Effect of gender on hospital satisfaction after total hip
Editor's Note Differences in perception of hospital care exist between men and women after total hip replacement (THR), finds this study presented March 14 at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons in San Diego. Using patient satisfaction data from Press Ganey, researchers found that staff…
CMS interim rule delays bundled payment programs
Editor's Note In an interim final rule, the Centers for Medicare and Medicaid Services (CMS) has delayed expansion of the Comprehensive Care for Joint Replacement (CJR) bundled payment program and implementation of its bundled payment programs for cardiac care from July 1 to October 1, 2017, the March 20 Modern…
Executive order pushes back implementation of bundled payment models
Editor's Note An executive order by President Donald Trump that freezes new regulations has pushed back implementation of new and expanded Centers for Medicare & Medicaid Services (CMS) bundled payment models by 60 days, the February 20 Home Health Care News reports. Mixed feelings continue in the healthcare industry as…
Novel program decreases readmissions of ileostomy patients
Editor's Note Implementation of a novel program by researchers from Emory University, Atlanta, for patients with newly created ileostomies reduced 30-day readmissions by 58% and cost of readmissions per patient by more than 80%. Typically, nearly 30% of patients with newly-formed ileostomies require readmission from severe dehydration or associated complications.…
Effect of bundled payments on total joint costs
Editor's Note In this study, Medicare’s Comprehensive Care for Joint Replacement bundled payment model resulted in a decrease of $5,577 in total spending per episode. Most hospital savings came from implants and supplies, and most postacute care savings came from decreased use of inpatient rehabilitation and skilled nursing facility care.…
Tools lacking to assess readmission risks after joint replacement
Editor's Note The Centers for Medicare & Medicaid Services (CMS) and care providers lack the predictive models needed to assess risks for readmission after joint replacements, finds this study. Researchers tested the applicability of the Carlson Comorbidity Index, Elixhauser Comorbidity Index, and CMS Hierarchical Condition Category to see whether any…
ACS notifies members of CMS software errors
Editor's Note The American College of Surgeons (ACS) on January 20 notified members that it had received a letter from the Centers for Medicare & Medicaid Services (CMS) saying new moderate sedation codes that took effect January 1 were incorrectly bundled into several surgical procedures codes in CMS payment software.…
CMS extends deadline for reporting 2016 quality data
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on January 17 announced a deadline extension for reporting CY 2016 electronic Clinical Quality Measure data to avoid a 2.7% payment adjustment in FY 2018. The extension applies to hospitals and critical access hospitals participating in the Hospital Inpatient Quality…
Total joint PSH helps meet patient satisfaction goals
When leaders at Memorial Healthcare, a 154-bed community hospital in Owosso, Michigan, wanted to get a jump on preparing for bundled payments, they chose to focus on total hip and knee surgery. Creating a perioperative surgical home (PSH) for this patient population paid off in enhanced patient satisfaction and reductions…
Reimbursement denials diminish with more precise precertification
With no increases in reimbursement on the healthcare horizon, the leadership team at Advocate Good Samaritan Hospital in Downers Grove, Illinois, knew they needed to maximize revenue capture. The team, including Katrina Spears, MAOL, manager of business and informatics, used Lean methodology to improve precertification and reduce denials, resulting in…
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