NASHP

MARCH 17, 2025

is also experiencing a growth of maternity care desertsplaces with no hospitals or birth centers offering obstetric care and limited obstetric providers in both urban and rural areas. do not have a hospital that provides obstetric care and over 2.5 lead on womens health) Provider/hospital groups (e.g.,

Medicaid 52

Medicaid Quality Assurance Hospitals Patient Safety 52

NCQA

NOVEMBER 15, 2024

HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS ® is a registered trademark of the Agency for Healthcare Research and Quality. For details on proposed changes, visit the NCQA website.

Quality Assurance 52

Quality Assurance Medicaid Medicare Quality of Care 52

Health Populi

APRIL 1, 2025

To get to the 2030 health care world, Deloitte identifies “conquered constraints,” some key challenges that are sorted out in the transition between 2025 and five years from now: these include, Skills and talent, where human capital can scale across digital platforms and deploy evidence-based programs, services, and products (think: wellness (..)

Quality Assurance 62

Quality Assurance Regulations Prevention Accountability 62

HIT Consultant

FEBRUARY 3, 2022

While these physical tools within a hospital or private practice are important, unstructured data also plays a critical, yet often understated, role in the overall care experience of a patient. Here are some qualities to be looking for when evaluating a vendor to manage healthcare unstructured data: .

Integration 98

Integration Quality Assurance Healthcare Private Practices 98

HIT Consultant

JULY 19, 2022

But before the platform became widely available, patients could only be diagnosed after trained sonographers performed an ultrasound in a hospital or specialized setting – typically after the onset of symptoms. since it received FDA 510(k) clearance in 2020.

Quality Assurance 97

Quality Assurance Regulations Doctors Prevention 97

HIT Consultant

JUNE 18, 2024

However, the report also reveals apprehension among staff (65%) regarding the potential impact of automation on quality assurance and job security. Patients can experience more positive healthcare experiences while reducing the strain on overstretched hospital personnel.

Quality Assurance 96

Quality Assurance Healthcare Hospitals Prevention 96

Home Health Care

OCTOBER 25, 2024

Under Senate Bill 159 , the implementation of the minimum wage increases was delayed until either certain increases to state revenues took place or the California Department of Health Care Services (DHCS) notified the legislature that it had initiated the data retrieval necessary to implement an increase to hospital quality assurance fee revenues.

Quality Assurance 110

Quality Assurance Nursing Home Care Accountability 110

HIT Consultant

NOVEMBER 1, 2023

CoRead Acquisition The company also finalized the acquisition of CoRead, a leading AI quality assurance company currently being used by more than 2,000 hospital sites nationwide. Their innovative approach focuses on improving radiology outcomes while reducing costs and unnecessary imaging tests.

Quality Assurance 52

Quality Assurance Performance improvement Integration Hospitals 52

HIT Consultant

AUGUST 30, 2022

Whether the company is supporting ambulatory practices, specialists, healthcare centers, urgent care facilities, or hospital systems, one thing is certain—more businesses are signing up every day and taking advantage of its comprehensive tools for managing electronic health and medical records.

Urgent Care 98

Urgent Care Quality Assurance Population Health Accountability 98

HIT Consultant

MARCH 14, 2024

Later in 2024, they will introduce tiered membership options offering access to exclusive benefits like annual conferences, educational resources, publications, and quality assurance tools. Open Membership and Future Initiatives CHAI welcomes membership from all interested parties.

Quality Assurance 64

Quality Assurance Healthcare Providers Hospitals Healthcare 64

Home Health Care

AUGUST 4, 2023

Since CMS standardized it in 2018, Quality Assurance and Performance Improvement program, or QAPI, has served as a guiding light for home-based care providers. The program is the process by which a home-based care provider measures its quality metrics. I think a lot of agencies have kind of slacked off of their QAPI program.

Medicare 98

Medicare Performance improvement Quality Assurance Quality Improvement 98

NASHP

MARCH 14, 2022

High-quality palliative care can both improve quality of life and avoid unnecessary and often unwanted treatments for Medicaid enrollees with serious illness. in hospitals, embedded within enhanced primary care, via home health). States can support palliative care in a number of ways and across a range of settings (e.g.,

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

Briggs Healthcare

APRIL 14, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Q4FY22 release of the Critical Access Hospital (CAH) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2022 is now available for download through the PEPPER Resources Portal.

