Healthcare ECONOMIST

JANUARY 14, 2022

Before the merger, funding was lacking for technology and infrastructure investments to support quality improvement. To account for changes in patient mix, the authors control for patient demographics, insurance type, DRG mix, and Elixhauser comorbidities. How were these quality improvement achieved?

Hospitals 75

Hospitals Rehabilitation Accountability Quality Improvement 75

p3care

DECEMBER 3, 2024

These details serve as a record to ensure continuity of care and quality improvement. The dispensed services are accounted for and accurately translated into billing statements that only require final approval. With customizable templates and forms, data recording is made simple and seamless by following patient care procedures.

Healthcare 130

Healthcare Medical Services Process improvement Quality Improvement 130

p3care

MAY 2, 2022

There are four categories in this category of QPP reporting , which are: Quality. Improvements Activities. Each performance category accounts for a particular percentage of the overall MIPS score, which determines how much payment adjustment a clinician will receive for the following year’s performance. Categories.

Nursing 130

Nursing Prevention Quality Improvement Regulations 130

NCQA

DECEMBER 18, 2024

How NCQA’s Work Supports This Goal NCQA created the Race and Ethnicity Stratification Learning Network to investigate the challenges and opportunities of using race and ethnicity data for quality improvement, to gather insights on how plans are overcoming challenges and to get an early look at HEDIS measures stratified by race and ethnicity.

Quality Assurance 52

Quality Assurance Accountability Quality Improvement Pharmaceuticals 52

HIT Consultant

FEBRUARY 18, 2024

Well-integrated data benefits the entire care journey, from care access and delivery to coding, billing and payment to ongoing quality improvement. Data feeds ongoing quality improvement Having access to a wealth of integrated data for analytics supports ongoing quality improvement as well as research.

Integration 98

Integration Quality Improvement Medical Technology Healthcare 98

HIT Consultant

DECEMBER 20, 2022

These programs represent innovative ways for plans to improve Medicare Stars performance, to extend care management for quality improvement, and to differentiate themselves in competitive markets. Reducing Stress in 90% of Caregivers.

Medicare 98

Medicare Quality Improvement Accountability Healthcare Providers 98

HIT Consultant

OCTOBER 21, 2022

This work occurs alongside evaluating how to integrate the medical device into the hospital system’s diagnostic paradigms, including in relation to quality improvement programs. Sepsis accounts for the highest in-patient deaths and costs and is additionally the most under-reimbursed for diagnosis and treatment.

Hospitals 98

Hospitals Quality Improvement Medicaid Clinical Practice 98

HIT Consultant

OCTOBER 31, 2022

Current barriers to patient access and quality improvement. This is especially true for underserved populations, who already face more financial, educational, and environmental barriers to quality care. Advancing care quality initiatives through bi-directional data collection.

Healthcare Quality 98

Healthcare Quality Healthcare Quality Improvement Healthcare Innovation 98

Home Health Care

NOVEMBER 22, 2022

Government Accountability Office (GAO) has signed off on the home health payment rule finalized by the Centers for Medicare & Medicaid Services (CMS) last month. CMS argues that alternatives to mitigate the payment reductions would be contrary to the intent of the rule.

Medicare 85

Medicare Medicaid Quality Improvement Accountability 85

GoMoHealth

OCTOBER 20, 2022

By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. As the Quality Improvement and Health Equity Director for GoMo Health, I’ve been able to leverage my knowledge and experience to create visual frameworks and strategic workflows to educate, activate and scale the ability to close gaps in care.

Quality Improvement 87

Quality Improvement Medicaid Population Health Medicare 87

NCQA

JUNE 27, 2023

Measuring and Improving Performance: Organizations perform continuous quality improvement of their LTSS program and identify actionable steps to improve care for their members. Hold MCOs Accountable: LTSS Distinction validates that MCOs deliver high-quality, person-centered care to people with complex needs.

Medicaid 52

Medicaid Care Transition Quality Improvement Regulations 52

HIT Consultant

FEBRUARY 14, 2024

The pressing need to invest in, and protect, technologies without the time or staffing resources to maintain and support mission-critical platforms and applications poses enterprise growth and care-quality improvement obstacles.

