further enhances the information available to consumers, residents, and families to help support their healthcare decisions and incentivizes quality improvement among nursing homes.”.

Nursing 52

Nursing Quality Improvement Quality of Care Home Care 52

NASHP

MARCH 22, 2024

Tracking measures like these help states identify which MCOs may need additional support transitioning individuals who are receiving care in institutions to home- and community-based settings. utilization review, quality improvement, and claims) to improve communication and information sharing across teams.

Medicaid 73

Medicaid Nursing Medicare Integration 73

Home Health Care

SEPTEMBER 28, 2022

“In an increasingly competitive talent market, the attraction and retention of high performing diverse talent is key, and Adam’s depth of expertise will help us achieve this strategy so we can continue to deliver the highest quality of care to our patients and their families.”. We are honored to welcome Mag to our executive team.

Home Care 90

Home Care Urgent Care Nursing Integration 90

HIT Consultant

JANUARY 12, 2023

In order to achieve the desired levels of quality improvement and labor cost savings, healthcare systems must use new care models that leverage technology and virtual care in all acute care settings. Virtual care elevates bedside care, allowing our valued clinicians to function at the top of their licenses.

Hospitals 98

Hospitals Life Sciences Patient Safety Quality Improvement 98

Healthcare ECONOMIST

OCTOBER 4, 2021

Many believe that MIPS leads to providers prioritizing reporting over quality of care, since it is (financially) better to choose metrics where the practice is already performing well rather than ones where the practice would need to improve. Robustness of metrics.

Medicare 89

Medicare Quality Improvement Quality of Care Accountability 89

HIT Consultant

OCTOBER 26, 2021

With RPM, care can be moved into the home: value-based care here means delivering quality healthcare in the setting that works best for patients that both improve lives and lowers costs. Another benefit of RPM? This type of clinical data often holds the potential to help transform the healthcare system.

Remote Care 52

Remote Care Healthcare Doctors Primary Care 52

KHN

FEBRUARY 8, 2022

“CMS is committed to ensuring safety and quality of care for hospital patients through a variety of initiatives,” CMS said. ” She said the hospital-acquired conditions penalty program, along with other quality-improvement programs created by the ACA, feels “very ready for a refresh.”

Medicare 52

Medicare Hospital IT Hospitals Patient Safety 52

NASHP

JULY 24, 2023

Evidence suggests that vertical integration and growing consolidation in health care leads to higher hospital and provider prices and higher total spending — all while having little to no impact on improving quality of care for patients, reducing utilization, or improving efficiency.

Hospitals 52

Hospitals Prevention Quality Improvement Quality of Care 52

NASHP

OCTOBER 20, 2022

For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. This model aims to improve quality of care for children, including CYSHCN, through integrated care delivery systems that include care coordination.[12].

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

JUNE 22, 2022

Comprehensive quality measurement of care coordination services is essential to evaluate and guide care coordination efforts, yet little agreement exists among stakeholders about how to best measure the provision and quality of care coordination services. [4] 2] Medicaid and CHIP Payment and Access Commission.

Doctors 52

Doctors Medicaid Quality of Care Healthcare Providers 52

Sheppard Health Law

OCTOBER 27, 2021

Innovation Center models can define success as encouraging lasting transformation and a broader array of quality investments, rather than focusing solely on each individual model’s cost and quality improvements.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52