In the nearly three years the program has been in place, hospitals and regulators alike have learned a great deal about readmissions and the key factors driving them. We have even witnessed some unintended consequences from the HRRP. This paper discusses ten things that are important to know about readmissions.
Physician survey results are invaluable for hospital leadership as they work to understand and improve nursing, operations, and quality of care.
HealthStream examines the new environment for Provider Enrollment and its implications for healthcare leaders and presents new research collected in early 2015 by HealthStream from 130 credentialing executives throughout the U.S.
Any time your service fails to meet a customer’s expectations, service recovery is in order. Remember, if the customer perceives that there is a problem, there is a problem.
Changing this trajectory, or at least caring for frail patients effectively across this period of time, requires not just attending to the “admitting diagnosis” but to the variety of factors that constitute high quality care for older adults.
In general, older adults have a more difficult time recovering from illness or other health “stressors”—like surgery. This is, in part, related to higher rates of medical problems and medications.
In this paper, we look at the role compensation can play in supporting employee retention and suggest ways healthcare organizations can use a strong compensation strategy to reduce employee turnover.
Service recovery in healthcare is the process of making things right after something has gone wrong with the healthcare experience. Learn more from HealthStream.
In over 1600 hours of one-on-one coaching experience with burned out physicians, here are the five causes of burnout I see commonly.
The epidemic of physician burnout may be the single largest negative influence on many organizations culture performance and profitability.
If organizations need compelling reasons to invest in their nurses, they need look no further than the extensive research showing that developing nurses as leaders leads to improvements in employee satisfaction and increases the quality of care.
In this article, we ask several important questions about care transitions and how they can lead to unnecessary hospital readmissions. They include (1) What makes care transition points so difficult and (2) Why are the “hand-offs” prone to issues? Several points of vulnerability and solutions are addressed.
Along the journey, hospital and ED leaders must always remember that their entire effort and focus must revolve around the patient and their families. Every initiative put in place and every element we attempt to optimize is done so in an effort to create a patient-centered culture.
Hospitals with readmission rates that exceed the national average are penalized by a reduction in payments across all of their Medicare admissions—not just those which resulted in readmissions. CMS began imposing penalties in FY2013 when the maximum penalty was 1% of the hospital’s base inpatient claims.
The key is to take multiple steps to prevent a readmission. We need to be focused on plans for discharge as soon as the patient is admitted. You can’t wait until the day before. You need to try to have everything in place before the patient leaves the hospital.
A CIA requires significant attention, data collection, legal defense, negotiation, new systems, new policies, oversight, and enforcement, possibly for many years. Healthcare facilities of all types, including hospitals, pharmaceutical manufacturers, long-term care, physician groups, and more have all seen increases in CIAs. Yet, these organizations often struggle with what to do if a recipient of one.
CMS began imposing a penalty on hospitals with excessive Medicare readmissions in FY2013 (October 1, 2012) as part of the Hospital Readmissions Reduction Program (HRRP). CMS defines a “readmission” as someone who has been readmitted to the same or another acute care facility within 30 days of an initial hospital stay.
The American Nurses Credentialing Center (ANCC) Magnet Recognition Program® honors hospitals for excellence in nursing leadership, clinical practice, innovations, and positive outcomes. The current program has its roots in a ground-breaking study conducted by the American Academy of Nursing over 30 years ago.
Gone are the days of the fee-for-service model. Enter the Value-based Purchasing (VBP) model, where the care you deliver and the patient outcomes you achieve determine the amount of reimbursement the institution or healthcare professional receives. Patient outcomes and safety are the top priorities in healthcare. The challenge every healthcare institution and healthcare professional faces each day is how to provide cost-effective, evidence-based patient care that improves patient outcomes.
Faced with mounting costs, the need to prepare for the coming storm, and the data supporting the implementation of care coordination and service integration processes, many organizations have already begun to address the need for care coordination during the 30 days following discharge. That window is critical for a couple of reasons.
