HIT Consultant

DECEMBER 20, 2022

Series A funding round led by FCA Venture Partners , with participation from prominent regional payers including 450 Ventures, as well as Create Health Ventures, Gratitude Railroad, Loud Capital, and Wanxiang Healthcare Investments. Even with their backgrounds in finance, law and healthcare, the experience was daunting for Hillary and John.

Medicare 98

Medicare Quality Improvement Accountability Healthcare Providers 98

Healthcare ECONOMIST

JANUARY 14, 2022

Before the merger, funding was lacking for technology and infrastructure investments to support quality improvement. To account for changes in patient mix, the authors control for patient demographics, insurance type, DRG mix, and Elixhauser comorbidities. How were these quality improvement achieved?

Hospitals 62

Hospitals Rehabilitation Quality Improvement Accountability 62

GoMoHealth

OCTOBER 20, 2022

By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. Then COVID-19 shined a spotlight on our broken healthcare system and its’ struggling infrastructure. Failure to Address Healthcare Disparities. Lack of Emphasis on Promoting Healthplan and Healthcare Literacy. “The Why”.

Quality Improvement 80

Quality Improvement Medicaid Population Health Medicare 80

p3care

MAY 2, 2022

MIPS (Merit-based Incentive Payment System) was launched by the Quality Payment Program (QPP) for the Medicare Part B healthcare providers. There are four categories in this category of QPP reporting , which are: Quality. Improvements Activities. Categories. Promoting Interoperability. Conclusion .

Nursing 130

Nursing Prevention Quality Improvement Regulations 130

Briggs Healthcare

MAY 16, 2023

Presently, any MDS records accepted into the Internet Quality Improvement and Evaluation System (iQIES) on or after the MDS migration on April 17, 2023 are not being considered in these two reports. CMS is in the process of updating these reports in CASPER to account for MDS records that are accepted into iQIES.

Nursing 52

Nursing Quality Improvement Accountability Healthcare 52

Briggs Healthcare

JULY 19, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Coalition is excited to share nine Action Plans for nursing home quality improvement ! Each is an opportunity to improve the quality of life and work of nursing home residents and staff.

Nursing 40

Nursing Quality Improvement Accountability Healthcare 40

Briggs Healthcare

OCTOBER 19, 2021

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. population, NH residents account for nearly 33% of all COVID-19 deaths. Herein, we report 12 recommendations to enhance and sustain TM (Table 1) from a TM adoption study, certified as quality improvement by the UW Madison Health Sciences IRB.”.

Telemedicine 52

Telemedicine Nursing Health Science Quality Improvement 52

Briggs Healthcare

JUNE 1, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The June 2023 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2024 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES).

Accountability 40

Accountability Quality Improvement Nursing Healthcare 40

Briggs Healthcare

AUGUST 2, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The August 2023 Performance Score Reports (PSRs) for the fiscal year (FY) 2024 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES). Select the MDS 3.0

Quality Improvement 40

Quality Improvement Accountability Nursing Medicare 40

Briggs Healthcare

DECEMBER 2, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The December 2022 reports contain stay-level data protected by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Quality Improvement 40

Quality Improvement Accountability Nursing Healthcare 40

NASHP

SEPTEMBER 8, 2023

After discussion with IDPH, Illinois Department of Healthcare and Family Services (HFS) also established a prenatal and postpartum care HEDIS (Healthcare Effectiveness Data and Information Set) measure performance improvement project for Medicaid managed care organizations (MCOs) to identify and close a health disparity gap.

Medicaid 79

Medicaid Performance improvement Quality Improvement Accountable Care 79

HIT Consultant

OCTOBER 26, 2021

As legislation, engagement and positive results continue to push digital patient care solutions forward, many healthcare organizations are not yet prepared for the increased adoption of these technologies. As a healthcare provider, how can you best ensure that you’re well-equipped to handle expansions in remote care scenarios? .

Remote Care 52

Remote Care Healthcare Doctors Primary Care 52

Patient Safety

SEPTEMBER 16, 2022

We are proud to bring you manuscripts that identify issues placing patients in harm’s way along with the nuts-and-bolts strategies to minimize those risks, as well as stories of the people involved in the day-to-day challenges of providing and receiving safe healthcare. This issue captures that intersection so well. The first U.S.

Patient Safety 52

Patient Safety Quality Improvement Accountability Hospitals 52

Briggs Healthcare

NOVEMBER 2, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. QTSO Posting Wednesday, November 2, 2022: As previously announced, CMS is preparing to release the Internet-facing, cloud-based system, referred to as the Internet Quality Improvement and Evaluation System (iQIES) for Minimum Data Set (MDS) submission in early 2023.

Accountability 40

Accountability Quality Improvement Healthcare 40

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state Medicaid managed care quality improvement and oversight efforts, is often factored into plan payment, and supports public reporting.

Medicaid 52

Medicaid Quality Assurance Quality Review Accountability 52

Briggs Healthcare

APRIL 7, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. 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. High-quality research is needed to advance the quality of care in nursing homes.

Nursing 52

Nursing Quality of Care Quality Assurance Home Care 52

Briggs Healthcare

MARCH 20, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS posted this blog on Thursday, March 16, 2023. And we hold facilities accountable when they fail to meet those standards. The authors are Lee Fleisher, MD., Michelle Schreiber, MD.,

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Sheppard Health Law

OCTOBER 27, 2021

The five strategic objectives for advancing this systemwide transformation include (1) Drive Accountable Care, (2) Advance Health Equity, (3) Support Innovation, (4) Address Affordability, and (5) Partner to Achieve System Transformation. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Briggs Healthcare

APRIL 5, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare On April 17, 2023, the Centers for Medicare & Medicaid Services (CMS) will transition to the Internet Quality Improvement and Evaluation System (iQIES) for Minimum Data Set (MDS) record submissions and reports.