Hospitals 112

Hospitals Quality Improvement Integration Healthcare 112

Home Health Care

APRIL 30, 2024

This outdated system fails to account for potential savings and quality improvements achievable through alternative care models. While the Medicaid Access Rule aims to improve care quality, I believe it misses the mark, by leaving smaller home care agencies like ours struggling to survive.

Home Care 98

Home Care Medicaid Accountability Quality Improvement 98

NCQA

DECEMBER 28, 2023

Findings and recommendations presented in a December 2023 webinar and accompanying reports show our organizations’ joint effort— the Birth Equity Accountability through Measurement (BEAM) initiative —is making progress to improve birth equity. Promote joint accountability across all entities.

Accountability 52

Accountability Quality Improvement Hospitals 52

NASHP

OCTOBER 13, 2023

The Affordable Care Act (ACA) requires health insurance plans to spend at least 80 to 85 percent (for large group plans) of an enrollee’s premium dollars on medical care and quality improvement rather than on administrative costs and profits. This is known as the Medical Loss Ratio (MLR).

Regulations 78

Regulations Quality Improvement Accountability 78

Briggs Healthcare

OCTOBER 19, 2021

population, NH residents account for nearly 33% of all COVID-19 deaths. Herein, we report 12 recommendations to enhance and sustain TM (Table 1) from a TM adoption study, certified as quality improvement by the UW Madison Health Sciences IRB.”. The Pre-Proof is a 7-page document that contains some valuable information.

Telemedicine 52

Telemedicine Nursing Health Science Quality Improvement 52

Accountable Care Doctors

NOVEMBER 17, 2020

Earlier this year, CAPP asked the Institute for Accountable Care (IAC) Executive Director Rob Mechanic to conduct a scan of the latest literature on accountable care entities, programs, and payment models in an effort to understand the factors that influence participation in such arrangements and on cost and quality performance.

Accountable Care 52

Accountable Care Accountability Medicare Integration 52

Accountable Care Doctors

NOVEMBER 17, 2020

Earlier this year, CAPP asked the Institute for Accountable Care (IAC) Executive Director Rob Mechanic to conduct a scan of the latest literature on accountable care entities, programs, and payment models in an effort to understand the factors that influence participation in such arrangements and on cost and quality performance.

Accountable Care 52

Accountable Care Accountability Medicare Integration 52

Healthcare ECONOMIST

OCTOBER 4, 2021

The Government Accountability Office (GAO) last week published a report evaluating the Merit-based Incentive Payment System (MIPS). MIPS evaluates provider value along four dimensions: (1) quality, (2) improvement activities, (3) promoting interoperability, and (4) cost.

Medicare 105

Medicare Quality Improvement Quality of Care Accountability 105

HIT Consultant

OCTOBER 1, 2023

Unlocking data silos using Federated Computing (FC) has the potential to achieve a positive impact across the healthcare industry, ranging from clinical care quality improvement and accreditation to population health management, precision public health and equitable drug development.

Life Sciences 64

Life Sciences Population Health Quality Improvement Healthcare Providers 64

NASHP

SEPTEMBER 8, 2023

Iowa’s Medicaid agency and Bureau of Family Health synthesized their strategic planning goals for improving maternal health outcomes and proposed policies to leadership and partners. This will enable the state to increase breastfeeding rates and improve the quality of maternity services delivered in these birthing facilities.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

NASHP

MARCH 22, 2024

State Medicaid programs, behavioral health authorities, public health, departments of insurance, human and social service agencies, departments of education, departments of corrections, housing, and employment can collaborate to align overlapping efforts, align policies, and braid funding and accountability mechanisms.

Accountability 52

Accountability Medicaid Primary Care Quality Improvement 52

NCQA

OCTOBER 31, 2023

Fowler put it, “ We’re really thinking about health system transformation and really putting more of an emphasis on quality improvement. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Healthcare ECONOMIST

SEPTEMBER 24, 2024

For instance, risk adjustment occurs based on patient characteristics and social determinants of health collected before the start of an episode; the authors argue that risk adjustment could take into account clinical or social needs changes during an episode. The authors also argue for more reimbursement for information sharing activities.

