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Hospitals that appeal their denials by the recovery auditors (RAs) recoup their money 75% of the time, according to data provided by the American Hospital Association. But, only 40% of denials are appealed.
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The multidisciplinary team on each unit at Springfield Regional Medical Center in Springfield, OH, holds short team huddles at a specific time every day and reviews each patient, the plan of care and goals, and what needs to happen each day.
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After Springfield Regional Medical Center in Springfield, OH, began daily multidisciplinary team huddles to facilitate patient care, the hospitals performance on targeted core measures rose to the 95th quartile compared to a range of 75% to 81% when the project began, and the housewide ratio of the observed-to-expected length of stay decreased from 1.15 to 1.07.
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The American Hospital Association reports that 88% of all hospitals responding to its RACTrac Web-based survey have received an audit under the Recovery Auditor (RA) program.
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The focus on patient flow in the hospital setting began in the 1990s, when emergency department (ED) overcrowding became a serious threat to patient safety and quality of care.
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If your hospital receives high scores on the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS), 30-day readmission rates are likely to be low, according to a study by Press Ganey, a South Bend, IN, health care performance improvement organization.
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Since University Hospitals Case Medical Center in Cleveland, OH, embarked on a quality improvement initiative that included a redesign of the case management process, length of stay has dropped by almost a full day, readmissions have decreased, and the hospital's performance on 30+ metrics has increased.
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As research institutions become more thoroughly electronic in their IRB and clinical trial systems, they should not lose sight of the importance of securing all transmitted data, an expert says.
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Emergency medicine providers fully understand the importance of time-to-treatment when caring for ST-elevated myocardial infarctions (STEMI) patients.
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While EDs are designed to respond to acute care needs, they are often inundated by patients with complex medical, social, and behavioral health problems that require comprehensive solutions. Not surprisingly, the results of this mismatch can involve long wait times, inefficient care, and less than satisfactory outcomes.