p3care

NOVEMBER 7, 2023

The policy change perfectly aligns with the CMS’s plan for growth and the Medicare PI Program. Medicare CQMs for ACOs CMS has given the green light to the collection of Medicare Clinical Quality Measures (CQMs) for ACOs participating in the MSSP, specifically under the Medicare CQMs collection type.

Patient Safety 130

Patient Safety Rehabilitation Medicare Prevention 130

Sheppard Health Law

MAY 5, 2022

Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Thirteen percent of denied prior authorization requests met Medicare coverage rules. The OIG Report. additional test results).

Medicare 52

Medicare Rehabilitation Urgent Care Patient Safety 52

Patient Safety Movement

SEPTEMBER 11, 2023

In honor of World Health Organization World Patient Safety Day 2023, the Patient Safety Movement Foundation hosted a webinar dedicated to the theme of “Empowering Patients.” And they can provide feedback and advocacy so that their experiences can be used to improve care for other patients.”

Patient Safety 86

Patient Safety Doctors Hospitals Healthcare 86

Home Health Care

AUGUST 24, 2023

Since 2020, Cigna has removed prior authorization on more than 1,100 medical services in hopes of simplifying the health care journey for both health care providers and patients. Cigna also plans to remove prior authorization for nearly 500 additional codes for Medicare Advantage plans later this year.

Patient Safety 97

Patient Safety Home Care Medical Services Medicare 97

HIT Consultant

JULY 13, 2023

Medicare and national benchmarks are also available for users to support quality performance evaluations. A 3M analysis of more than 11 million at-risk ambulatory procedures in the Medicare population indicates that complication rates may be as high as 10 percent for certain procedures.

Hospitals 52

Hospitals Integration Patient Safety Medicare 52

Home Health Care

NOVEMBER 7, 2023

1 of 2024 and for Medicare Advantage (MA) plans by 2025. Prior authorizations are an important step to ensure patient safety and affordability, but clinicians and health plans alike agree that more can be done to reduce the administrative burden on clinicians,” Cigna Healthcare CMO Scott Josephs said at the time.

Physical Therapy 110

Physical Therapy Patient Safety Hospitals Medicare 110

HIT Consultant

DECEMBER 5, 2023

Despite an unwavering commitment to well-being and safety, these facilities are overwhelmed by a growing number of priorities and hampered by a shrinking labor force – which hamstrings their ability to implement a plan for success. The time for change is now.

Hospitals 98

Hospitals Patient Safety Quality Improvement Prevention 98

Healthcare It News

OCTOBER 25, 2022

With those flexibilities due to sunset 151 days after the federal Public Health Emergency expires, HIMSS is calling on its members to contact their senators and representatives and urge them to extend coverage of telehealth services under Medicare until at least December 31, 2024.

Patient Safety 221

Patient Safety Prevention Medicaid Medicare 221

Patient Safety Movement

JULY 25, 2023

Don Berwick—one of the original giants in patient safety and a founding member of the Institute for Healthcare Improvement—gave an inspiring keynote address. First, he recognized the superb healthcare force we have in the US, how dedicated they are, and how frustrated they are by the avoidable harm to patients that is occurring.

Patient Safety 52

Patient Safety Prevention Hospitals Doctors 52

HIT Consultant

MARCH 12, 2024

We are excited to work with the PQS team to create an ecosystem approach of accelerating Value-Based Care, with data and AI” said Abhinav Shashank, cofounder and CEO, Innovaccer.

Patient Safety 52

Patient Safety Quality Improvement Medicare Healthcare 52

HIT Consultant

FEBRUARY 13, 2023

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Understandably, Medicaid and Medicare agencies attempt to reduce that abrasion.

Patient Safety 52

Patient Safety Medicaid Integration Medicare 52

Briggs Healthcare

MARCH 20, 2023

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. Ensuring patient safety is at the heart of the Hippocratic Oath: First, Do No Harm. Protecting patients must always remain our first priority. The authors are Lee Fleisher, MD.,

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Briggs Healthcare

JULY 17, 2023

Medicare-certified hospitals have a regulatory obligation to care for patients in a safe setting under the Medicare Hospital Conditions of Participation at §482.13(c)(2). Reducing these common deficiencies increases the quality of care for people with Medicare and Medicaid.