Quality Assurance 40

Quality Assurance Hospitals Rehabilitation Performance improvement 40

Briggs Healthcare

APRIL 7, 2022

The termination of these blanket waivers will have no effect on other blanket waivers that remain in place such as those for hospitals and CAHs. Those blanket waivers remain in effect to assist hospitals and CAHs, among others, in dealing with their response to the surges of COVID-19 cases in the community.

Nursing 98

Nursing Quality Assurance Prevention Performance improvement 98

HIT Consultant

NOVEMBER 16, 2021

– Smarter triage and medical quality assurance, including the surfacing of quality insights, coding items, and care coordination worklist protocols that ensure nothing falls through the cracks.

Quality Assurance 52

Quality Assurance Primary Care Medicare Hospitals 52

HIT Consultant

MAY 23, 2024

Measurable reductions in adverse outcomes like inpatient admissions, hospitalizations, and emergency room visits. Measurable Success: High Retention Rates, Reduced Costs Boulder Care’s commitment to quality care is reflected in their impressive outcomes, rigorously validated by independent research.

Quality Assurance 52

Quality Assurance Medicaid Hospitals Healthcare 52

Home Health Care

APRIL 3, 2022

This new service line would open the door for more collaboration with hospitals and managed care organizations throughout the country. Our hybrid model of care management and best-in-class caregiving is ideal for those looking to thrive at home and remain out of the hospital and acute rehabs. Jeff Huber, CEO of Home Instead.

Home Care 122

Home Care Quality Assurance Integration Hospitals 122

GoMoHealth

OCTOBER 22, 2024

Barr is the President and Founder of MEDIS, LLC, providing advisory services to support healthcare organizations and technology companies dedicated to enhancing healthcare quality. Bob Gold, CEO and Chief Behavioral Technologist of GoMo Health, commented that “Dr. To learn more, visit www.gomohealth.com.

Quality Assurance 59

Quality Assurance Life Sciences Healthcare Quality Population Health 59

HIT Consultant

DECEMBER 10, 2024

42% emphasized AIs potential to address preventable harm, which affects approximately 400,000 hospitalized patients annually and costs the healthcare system an estimated $20 billion each year. Quality Assurance : Detects care gaps and ensures compliance with best practices and guidelines.

Quality Assurance 52

Quality Assurance Patient Safety Integration Healthcare Providers 52

HIT Consultant

SEPTEMBER 7, 2022

Code is written by humans who have unconscious biases, and those biases can creep into the algorithms of AI when Quality Assurance functions are not properly sensitized to detect them. Bias remains a big concern in AI development and use.

Population Health 98

Population Health Health Analytics Quality Assurance Medicaid 98

Sheppard Health Law

DECEMBER 3, 2021

On November 12, 2021, the Centers for Medicare and Medicaid Services (“CMS”) revised and finalized draft guidance first issued on May 3, 2019, for co-location of hospitals with other hospitals or healthcare providers [1] (the “ Finalized Guidance ”). The Finalized Guidance also makes significant changes to the guidelines for staffing.

Healthcare Providers 52

Healthcare Providers Quality Assurance Healthcare Hospitals 52

HIT Consultant

SEPTEMBER 7, 2022

in Series A funding led by General Catalyst and has received Accreditation from the National Committee for Quality Assurance (NCQA), a private, non-profit organization dedicated to improving healthcare quality. What You Should Know: – New York City-based CertifyOS raises $14.5M including VillageMD and Thirty Madison.

Quality Assurance 52

Quality Assurance Healthcare Quality Integration Hospitals 52

NCQA

APRIL 10, 2025

Electronic clinical quality measures (eCQM), originally developed for the CMS EHR Incentive Program (Meaningful Use), are designed for eligible providers or hospitals, and primarily use EHR data to calculate measure results. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

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NCQA

SEPTEMBER 17, 2024

Medicare plans got better at coordinating care for older adults who were hospitalized, and showed improvement in medication reconciliation. HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS ® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Quality Assurance 52

Quality Assurance Medicaid Medicare Patient Experience 52

NCQA

FEBRUARY 17, 2023

We see a way for a new and better measure can address an existing quality concept. Inpatient Utilization—General Hospital/Acute Care. HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS ® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Quality Assurance 52

Quality Assurance Ambulatory Care Clinical Practice Patient Experience 52

HIT Consultant

JUNE 28, 2024

Arnab Sen, Chief Strategy Officer, Omega Healthcare Every year, hospitals across the United States, regardless of their size or type, face significant financial losses amounting to hundreds of billions of dollars due to uncompensated care.

