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Readmissions are a big factor in Medicare spending per beneficiary since an additional hospital stay adds significantly to the total cost of care, points out Susan Wallace, MEd, RHIA, CCS, CDIP, CCDS, director of inpatient compliance for Administrative Consultant Services, a Shawnee, OK-based healthcare consulting firm.
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The Centers for Medicare & Medicaid Services (CMS) is adding new metrics to its Value-based Purchasing Program each year, and case managers should look ahead to ensure that their hospital performs well on the measures.
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The Inpatient Prospective Payment System proposed rule for fiscal 2015 continues the Centers for Medicare & Medicaid Services move toward basing reimbursement on quality of care, not quantity.
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At MedStar Franklin Square Medical Center in Baltimore, discharges are facilitated by a multidisciplinary transitional care team, led by a transitional care nurse who fosters communication between disciplines and collaborates with post-acute providers to ensure that transitions are smooth and timely.
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Hospital efficiency of care, a new domain in the Centers for Medicare & Medicaid Services Value-based Purchasing Program, bases hospital scores on spending three days before admission through 30 days after discharge.
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If discharge documentation isnt complete and accurate, coders may not use the correct discharge status code, which could affect a hospitals reimbursement.
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I have always been fearful of making a big mistake that is going to cause pain or injury to others. Ive had nightmares about it. As a nurse, a CRNA, and a consultant in the wonderful world of healthcare, my fear is probably not pathologically paranoid, but perhaps it is just a healthy fear of screwing up something that will hurt others.
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Ambulatory centers perform surgery more efficiently than hospitals and could offer a viable way for the nation keep to pace with a growing demand for outpatient procedures, according to a study published in the May issue of Health Affairs.
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Would you like to have better care, teamwork, communication, workflow, and staff/ patient satisfaction, along with fewer frustrations? These outcomes can be achieved with a culture of safety, says Ann Shimek, MSN, RN, CASC, senior vice president, clinical operations at United Surgical Partners International in Addison TX.
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The TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) program offers two steps to prevent and handle OR distractions, says Michelle Feil, MSN, RN, senior patient safety analyst at the Pennsylvania Patient Safety Authority in Plymouth Meeting, PA.
