Articles Tagged With: CMS
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Hospital at Home Programs Can Help Acute Patients Post-Pandemic
The concept of hospital at home may have flourished during the COVID-19 pandemic, but it also will be a possible post-pandemic model for care. -
Nurse’s Criminal Conviction Could Chill Safety Investigations
A former nurse was recently found guilty of negligent homicide related to a medication error. She admitted to overriding a safeguard before administering the wrong medication to a patient. The case may negatively affect safety investigations.
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Care Coordination, Value-Based Care, and Reducing Medicare Spend
Insurers and CMS have encouraged providers and health systems to adopt value-based care to lower healthcare costs and increase competitive positioning. Investing in value-based care means a greater emphasis on the primary care physician and preventing hospital admissions and readmissions. -
CDC and CMS Report Alarming Decline in Patient Safety During Pandemic
An analysis by the CDC and CMS indicates important metrics in patient safety reversed during the COVID-19 pandemic. -
Biden Administration Cracking Down on Nursing Home Safety
The Biden administration is promising an effort to improve safety and quality of care in the nation’s nursing homes. The fact sheet foreshadows substantially stiffer oversight and harsher enforcement. -
OSHA Inspecting Hospitals for Compliance with COVID-19 Issues
OSHA’s COVID-19 Focused Inspection Initiative in Healthcare is underway, with inspectors visiting hospitals and other healthcare facilities to determine compliance with requirements related to the pandemic. -
Integrating Behavioral Health and Medical Case Management
The effects of COVID-19 have brought behavioral health issues to light — and, in some cases, the handling of the pandemic has even caused behavioral health problems. With more patients presenting with mental and behavioral health issues, it is more important than ever to consider a collaborative model of care. -
Recommendations Target Making Improvements in U.S. Organ Transplant System
The authors aimed for equity, transparency, and efficiency.
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Best Practices in Utilization Management
Ideally, the case manager’s utilization management role integrates discharge planning, care coordination, and resource management. It takes place on the unit where the case manager can interact directly with the care delivery team. It also is important for departments and hospitals to develop policies for utilization management procedures at the outset. -
Updates to Hospital Value-Based Purchasing
The Centers for Medicare & Medicaid Services (CMS) released updates and changes to its Hospital Value-Based Purchasing Program. In response to the public health emergency, CMS is suppressing certain measures for 2022.