Accountability 40

Accountability Quality Improvement Accountable Care Integration 40

Briggs Healthcare

FEBRUARY 20, 2023

Providers are expected to take into account all requirements when determining the date they submit completed MDS records, including but not limited to, submission timeliness, claims processing, and care planning requirements. For information and instructions to register for an iQIES account, please visit: [link].

Accountability 40

Accountability Quality Improvement Nursing Healthcare 40

Briggs Healthcare

AUGUST 1, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The iQIES (Internet Quality Improvement and Evaluation System) Team is announcing that the Idea Portal is now available. For iQIES Idea Portal access, users need a HARP (HCQIS Access Roles and Profile) account.

Quality Improvement 40

Quality Improvement Accountability Healthcare 40

Briggs Healthcare

MAY 16, 2023

Presently, any MDS records accepted into the Internet Quality Improvement and Evaluation System (iQIES) on or after the MDS migration on April 17, 2023 are not being considered in these two reports. CMS is in the process of updating these reports in CASPER to account for MDS records that are accepted into iQIES.

Nursing 40

Nursing Quality Improvement Accountability Healthcare 40

NASHP

NOVEMBER 8, 2024

Tennessee operates a VBP program called the Quality Improvement in Long Term Services and Supports initiative (QuILTSS ). In 2024, quality categories include satisfaction (35 points), culture change/quality of life (30 points), staffing/staff competency (25 points), and clinical performance (10 points).

Medicaid 52

Medicaid Nursing Quality Improvement Accountability 52

NASHP

OCTOBER 20, 2022

Partnerships are strongest when they are based on a collective impact model, focusing on a common vision and developing shared accountability. Cross-system quality improvement efforts rely on strong partnerships to identify existing resources, gaps, and priorities for care coordination systems for CYSHCN.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Home Health Care

OCTOBER 28, 2022

We believe that seeking and maintaining accreditation — i.e. voluntarily committing to meet quality and safety standards and opening your doors to a rigorous inspection by The Joint Commission — can help home health agencies hold themselves accountable, and that this leads to more consistent high quality care.

Patient Safety 76

Patient Safety Performance improvement Quality Improvement Accountability 76

Briggs Healthcare

JULY 19, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Coalition is excited to share nine Action Plans for nursing home quality improvement ! Each is an opportunity to improve the quality of life and work of nursing home residents and staff.

Nursing 40

Nursing Quality Improvement Accountability Healthcare 40

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 75

Medicaid Nursing Medicare Integration 75

NCQA

NOVEMBER 22, 2024

The use of clinical data to measure health care quality in close to real-time creates new value for health plans, including: More complete, accurate and generally higher quality rates. Improved ability to drive meaningful quality improvement programs with better data. Reduced costs of quality measurement.

Quality Improvement 59

Quality Improvement Quality Leadership Measurable Quality Integration 59

Briggs Healthcare

APRIL 7, 2022

Extreme care needs to be taken to ensure that quality improvement initiatives are implemented using strategies that do not exacerbate disparities in resources, quality of care, or resident outcomes. High-quality research is needed to advance the quality of care in nursing homes.

Nursing 52

Nursing Quality of Care Quality Assurance Home Care 52

Sheppard Health Law

JANUARY 10, 2022

Past Performance Methodology to Better Hold Plans Accountable for Violating CMS Rules (§§ 422.502 and 422.503). CMS has an obligation to ensure the organizations with which it contracts will provide health care services to beneficiaries in a high-quality manner. FOOTNOTES. [1] 1] 42 U.S.C. 1396a (a)(25)(G). [2] 422.500.

Medicare 98

Medicare Medicaid Integration Regulations 98

NCQA

OCTOBER 9, 2024

They’ll explain how to leverage data to uncover members who are experiencing health disparities, identify the clinical and social drivers of those disparities, develop strategic partnerships with clinicians and care delivery systems and implement quality improvement efforts.

Primary Care 52

Primary Care Medicaid Integration Quality Improvement 52

Briggs Healthcare

DECEMBER 2, 2022

The December 2022 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2024 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Quality Improvement and Evaluation System (QIES)/Certification and Survey Provider Enhanced Reports (CASPER) reporting system.

Quality Improvement 40

Quality Improvement Accountability Nursing Healthcare 40