NCQA

FEBRUARY 6, 2025

Quality improvement may not get as much attention as football, but its also a team sport. think about what football can teach us about fragmentation in health care. Fragmentation vs. Integration Measuring parts of the systemhealth care practitioners, hospitals, health plansleads to fragmentation.

Quality Improvement 59

Quality Improvement Quality of Care Accountability Integration 59

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 130

Quality of Care Doctors Medicare Patient Experience 130

NCQA

MARCH 18, 2025

Join us in Baltimore on April 78 to connect and engage with the quality improvement community! NCQAs Health Quality Forum is a 2-day event where you can explore strategies to increase access, reduce disparities and tackle the unique challenges faced by people with complex and chronic health conditions.

Quality Improvement 59

Quality Improvement Telemedicine Population Health Primary Care 59

Home Health Care

AUGUST 4, 2023

The program is the process by which a home-based care provider measures its quality metrics. If a provider knows they need to focus on reducing acute-care hospitalizations, for instance, QAPI can help them do so. Striving to create a culture of quality is an important goal for home health organizations.

Medicare 98

Medicare Performance improvement Quality Assurance Quality Improvement 98

Healthcare ECONOMIST

JANUARY 27, 2023

First, they provide a nice overview of the program: The EOM is a voluntary 6-month, 2-sided, risk-based payment model for clinicians caring for Medicare patients with 7 common cancer types beginning on July 1, 2023, for 5 years. Small end-of-life cost savings were derived from a 1% reduction in hospitalizations.

Medicare 81

Medicare Quality Improvement Quality of Care Patient Experience 81

Cloud Blogs

FEBRUARY 28, 2022

Today, regulatory and market forces have led to improved transparency and enhanced consumerization, changing the face of healthcare. These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care.

Integration 129

Integration Healthcare Quality of Care Regulations 129

Healthcare ECONOMIST

JUNE 30, 2023

One reason to use the private sector is their potential ability to deliver cost savings and/or quality improvement. Alternatively, it may be difficult for the government to link reimbursement to quality. mortality, hospitalizations) Commitment problems. Market test.

Quality Improvement 84

Quality Improvement Quality of Care Hospitals 84

Briggs Healthcare

APRIL 7, 2022

“Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. The 1986 Institute of Medicine report Improving the Quality of Care in Nursing Homes identified a range of challenges to the quality of care in nursing homes.

Nursing 52

Nursing Quality of Care Quality Assurance Home Care 52

Home Health Care

SEPTEMBER 28, 2022

“In an increasingly competitive talent market, the attraction and retention of high performing diverse talent is key, and Adam’s depth of expertise will help us achieve this strategy so we can continue to deliver the highest quality of care to our patients and their families.”. We are honored to welcome Mag to our executive team.

Home Care 98

Home Care Urgent Care Nursing Quality Improvement 98

NASHP

APRIL 20, 2023

State Medicaid agencies are taking proactive steps to ensure quality of care and access to behavioral health services. MCOs may earn the withheld amount by performance on six measures that have been divided into three categories: quality improvement (three measures), care management (one measure), and behavioral health (two measures).

Medicaid 96

Medicaid Quality Improvement Quality of Care Integration 96

HIT Consultant

MARCH 17, 2024

Arming providers with a longitudinal patient summary for conducting comprehensive risk assessments improves patient outcomes while lowering the cost of care. Equipping providers to assess member risk, increase diagnosis accuracy, and close care gaps takes risk adjustment and quality improvement to a new level.

Quality Improvement 64

Quality Improvement Medicare Quality of Care Regulations 64

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

Cloud Blogs

FEBRUARY 28, 2022

Today, regulatory and market forces have led to improved transparency and enhanced consumerization, changing the face of healthcare. These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care.

Integration 76

Integration Healthcare Quality of Care Regulations 76

HIT Consultant

FEBRUARY 12, 2024

Bill Christy, SVP and Managing Director of Provider Data Management Solutions at symplr As healthcare costs continue to rise and workforce shortages reach a critical level, hospitals and health systems must rethink their tech stacks and processes to find success in 2024 and beyond.

Hospitals 52

Hospitals Quality Improvement Quality of Care Healthcare 52

Sequence Health

NOVEMBER 14, 2024

Additionally, regular assessments of patient satisfaction through surveys enable centers to refine services, fostering greater patient retention and improved care quality. Improving Health Outcomes Effective medication schedule management is strongly associated with better health outcomes.

Patient Experience 52

Patient Experience Quality Improvement Integration Healthcare Providers 52

NASHP

OCTOBER 20, 2022

For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. This model aims to improve quality of care for children, including CYSHCN, through integrated care delivery systems that include care coordination.[12].

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Lexis Nexis

JUNE 30, 2022

Hospitals are all about data — clinical, administrative, and operational information are key to quality improvement and financial success. Quality varies from member to member. That is the future — many more factors than just costs will influence how people perceive quality of care.”.

Quality of Care 52

Quality of Care Medicare Quality Improvement Medicaid 52

Briggs Healthcare

MARCH 20, 2023

A recent study found that when a patient is admitted to the hospital, harm occurs nearly 24 percent of the time. Another report revealed that nearly 1 in 4 Medicare patients have experienced harm in the hospital. Prior to COVID-19, progress was being made to improve patient safety.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Briggs Healthcare

MAY 30, 2023

acute care hospital, long-term acute care hospital [LTAC], skilled nursing facility [SNF], inpatient rehabilitation facility [IRF]) to their home (e.g., assisted living, adult family home, group home). NOTE: This document provides a draft description of the measure. The potential measure exclusions.

