PARKERSBURG –WVU Medicine Camden Clark Medical Center was named among the 100 best hospitals for stroke care and rated in the top 100 in the nation for patient safety in the categories of cardiac and orthopedic care, according to two national studies Camden Clark was rated in reports released by Healthgrades, an online resource for […]
How hospitals can use CDI to navigate the value-based care transition: 5 insights
A successful clinical documentation program can help healthcare organizations achieve better financial performance and patient outcomes, which are both crucial improvements for hospitals navigating the shift to value-based care. “What we document drives what we receive financially. What we drive on the revenue side is directly related to how we show performance on the outcomes […]
Providers partner with payers for bundled payments
Despite the elimination of mandatory bundled payments by the Centers for Medicare and Medicaid (CMS), commercial insurers are investing in this model based upon the positive results they’ve seen from the CMS demonstration models and their own trial experiences. Bundled payment models shift financial and clinical accountability to a single provider-led organization that takes responsibility […]
Demonstrating High Quality Care Becomes Paramount in the Bundled Payment Models
The Centers for Medicare and Medicaid Services’ (CMS) cancellation of the mandatory payment bundles for cardiac care, surgical hip and femur fracture treatment in late 2017 is expected to be replaced in 2018 with a voluntary program, called the Bundled Payments for Care Improvement Advanced (BPCI). CMS also cancelled the cardiac rehabilitation incentive payment model […]
Building an ERM Framework for Value-Focused Health Care
At a Glance The traditional frameworks that healthcare providers used for managing risk in the past under the volume-based payment model are insufficient for managing risk posed by today’s value-based payment models. Under value-based care, a provider can be financially penalized for failing to meet quality standards established for what previously would have been a […]
Choosing The Right Performance Management System For Measuring And Improving Clinical And Financial Performance
To optimize payments and reimbursement in emerging value-based care models, hospitals and health systems need to more proactively measure and improve clinical and financial performance across a myriad of quality and patient safety measures and programs. The inherent challenges to achieving these goals are daunting, expensive and increasingly burdensome to all stakeholders in value-based care: […]
Value-based Purchasing and Reimbursement: The Business Case for Improving Quality and Patient Safety
In the increasingly competitive, transparent and value-based healthcare economy, hospitals and health systems in Western PA and throughout the nation are facing increasing financial pressure from healthcare purchasers and payers to improve patient care outcomes. At the center of value-based purchasing and reimbursement, performance against numerous measures of quality and patient safety performance also heighten […]
Patient Monitoring and Alarm Fatigue
Alarm fatigue continues to be a major healthcare concern, ranking third on the ECRI Institute’s Top 10 Health Technology Hazards for 2017. So manufacturers and their customer hospitals persist in exploring ways to reduce the incidence of this patient and clinical staff safety hazard. Mechanical ventilators are often one of the major sources of an […]
CMS Star Ratings Fail to Reflect True Clinical Quality
Hospital executives and other stakeholders should be aware that a new research study1 challenges the idea that CMS hospital star ratings based solely on patient experiences can serve as a reliable indicator for clinical quality. This study follows a wake of industry criticism regarding a recent research letter published in JAMA Internal Medicine based on […]
Becker’s Hospital Review: Hospitals with high patient experience star ratings don’t have better outcomes, new analysis finds
CMS started awarding five-star ratings to hospitals based solely on HCAHPS scores in April of last year, and one year later, a research letter published in JAMA Internal Medicine claimed the patient satisfaction-based ratings actually are associated with patient outcomes. However, a recently released study from Quantros produced contrary findings. According to Quantros’s research, that letter’s findings are “misleading and may actually […]