Hospitals 52

Hospitals Patient Safety Quality of Care Medicare 52

Home Health Care

MAY 30, 2022

“Given the scale and persistence of patient harm in hospitals in the decade since our last report, HHS leadership and agencies must work with urgency to reduce patient harm in hospitals,” stated the report. Among their findings, investigators determined that one in four hospitalized Medicare patients experienced harm during their stay.

Hospitals 96

Hospitals Medicare Prevention Home Care 96

Patient Safety Movement

NOVEMBER 1, 2022

Joe’s passion for patient safety has been a driving force behind breakthrough developments in medical innovation at the company he founded, Masimo. CHAIRMAN’S LETTER Dear Friends and Colleagues, Last month, we recognised 2022 World Patient Safety Day.

Patient Safety 52

Patient Safety Nursing Hospitals Accountability 52

Readiness Rounds

OCTOBER 3, 2023

This approach helps reduce findings, improves patient safety, and supports sustainable performance improvement. The rules of unannounced visits from regulatory bodies have been significantly tightened by the Centers for Medicare & Medicaid Services (CMS) making it crucial for healthcare facilities to be constantly prepared.

Regulations 52

Regulations Performance improvement Patient Safety Hospitals 52

Healthcare It News

OCTOBER 12, 2023

"Throughout the process, the digital care management approach captures holistic, contextual data, creating a more meaningful, measurable and even predictive view for better patient care and outcomes," he added. Another aspect of this approach is reimbursement. "We will follow these trends as more data is gathered over time.

Digital Care 230

Digital Care Physical Therapy Patient Experience Remote Care 230

Health Populi

MARCH 12, 2024

.” The cost of patient access to care: In a sort of post-pandemic clinical deja vu , the cyberattack has led to some patient care delays; some health care planners are forecasting patient safety implications that could persist for years.

Healthcare 85

Healthcare Patient Safety Hospitals Medicare 85

Patient Safety Movement

SEPTEMBER 7, 2023

The President’s Council of Advisors on Science and Technology (PCAST) has just released its findings and recommendations on patient safety in a report to U.S. Titled “A Transformational Effort on Patient Safety,” the report draws much-needed attention to the fact that patient safety is an urgent national public health issue.

Patient Safety 133

Patient Safety Prevention Federal Healthcare Hospitals 133

Sheppard Health Law

AUGUST 11, 2022

The FQHC served predominantly low-income individuals [3] including Medicare and Medicaid beneficiaries and offered telehealth services to its patients through a telehealth application, which could be downloaded onto a smartphone. . The Arrangement.

Patient Safety 52

Patient Safety Quality of Care Medicare Medicaid 52

Briggs Healthcare

MARCH 2, 2022

The purpose of this primer is to provide updated information to the patient safety community about the challenges of ensuring the safe care of older adults in Medicare and Medicaid certified nursing homes (NHs) associated with the COVID-19 pandemic, and the federal and state efforts taken to mitigate these challenges.

Nursing 98

Nursing Patient Safety Quality of Care Regulations 98

p3care

MAY 1, 2023

Electronic health records (EHRs) with encryption and access limits, Monitoring and auditing access to patient information, and confirmation of the veracity of patient and provider identities, etc. Detecting Fraudulent Medical Billing Services Healthcare fraud has negative effects on patient safety and the treatment standard as a whole.

Patient Safety 130

Patient Safety Healthcare Regulations Medicaid 130

HIT Consultant

JULY 6, 2022

During the first phase of the pandemic, both patients and providers embraced remote care, prompting an incredible spike in utilization – approximately 63 times pre-pandemic baseline levels among Medicare patients, new CMS data reveals. This is a troubling trend that must be reversed.

Telemedicine 95

Telemedicine Patient Safety Remote Care Nursing 95

Home Health Care

OCTOBER 28, 2022

Longo : There are nearly 11,000 home health agencies that report data to the Centers for Medicare and Medicaid Services. I’d like to point out that accreditation is regarded as a well-established mechanism for promoting quality and patient safety in health care. The data are publicly available and include the CMS star ratings.

Patient Safety 90

Patient Safety Performance improvement Quality Improvement Accountability 90

HIT Consultant

AUGUST 24, 2022

The suite of tools in the EHR-integrated eGMS platform guides pharmacists and other healthcare providers to achieve best practice care by providing personalized treatment recommendations, identifying and alerting of patients in glycemic disarray, and providing guardrails that enhance patient safety.

