NCQA

OCTOBER 31, 2023

The GUIDE model is the first of its kind to address health care costs and target reductions in federal spending on long-term nursing home placement. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Briggs Healthcare

FEBRUARY 20, 2023

Providers are expected to take into account all requirements when determining the date they submit completed MDS records, including but not limited to, submission timeliness, claims processing, and care planning requirements. For information and instructions to register for an iQIES account, please visit: [link].

Accountability 40

Accountability Quality Improvement Nursing Healthcare 40

CHQ Healthcare

SEPTEMBER 19, 2022

Applying some of these basic quality improvement strategies from the Lean methodology can help you identify and eliminate waste and standardize your processes to increase efficiency, lower costs, and improve employee job satisfaction. “If Or maybe we can agree to make it a PDF and save time for people.”. asks Rhodes-Horsley.

Quality Improvement 98

Quality Improvement Hospitals Process improvement Healthcare 98

GoMoHealth

OCTOBER 20, 2022

By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. As the Quality Improvement and Health Equity Director for GoMo Health, I’ve been able to leverage my knowledge and experience to create visual frameworks and strategic workflows to educate, activate and scale the ability to close gaps in care.

Quality Improvement 79

Quality Improvement Medicaid Population Health Medicare 79

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

The December 2022 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 Quality Improvement and Evaluation System (QIES)/Certification and Survey Provider Enhanced Reports (CASPER) reporting system.

Quality Improvement 40

Quality Improvement Accountability Nursing Healthcare 40

HIT Consultant

OCTOBER 21, 2022

This work occurs alongside evaluating how to integrate the medical device into the hospital system’s diagnostic paradigms, including in relation to quality improvement programs. Sepsis accounts for the highest in-patient deaths and costs and is additionally the most under-reimbursed for diagnosis and treatment.

Hospitals 98

Hospitals Quality Improvement Medicaid Clinical Practice 98

NASHP

SEPTEMBER 8, 2023

Iowa’s Medicaid agency and Bureau of Family Health synthesized their strategic planning goals for improving maternal health outcomes and proposed policies to leadership and partners. This will enable the state to increase breastfeeding rates and improve the quality of maternity services delivered in these birthing facilities.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

NASHP

APRIL 24, 2023

Administered by care management organizations, Resource Mothers are trained paraprofessionals supervised by nurse managers. The MMRC found that Medicaid enrollees accounted for 68 percent of pregnancy-related postpartum deaths, and over 60 percent were preventable. deaths per 100,000 births.

Medicaid 52

Medicaid Prevention Accountability Quality Improvement 52

NASHP

DECEMBER 23, 2022

Monitor and evaluate quality improvement and outcomes and address barriers to care. Doulas must also be trained in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPPA) and adult and infant CPR. Develop training, licensing, and certification guidelines and build provider capacity.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

Briggs Healthcare

MARCH 20, 2023

For example, we survey hospitals to ensure that, among other things, the facility and the doctors, nurses, and other staff have adequate qualifications, training, and experience to keep patients safe. And we hold facilities accountable when they fail to meet those standards.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

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. Provider-Level Quality Measure and MDS 3.0

Accountability 52

Accountability Nursing Medicare Quality Improvement 52

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. RAE Regional Accountable Entity. Rhode Island’s Medicaid Accountable Entities (similar to ACOs) may use funds earned through the Health System Transformation Project Incentive Fund to fund CHW services. Acronym Guide. APM Alternative Payment Model. CBO Community Based Organization.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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

Patient Safety Movement

APRIL 1, 2023

Five conditions account for 39% of serious misdiagnosis-related harms: stroke, myocardial infarction, aortic aneurysm/dissection, spinal cord compression/injury, and venous thromboembolism. The authors estimate that with 130 million ED visits a year in the US, 7.4 million patients are misdiagnosed, 2.6

Patient Safety 52

Patient Safety Doctors Prevention Hospitals 52

NASHP

APRIL 15, 2022

ECM will be delivered through the managed care 1915(b) waiver and contracting with MCPs and is accounted for in capitation rates. Nursing Home Residents Transitioning to the Community. Nursing facility residents who are strong candidates for successful transition back to the community and have a desire to do so.

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

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

Briggs Healthcare

OCTOBER 25, 2022

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. We are demanding better, because our seniors deserve better.”.

Nursing 40

Nursing Accountability Quality Improvement Quality of Care 40

NASHP

MAY 26, 2023

Although most states offer respite through Medicaid, varied program policies and payment rates among states greatly affect caregivers’ access to high-quality respite services. nursing home) to receive long-term care services in their home and community. However, individuals will have access to an RN for consultation if any needs arise.

Medicaid 121

Medicaid Nursing Regulations Integration 121

NASHP

MARCH 28, 2022

Nursing Assistants. Typically, nursing assistants also provide personal assistance with self-care activities. Nursing assistants may perform some delegated nursing tasks under clinical supervision. A certified nurse assistant (CNA) is qualified to work in a Medicare-certified nursing facility.

Nursing 98

Nursing Medicaid Home Care Rehabilitation 98

NASHP

MARCH 22, 2024

The Nurse-Family Partnership (NFP) pairs registered nurses with low-income first-time mothers during pregnancy and continues with regular home visits until the child’s second birthday. State Medicaid authorities can use the Healthy Steps Return on Investment tools to examine the program’s impact on the state budget and outcomes.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

AUGUST 23, 2021

Payment to improve capabilities. Regional accountable entities. For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Using payment to create incentives to improve performance.

Primary Care 65

Primary Care Medicaid Accountability Quality Improvement 65

NASHP

DECEMBER 20, 2022

Staffed by both nurses and peer recovery specialists, the center provides beds, showers, and meals to individuals in crisis, as well as medical evaluations, case management, and connections to buprenorphine induction and other MOUD treatment. Support drug court budgets with cross-systems resources. Leverage policy to support MOUD.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

NASHP

JUNE 22, 2022

Recruit providers to support system improvements. Support quality improvement efforts. Guide quality measurement and evaluation. Advise on evidence-based improvement practices. [1] 1] National Improvement Partnership Network. Establishing a Child Health Improvement Partnership: A How-to Guide.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Sheppard Health Law

NOVEMBER 13, 2023

Thus, beginning in 2025, the FMV would be increased to account for administrative payments included under the compensation rate, beginning at $31 and updated annually. 2] A NOMNC ordinarily outlines the appeal process as well as a deadline by which an enrollee should submit his/her appeal. [3]

Medicare 59

Medicare Medicaid Regulations Integration 59

Briggs Healthcare

MARCH 1, 2022

The President believes we must improve the quality of our nursing homes so that seniors, people with disabilities, and others living in nursing homes get the reliable, high-quality care they deserve. million people live in over 15,500 Medicare- and Medicaid-certified nursing homes across the nation.

Quality of Care 40

Quality of Care Nursing Accountability Medicaid 40