Accountability 52

Accountability Nursing Medicare Quality Improvement 52

Sheppard Health Law

MAY 16, 2022

Considering the impact social risk factors and unmet social needs can have on health, CMS asserts these changes will help better identify the risk factors that may inhibit enrollees from accessing care and achieving optimal health outcomes, enabling MA SNPs to take these risk factors into account in enrollee care plans.

Medicare 52

Medicare Medicaid Accountability Integration 52

Accountable Care Doctors

AUGUST 31, 2021

In our fragmented healthcare system, providers seldom have the opportunity to speak directly with employers, even though these employers pay for much of the healthcare expenses in this country. Our vision and values synch up nicely with many employers who are concerned about the cost and quality of healthcare for their employees.

Primary Care 52

Primary Care Integration Doctors Accountability 52

Accountable Care Doctors

AUGUST 31, 2021

In our fragmented healthcare system, providers seldom have the opportunity to speak directly with employers, even though these employers pay for much of the healthcare expenses in this country. Our vision and values synch up nicely with many employers who are concerned about the cost and quality of healthcare for their employees.

Primary Care 52

Primary Care Integration Doctors Accountability 52

NASHP

OCTOBER 20, 2022

Partnerships are strongest when they are based on a collective impact model, focusing on a common vision and developing shared accountability. Cross-system quality improvement efforts rely on strong partnerships to identify existing resources, gaps, and priorities for care coordination systems for CYSHCN.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Healthcare Leadership Council

MAY 25, 2022

Crippen, former director of the Congressional Budget Office and currently a Healthcare Leaddership Council consultant, that should be a catalyst for discussion on a critical element of the Center for Medicare and Medicaid Innovation’s future direction.

Medicare 75

Medicare Medicaid Accountable Care Quality Improvement 75

Healthcare ECONOMIST

OCTOBER 4, 2021

The Government Accountability Office (GAO) last week published a report evaluating the Merit-based Incentive Payment System (MIPS). MIPS evaluates provider value along four dimensions: (1) quality, (2) improvement activities, (3) promoting interoperability, and (4) cost.

Medicare 85

Medicare Quality Improvement Quality of Care Accountability 85

Patient Safety Movement

APRIL 1, 2023

More than a decade ago, Joe made it his life’s purpose to eliminate preventable medical harm and create safer healthcare systems around the world. Five conditions account for 39% of serious misdiagnosis-related harms: stroke, myocardial infarction, aortic aneurysm/dissection, spinal cord compression/injury, and venous thromboembolism.

Patient Safety 52

Patient Safety Doctors Prevention Hospitals 52

HIT Consultant

NOVEMBER 29, 2021

Children went from representing around 4 percent of all cases early in the pandemic to accounting up to 25 percent of all cases more recently. We call on all stakeholders, including parents, healthcare leaders, schools and communities to team up and make vaccines available and accessible to all eligible children.

Prevention 52

Prevention Hospitals Quality Improvement Population Health 52

NASHP

JANUARY 13, 2022

The rule further proposes that only provider incentives and bonuses tied to “objectively measurable, and well-documented clinical or quality improvement standards” may be included as part of claims for the purposes of insurer medical loss ratio rebates. Addressing disparities through quality improvement strategies (QIS).

Regulations 52

Regulations Quality Improvement Accountability Healthcare 52

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. RAE Regional Accountable Entity. In addition, Coordinated Care Organizations are required to include traditional healthcare workers, like CHWs, on their care teams. Acronym Guide. APM Alternative Payment Model. CBCM Community Based Care Management Program. PHW Pandemic Health Worker.

Medicaid 121

Medicaid Primary Care Prevention Nursing 121

HIT Consultant

OCTOBER 31, 2022

As the relationship between healthcare providers and patients evolves, the healthcare industry is beginning to acknowledge and encourage patients as active partners in their care journey. The 21 st Century Cures Act is enabling patient-driven healthcare information exchange.

Healthcare Quality 98

Healthcare Quality Healthcare Quality Improvement Healthcare Innovation 98

HIT Consultant

MAY 22, 2023

Have healthcare providers realized the promised benefits of electronic recordkeeping? Under the Health Insurance Portability and Accountability Act of 1996 ( HIPAA ), patient data is a protected information class with strict storage, entry, and security requirements. What steps must they take to do so going forward?

Healthcare 52

Healthcare Integration Data Acquisition Hospitals 52

HIT Consultant

FEBRUARY 14, 2024

David Smith, CFO of Anatomy IT The two largest technology trends occurring in healthcare delivery – digital transformation and cyberattacks – are understandably driving the adoption of more IT platforms, applications, and other tools within health systems and hospitals.

Hospitals 112

Hospitals Integration Quality Improvement Healthcare 112

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 52

Medicaid Primary Care Prevention Nursing 52

NASHP

AUGUST 31, 2023

While these essential commitments are a necessary pre-condition to sustain basic public health system capacity, specific priorities and strategies for better engaging healthcare system partners on shared public health priorities are outlined in the sections below.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

Sheppard Health Law

JANUARY 10, 2022

Past Performance Methodology to Better Hold Plans Accountable for Violating CMS Rules (§§ 422.502 and 422.503). CMS has an obligation to ensure the organizations with which it contracts will provide health care services to beneficiaries in a high-quality manner.

Medicare 98

Medicare Medicaid Integration Regulations 98

Briggs Healthcare

OCTOBER 25, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. Today’s announcement is part of a series of new actions the Biden-Harris Administration is taking to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer.

Nursing 40

Nursing Accountability Quality Improvement Quality of Care 40