Home Health Care

AUGUST 4, 2023

Identify your VBP fixes With the new Interim Performance Reports (IPR) out as of the last week of July, providers have a much better look into where exactly they need to make improvements to shore up performance under VBP. They have the most direct contact with patients and can provide valuable insights into how to improve care.

Medicare 85

Medicare Performance improvement Quality Assurance Quality Improvement 85

NASHP

NOVEMBER 8, 2024

A growing trend in state health policy is developing capitated managed care programs to provide long-term services and supports (LTSS) to Medicaid beneficiaries who are older and/or have disabilities. Cardinal Care currently enrolls 90 percent of all Medicaid beneficiaries into MCOs.

Medicaid 52

Medicaid Nursing Quality Improvement Accountability 52

NASHP

MARCH 22, 2024

References : Under CalAIM, Medi-Cal managed care plans (MCPs) became responsible for providing LTSS services that were traditionally provided under fee-for-service (FFS) in January 2023. pdf On October 1, 2023, Virginia Medicaid combined its two managed care programs of Medallion 4.0

Medicaid 75

Medicaid Nursing Medicare Integration 75

HIT Consultant

JANUARY 12, 2023

When the boundaries to care are no longer limited to the hospital setting, providers can ensure prompt access to care at every stage of the patient journey thus promoting optimal patient outcomes, which is the primary objective. Virtual care elevates bedside care, allowing our valued clinicians to function at the top of their licenses.

Hospitals 98

Hospitals Life Sciences Patient Safety Quality Improvement 98

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

Briggs Healthcare

MARCH 20, 2023

For example, we survey hospitals to ensure that, among other things, the facility and the doctors, nurses, and other staff have adequate qualifications, training, and experience to keep patients safe. And we hold facilities accountable when they fail to meet those standards.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

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

Patient Safety Movement

APRIL 1, 2023

However, they emphasized that an incorrect diagnosis due to incomplete data resulting in harm should still be a target for system-based diagnostic quality improvement. 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

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

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

For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Oklahoma’s care management and quality departments support the PCCM providers. Idaho also offered flexibility to providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

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.

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124

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 89

Home Care Urgent Care Nursing Integration 89

NASHP

DECEMBER 23, 2022

Monitor and evaluate quality improvement and outcomes and address barriers to care. Most states require CNMs to follow the same licensure requirements as advanced practice nurses (APRNs). In recent years, states are increasingly establishing licensure for midwives without a nursing degree (e.g.,

Medicaid 59

Medicaid Nursing Hospitals Regulations 59

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. Academic institutions.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

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. We are demanding better, because our seniors deserve better.”.

Nursing 40

Nursing Accountability Quality Improvement Quality of Care 40

Sheppard Health Law

NOVEMBER 13, 2023

Specifically, MA enrollees enjoy an appeal right which is normally triggered when the MA organization delivers a Notice of Medicare Non-Coverage (“NOMNC”) relating to certain non-hospital provider services, including services in a home health agency, skilled nursing facility, or a comprehensive outpatient rehabilitation facility. [2]

Medicare 59

Medicare Medicaid Regulations Integration 59

Patient Safety Movement

FEBRUARY 27, 2024

We are a young science which has emerged through a passion by many to improve the quality of care that we offer our patients and their families. Therefore, addressing price transparency is not only a matter of financial equity but also a critical component of ensuring patient safety and quality of care.

Patient Safety 52

Patient Safety Prevention Hospitals Healthcare 52

Briggs Healthcare

MARCH 1, 2022

The President believes we must improve the quality of our nursing homes so that seniors, people with disabilities, and others living in nursing homes get the reliable, high-quality care they deserve. million people live in over 15,500 Medicare- and Medicaid-certified nursing homes across the nation.

Quality of Care 40

Quality of Care Nursing Accountability Medicaid 40