Integration 52

Integration Patient Safety Medicaid Hospitals 52

Briggs Healthcare

AUGUST 2, 2022

However, prior to issuing the guidance, the COVID-19 public health emergency (PHE) was declared, and CMS immediately redirected resources to address patient safety needs related to the PHE. This is the opening statement for brief of the OIG Report published July 26, 2022. “(OIG)

Prevention 98

Prevention Nursing Regulations Patient Safety 98

Home Health Care

DECEMBER 6, 2023

It was established with the goal of improving the quality of health care services and patient safety through accreditation and certification programs. ACHC is recognized by the Centers for Medicare and Medicaid Services (CMS) as a deeming authority for home health and hospice.

Regulations 92

Regulations Care Transition Telemedicine Patient Safety 92

Briggs Healthcare

NOVEMBER 29, 2022

However, it is incumbent on the leadership at these healthcare facilities to ensure they provide adequate training, sufficient staffing levels, and ongoing assessment of patients and residents for aggressive behavior and indicators to adapt their care interventions and environment appropriately.

Hospitals 52

Hospitals Medicare Patient Safety Nursing 52

Lexis Nexis

DECEMBER 14, 2023

These efforts will support faster care path decisions, manage claim costs and share digestible patient history with a patient’s care team. The ability to strike the balance of privacy, ethical use of data, patient safety and equity will be key for healthcare to successfully use data to support operational tasks and patient care.

Healthcare 52

Healthcare Urgent Care Life Sciences Regulations 52

Bill Of Health

MARCH 15, 2022

For instance, in 2019, the AMA urged Congress to remove the very caps on Medicare-funded residency slots it helped create. Promoting these policies was a mistake, but an understandable one: the AMA believed an influential report that warned of an impending physician surplus. To its credit, in recent years, the AMA has largely reversed course.

General Practice 89

General Practice Primary Care Nursing Patient Safety 89

Home Health Care

SEPTEMBER 29, 2022

As Medicare Advantage (MA) enrollment grows, providers need to prove their agency’s value in order to maintain a sustainable business. Everything is there: the economics, patient safety and people want to stay home. That’s going to likely cover — especially after PDGM — significantly more than 60 days of home health care.

Regulations 101

Regulations Patient Safety Hospitals Home Care 101

CAPS

OCTOBER 11, 2019

CAPS provided Patient and Family Engagement technical support to the Hospital Engagement Networks (2012-2015) and Hospital Improvement Innovation Network (2015-2020) programs and the Transforming Clinical Practice Initiative (2015-2019).

Patient Safety 52

Patient Safety Clinical Practice Quality Improvement Medicaid 52

HIT Consultant

MAY 24, 2022

In addition to providing clinicians with a standardized perspective of their patient populations, acuity assessments also enhance patient safety. In other areas, the use of standardized language to objectively measure and communicate a patient’s clinical needs is not widespread.

Patient Safety 52

Patient Safety Nursing Hospitals Medicare 52

Briggs Healthcare

MARCH 2, 2022

This is a great example of what AHRQ does: create programs that make it simple to put evidence into practice—thus promoting patient safety and improving patients’ lives.”. Antibiotic prescriptions are common in long-term care facilities, yet up to 75 percent of them are considered inappropriate or not following guidelines.

Patient Safety 75

Patient Safety Medicaid Prevention Medicare 75

Healthcare Success

JULY 5, 2022

Traditional fee for service, accountable care, concierge service, HMOs, cash-only vs. private insurance-only vs. Medicaid/Medicare—all produce different incentives and behaviors because the compensation model impacts how your product/service gets paid for and by whom.

Doctors 154

Doctors Private Practices Accountability Hospitals 154

Meditech

JANUARY 18, 2022

At Ozarks Healthcare , we serve a community where 23% of the population lives below poverty level, and many residents are uninsured or on Medicaid/Medicare without supplemental insurance. Not because of treatment issues, but because of care inequality issues.

Medicaid 93

Medicaid Prevention Medicare Healthcare 93

Sheppard Health Law

NOVEMBER 9, 2023

For instance, OIG recommends that oversight of quality and patient safety activities be incorporated into a company’s compliance programs and that an organization’s board should require regular reports on compliance in these areas from the responsible senior leadership.

Integration 52

Integration Regulations Medicare Pharmaceuticals 52