Medicaid 40

Medicaid Rehabilitation Quality Improvement Quality of Care 40

HIT Consultant

OCTOBER 26, 2021

As patients move from the acute to post-acute care setting, they are often discharged without the proper tools to successfully support their transition of care. In fact, 57% of Medicare patients are released from the hospital without any post-discharge monitoring. Another benefit of RPM?

Remote Care 52

Remote Care Healthcare Doctors Primary Care 52

NASHP

MARCH 22, 2024

To assess their progress toward “rebalancing,” states are monitoring and developing quality metrics to evaluate the level of community integration, transitions, and use of nursing homes. utilization review, quality improvement, and claims) to improve communication and information sharing across teams.

Medicaid 75

Medicaid Nursing Medicare Integration 75

NASHP

JULY 24, 2023

Evidence suggests that vertical integration and growing consolidation in health care leads to higher hospital and provider prices and higher total spending — all while having little to no impact on improving quality of care for patients, reducing utilization, or improving efficiency.

Hospitals 52

Hospitals Prevention Quality Improvement Quality of Care 52

NASHP

AUGUST 23, 2021

iii] Also, those living in rural areas are more likely to experience a preventable hospitalization. [iv] Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” In 2019, Colorado launched its alternative payment model (APM) for primary care providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Sheppard Health Law

OCTOBER 27, 2021

Innovation Center models can define success as encouraging lasting transformation and a broader array of quality investments, rather than focusing solely on each individual model’s cost and quality improvements. Strategic Objective 3: Support Care Innovations.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

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 52

Medicaid Integration Primary Care Nursing 52

KHN

FEBRUARY 8, 2022

The federal government has penalized 764 hospitals — including more than three dozen it simultaneously rates as among the best in the country — for having the highest numbers of patient infections and potentially avoidable complications.

Medicare 136

Medicare Hospital IT Hospitals Patient Safety 136

HIT Consultant

JANUARY 12, 2023

As the financial markets turned south, many institutions saw their investment income stagnate, reducing the support it historically provided to hospitals’ thin operating margins. Virtual care elevates bedside care, allowing our valued clinicians to function at the top of their licenses. Michael Meucci, CEO of Arcadia.

Hospitals 98

Hospitals Life Sciences Patient Safety Primary Care 98

NASHP

MARCH 24, 2025

State officials are therefore concerned about the quality-of-care residents receive.The COVID-19 pandemic cast a stark light on the gaps of the nursing home workforce and produced heightened interest in addressing them. Research has shown that increased staffing often correlates with higher quality of care.

Medicaid 52

Medicaid Nursing Quality of Care Accountability 52

HIT Consultant

AUGUST 17, 2023

Healthcare decision-makers must identify the solutions that address today’s most crucial needs — variability in care, budgets (and clinicians) stretched too thin, and slow, reactive, outdated quality improvement methodologies — while recognizing the difference between legitimate concern and unfounded panic.

Healthcare 98

Healthcare Quality Improvement Regulations Hospitals 98

KHN

FEBRUARY 8, 2022

The federal government has penalized 764 hospitals — including more than three dozen it simultaneously rates as among the best in the country — for having the highest numbers of patient infections and potentially avoidable complications.

Medicare 52

Medicare Hospital IT Hospitals Patient Safety 52

NASHP

MARCH 29, 2024

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services. 27] Children’s Hospital Association.

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124

NASHP

JUNE 22, 2022

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. hospital admission).

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Patient Safety Movement

APRIL 1, 2023

Joe brought together the best patient safety minds to create Actionable Evidence-Based Practices to address the most common adverse events and provided them to every hospital without charge. Working for the Ministry of Health in Yenagoa, Nigeria, his role as a program manager focuses on quality of care and patient safety.

Patient Safety 52

Patient Safety Doctors Prevention Hospitals 52

NASHP

JUNE 22, 2023

paid for by Medicaid, there is growing interest in exploring how Medicaid service delivery systems can be adapted to help improve maternal health outcomes.[5] 6] VBPs, or alternative payment models, focus on reimbursement based on the quality of care provided as well as rewarding lower cost. maternity care).[7]

Medicaid 59

Medicaid Prevention Accountability Medicare 59

NASHP

DECEMBER 23, 2022

Monitor and evaluate quality improvement and outcomes and address barriers to care. This law creates the Licensed Certified Professional Midwife Practice Act, which licenses CPMs who perform out-of-hospital births. Monitor and Evaluate Quality Improvement and Outcomes and Address Barriers to Care.

Medicaid 59

Medicaid Nursing Hospitals Regulations 59

Home Health Care

DECEMBER 17, 2024

The business benefit of sharing data with payor partners is multifaceted, but one of the most significant advantages is building trust through transparency, HouseWorks CEO Mike Trigilio told Home Health Care News in an email. As we know, access to reliable, actionable data in home care can be a challenge.

Home Care 111

Home Care Quality Improvement Quality of Care Population Health 111

NASHP

AUGUST 31, 2023

Interviewees shared a range of perspectives, including those of local health departments, the state’s sheriff’s association, the state medical society, community health centers, hospital and primary care associations, funders, a CBO, aging and assisted living partners, consumer advocacy groups, and legislators.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52