Quality Assurance 52

Quality Assurance Healthcare Providers Patient Experience Medicaid 52

Briggs Healthcare

JULY 7, 2023

It also includes tips on overcoming common challenges (such as complex cases) and quality assurance. We also include information about the hospital trigger tool reviewers used to screen for adverse events and suggestions for finding and recording key information.

Quality Assurance 40

Quality Assurance Patient Safety Prevention Regulations 40

NCQA

FEBRUARY 13, 2024

Proposed Changes to Existing Measures Acute Hospital Utilization : Assesses the risk-adjusted ratio of observed-to-expected acute inpatient and observation stay discharges for members 18 years of age and older. HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA). ET) on March 13.

Quality Assurance 52

Quality Assurance Hospitals Medicare Prevention 52

NASHP

SEPTEMBER 1, 2021

It also speeds notification of hospitalizations and emergency department visits enabling providers to more quickly provide transitional and follow-up care when these events occur. ADT information from emergency departments and hospitals. 100% of hospitals in Tennessee now submit ADT data to the THA.

Medicaid 64

Medicaid Primary Care Hospitals Quality Assurance 64

HIT Consultant

JULY 23, 2024

Understanding Needs Beyond Features and Functions Imagine developing software for a hospital without ever stepping foot inside one. In addition, during the quality assurance process, clinicians have insight into unique ways the product may get used in the field that can help uncover issues before release.

Quality Assurance 59

Quality Assurance Integration Clinical Practice Regulations 59

Health Dialog

JULY 5, 2016

A recently published PHA/HERO’s publication aptly captures these measures as follows: Financial Outcomes: Claims Savings, Reduced Hospitalizations. Prior to jumping into best practices in applying analytics, let’s first look at a brief overview of what needs to be measured.

Population Health 40

Population Health Quality Assurance Healthcare Analytics Hospitals 40

Briggs Healthcare

APRIL 10, 2023

To obtain your SNF PEPPER , the Chief Executive Officer, President, Administrator, Compliance Officer, Quality Assurance/Performance Improvement Officer, or other authorized user within your organization (selecting a job title closest to their title) should: 1. View a map of SNF PEPPER retrievals by state.

Nursing 40

Nursing Quality Assurance Medicare Performance improvement 40

Healthcare Success

JULY 18, 2022

Today our clients include: Retail and healthcare brands, Hospitals and health systems, Life sciences manufacturers, Health plans, And multilocation practices and providers. They're also responsible for regular status updates, milestone/gatekeeping, scope creep, eliminating bottlenecks, and quality assurance (among several other things).

Healthcare 130

Healthcare Quality Assurance Life Sciences Accountability 130

Briggs Healthcare

APRIL 7, 2022

Quality Measurement and Quality Improvement Care Delivery The NH Workforce NH Environment and Resident Safety Payment and Financing Quality Assurance: Oversight and Regulation Health Information Technology Recommendations Appendices Biographic Sketches Examples from the Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents (..)

Nursing 52

Nursing Quality of Care Quality Assurance Home Care 52

HIT Consultant

MARCH 21, 2022

By holding itself to the highest standards, the new InterWell Health expects to improve patients’ quality of life through reduced hospital admissions and readmissions, slower disease progression, increased transplant referrals and rates, accelerated transition to home dialysis and improved health equity.

Quality Assurance 52

Quality Assurance Accountability Integration Hospitals 52

NASHP

OCTOBER 16, 2023

This case study will focus on Wisconsin’s efforts to establish youth crisis stabilization facilities (YCSFs) as a community-based alternative to inpatient hospital and institutional settings to support the state’s youth in receiving timely and appropriate mental health crisis services. Across the U.S., 5] Additionally, 18.1 Across the U.S.,

Quality Assurance 64

Quality Assurance Prevention Hospitals Medicaid 64

Best Medical Billing Company | Physicians Revenue Group, Inc.

FEBRUARY 17, 2023

A medical practice necessitates professionals for each category, like creating quality assurance, medical billing, expert coders, etc., There must be professionals who can manage and help identify the root causes of the claim denials. for submitting and verifying claims. LOOKING FOR A MEDICAL BILLING PARTNER?

Quality Assurance 52

Quality Assurance Private Practices Prevention Regulations 52