Accountability, Care Transition and Nursing - Health Care Quality Digest

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities

NASHP

MARCH 22, 2024

States are hoping to achieve a number of goals with their MLTSS programs, including increasing access to home and community-based services, promoting care coordination, enhancing quality and beneficiary satisfaction, and mitigating cost growth. pdf On October 1, 2023, Virginia Medicaid combined its two managed care programs of Medallion 4.0

Medicaid

Medicaid Nursing Medicare Integration

Review of 16 Proven Strategies to Improve Patient Satisfaction & Experience eBook

Readiness Rounds

OCTOBER 16, 2023

The Negatives Where there is much room for improvement is in the responsiveness of hospital staff (65% average HCAHPS score), communication about medications (61%), the quietness of the hospital environment (62%), and the patient’s care transitions (51%).

Care Transition

Care Transition Patient Safety Patient Experience Hospitals

Prior Authorizations: 3 Ways to Reduce Administrative Burden & Burnout

HIT Consultant

DECEMBER 9, 2021

The private health plans, which are an alternative to traditional Medicare, account for 42% of the total Medicare population. A study by the Kaiser Family Foundation found that four in five Medicare Advantage enrollees are in plans that require them to obtain authorization from insurers prior to receiving care. About Russell Graney.

Medicare

Medicare Accountability Nursing Care Transition

InnovAge Appoints New CEO; Axxess Beefs Up Executive Leadership Team

Home Health Care

JANUARY 26, 2022

PACE is a Medicare and Medicaid program that helps keep people in their communities instead of nursing homes. Oftentimes, programs are run out of community-based centers with the support of in-home care providers and their staff. Paul, Minnesota-based health care spending account (HSA) administrator.

Regulations

Regulations Care Transition Medicaid Medicare

Healthcare at the Crossroads: Value-Based Care and Interoperability

HIT Consultant

OCTOBER 7, 2021

CAQH CORE (Committee on Operating Rules for Information Exchange) conducted years of research and identified key opportunity areas in the industry that could smooth the implementation of value-based care payments, making communication between payers and providers more effective and sustainable.

Healthcare

Healthcare Nursing Care Transition Accountability

How Electronic Health Records Help to Engage Patients and Reduce Errors

Medical GPS

JUNE 23, 2021

The receptionist who answered the phone informed me I could set up an account through their online patient portal and retrieve all of the notes taken during his appointment, as well as contact his doctor, and review his medical records. His school nurse can stay up-to-date regarding his medications.

Doctors

Doctors Care Transition Healthcare Hospitals

State Community Health Worker Models

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. Acronym Guide. APM Alternative Payment Model. CBO Community Based Organization.

Medicaid

Medicaid Primary Care Prevention Nursing

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

OCTOBER 22, 2021

People with serious and life-threatening health conditions experience care needs that drive costs, including hospital admissions , emergency department utilization , and nursing home care. Promote choice and control for people with serious illness, while taking into account their unique life circumstances; 2.

Medicaid

Medicaid Hospice Care Integration Regulations

Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

Cloud Blogs

AUGUST 2, 2023

Enhance health team coordination and collaboration Care coordination is a complex process involving multiple stakeholders, including primary care physicians, specialists, nurses, and allied healthcare professionals. Modern care management platforms facilitate seamless collaboration and information sharing among care teams.

Quality of Care

Quality of Care Healthcare Care Transition Integration

Community Health Worker Models

NASHP

NOVEMBER 29, 2021

The Department of Health Care Policy and Financing (the Medicaid program administrator) does not specifically require the Regional Accountable Entities (RAEs), care coordinating entities contracted with Colorado’s Medicaid program, or other managed care entities to cover CHW services, nor does the Department pay for CHW services under FFS.

Medicaid

Medicaid Primary Care Prevention Nursing

Patient Flow Challenges Contributing to Provider Burnout

HIT Consultant

MAY 17, 2022

In February 2022, for example, results from a nurse survey commissioned by a prominent staffing firm showed 56% of nurses reported that their mental health and well-being has suffered due to the pandemic, and 41% are considering leaving the profession for good. How Patient Flow Challenges Contribute to Burnout.

Tertiary Care

Tertiary Care Nursing Patient Experience Patient Safety

4 Patient Flow Challenges Contributing to Provider Burnout

HIT Consultant

JUNE 2, 2022

In February 2022, for example, results from a nurse survey commissioned by a prominent staffing firm showed 56% of nurses reported that their mental health and well-being has suffered due to the pandemic, and 41% are considering leaving the profession for good. How Patient Flow Challenges Contribute to Burnout.

Tertiary Care

Tertiary Care Nursing Patient Experience Patient Safety

What Hospital Success Looks Like Under Value-Based Care

HIT Consultant

JUNE 22, 2022

By proactively addressing patients’ social-risk factors through technology, hospitals take a comprehensive and coordinated approach to whole-person care, resulting in better outcomes, lower costs, and sustainable care – all critical to success under value-based care models. Optimize skilled nursing facility length of stay.

Hospitals

Hospitals Medicare Primary Care Care Transition

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

JUNE 22, 2022

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Accountable Person. Team-Based Communication.

Care Transition

Care Transition Medicaid Doctors Regulations

Health Care Quality Digest

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities

Review of 16 Proven Strategies to Improve Patient Satisfaction & Experience eBook

Trending Sources

Prior Authorizations: 3 Ways to Reduce Administrative Burden & Burnout

InnovAge Appoints New CEO; Axxess Beefs Up Executive Leadership Team

Healthcare at the Crossroads: Value-Based Care and Interoperability

How Electronic Health Records Help to Engage Patients and Reduce Errors

State Community Health Worker Models

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

Community Health Worker Models

Patient Flow Challenges Contributing to Provider Burnout

4 Patient Flow Challenges Contributing to Provider Burnout

What Hospital Success Looks Like Under Value-Based Care

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

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