Accountability, Performance improvement and Quality of Care

ACO Reporting- A Patient-Centered Approach

p3care

MAY 31, 2024

An ACO (Accountable Care Organization) works for the better care of patients. Consider it as a group that combines hospitals, doctors, and other healthcare specialists for the sake of providing healthcare and is a team in care decisions. This becomes a specific reason for comprehensible improvements in patient care.

Quality of Care

Quality of Care Doctors Medicare Patient Experience

Final Rule Gives Home Health Agencies Breathing Room for HHVBP, Medicare Sequestration

Home Health Care

NOVEMBER 7, 2021

BKD is a Springfield, Missouri-based accounting services firm that provides billing and revenue cycle outsourcing services. Broadly, HHVBP has many supporters among the home health industry due to its ability to boost quality scores and Medicare savings. HHVBP is a Medicare demonstration that links reimbursement to quality of care.

Medicare

Medicare Performance improvement Medicaid Quality of Care

Executive Leadership Rounds: 9 Steps to Improve HCAHPS + Staff Engagement & Retention

Readiness Rounds

AUGUST 14, 2023

In hospitals, where patient experience is important and quality of care is non-negotiable, a subtle yet profound practice has emerged as a catalyst for positive change: Executive Leadership Rounds. It's imperative that the practice encompasses all departments, from housekeepers to security officers, accountants and beyond.

Performance improvement

Performance improvement Patient Experience Accountability Hospitals

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities

NASHP

MARCH 22, 2024

States are hoping to achieve a number of goals with their MLTSS programs, including increasing access to home and community-based services, promoting care coordination, enhancing quality and beneficiary satisfaction, and mitigating cost growth.

Medicaid

Medicaid Nursing Medicare Integration

First Do No Harm

Briggs Healthcare

MARCH 20, 2023

And we hold facilities accountable when they fail to meet those standards. CMS deploys a range of quality measures to encourage transparency in public reporting of the quality of care in facilities and to increase accountability.

Patient Safety

Patient Safety Medicaid Medicare Quality of Care

CMS Action to Expand Access to Emergency Care Services in Rural Communities

Briggs Healthcare

JULY 1, 2022

The overall policy goal of this proposed rule is to establish Conditions of Participation (CoPs) to ensure the health and safety of patients who will receive REH services in the most efficient manner possible, while taking into consideration the access and quality of care needs of an REH’s patient population.

Performance improvement

Performance improvement Hospitals Nursing Prevention

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

OCTOBER 22, 2021

Promote choice and control for people with serious illness, while taking into account their unique life circumstances; 2. As part of contract and systems oversight, states engage in a range of quality assessment and improvement strategies. Principles for Person-Directed Services and Supports during Serious Illness.

Medicaid

Medicaid Hospice Care Regulations Integration

Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

AUGUST 24, 2023

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Providers received bonus payments for achieving process measures indicating that certain facets of palliative care (e.g.,

Medicaid

Medicaid Quality Assurance Quality of Care Hospitals

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

AUGUST 23, 2021

Perhaps the most important is to identify specific goals and objectives early on to guide the details of design, such as the choice of quality metrics for incentive payments. In addition, it is important to build in measurement at the start and to think of state efforts as iterative — moving to tackle new priorities as performance improves.

Primary Care

Primary Care Medicaid Accountability Quality Improvement

How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

MAY 17, 2022

These specialized MMC programs are designed to exclusively serve either CYFC [27] or Medicaid populations with chronic and complex conditions, [28] including those in foster care. Standard MMC: Standard MMC is a type of health care delivery system designed to manage costs, utilization, and quality of care. 17] Ibid. [18]

Medicaid

Medicaid Integration Medicare Primary Care

Behavioral Health System Modernization along the Continuum

NASHP

MARCH 22, 2024

North Carolina’s InCK program , led by Duke University and the University of North Carolina at Chapel Hill, brings together partners from Medicaid, behavioral health, child welfare, juvenile justice, education, Title V, mobile crisis, and more to coordinate care and address the health and social needs of children in five counties.

Medicaid

Medicaid Integration Primary Care Nursing

Patient Engagement: A Two-Way Relationship with Lonnie Hirsch | E. 77

Vie Healthcare

JULY 12, 2023

Jim (13:00): So I want to ask a little more later about the trust and the relationship side of it, but before we get to that, I did want to ask, are there cultural or regional or even generational considerations that must be taken into account when we talk about this concept of patient engagement? Lonnie (13:19): Yes, yes, and yes.

Healthcare

Healthcare Nursing Patient Experience Hospitals

Patient Flow Challenges Contributing to Provider Burnout

HIT Consultant

MAY 17, 2022

The following describes each phase of the patient flow process and the associated obstacles that providers face, as well as some performance improvement recommendations for healthcare leaders to consider to reduce workforce stress, improve patient satisfaction, and improve quality. Inefficient Transfers.

Tertiary Care

Tertiary Care Nursing Patient Experience Patient Safety

4 Patient Flow Challenges Contributing to Provider Burnout

HIT Consultant

JUNE 2, 2022

The following describes each phase of the patient flow process and the associated obstacles that providers face, as well as some performance improvement recommendations for healthcare leaders to consider to reduce workforce stress, improve patient satisfaction, and improve quality. Inefficient Transfers.

Tertiary Care

Tertiary Care Nursing Patient Experience Patient Safety

Expanding the Perinatal Workforce through Medicaid Coverage of Doula and Midwifery Services

NASHP

DECEMBER 23, 2022

Trainings must include community-based and cultural competency for delivering person-centered care and facilitating access to community-based resources. Doulas must also be trained in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPPA) and adult and infant CPR. The U4 modifier is used for both codes.

Medicaid

Medicaid Nursing Hospitals Regulations

Administration Strengthens Oversight of Nation’s Poorest-Performing Nursing Homes

Briggs Healthcare

OCTOBER 25, 2022

Today’s announcement is part of a series of new actions the Biden-Harris Administration is taking to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer. and face increasingly severe enforcement actions if improvement is not demonstrated.

Nursing

Nursing Accountability Quality Improvement Quality of Care

Health Care Quality Digest

ACO Reporting- A Patient-Centered Approach

Final Rule Gives Home Health Agencies Breathing Room for HHVBP, Medicare Sequestration

Trending Sources

Executive Leadership Rounds: 9 Steps to Improve HCAHPS + Staff Engagement & Retention

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities

First Do No Harm

CMS Action to Expand Access to Emergency Care Services in Rural Communities

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

Sustainability and Value: State Palliative Care Reimbursement Strategies

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

How State Medicaid Programs Serve Children and Youth in Foster Care

Behavioral Health System Modernization along the Continuum

Patient Engagement: A Two-Way Relationship with Lonnie Hirsch | E. 77

Patient Flow Challenges Contributing to Provider Burnout

4 Patient Flow Challenges Contributing to Provider Burnout

Expanding the Perinatal Workforce through Medicaid Coverage of Doula and Midwifery Services

Administration Strengthens Oversight of Nation’s Poorest-Performing Nursing Homes

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