Tag: Reimbursement

Surgery at critical access hospitals safe, less expensive

Editor's Note In this study, Medicare patients having common surgical procedures at critical access hospitals had no significant difference in 30-day mortality than those at noncritical access hospitals (5.4% vs 5.6%), and they had lower rates of serious complications (6% vs 14%) and lower expenditures ($14,450 vs $15, 845). The…

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By: Judy Mathias
May 18, 2016
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Make it your business to grow a healthy bottom line

In this challenging healthcare environment, OR leaders have a fiscal responsibility to help hospitals meet financial goals that contribute to a healthy bottom line. There is no more expensive procedure you can have in the hospital than to spend time in the OR,” says Keith Siddel, PhDc, JD, MBA, CHC.…

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By: OR Manager
May 16, 2016
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PSH Learning Collaborative gains participants in phase two

The perioperative surgical home (PSH) has been gaining momentum, with early results linking it to lower costs, better quality, fewer emergency department (ED) visits and readmissions, and shorter stays in skilled nursing facilities or none at all. In February, the PSH Learning Collaborative, a partnership between the American Society of…

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By: OR Manager
May 16, 2016
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PSH provides affordable, reliable care for adult and pediatric patients

Affordable, reliable care for adult and pediatric patients alike is the hallmark of the perioperative surgical home (PSH), as demonstrated by two organizations that are using PSH programs: a community health system and a children’s hospital. Leaders from both organizations shared their PSH journeys with OR Manager. Lower costs, shorter…

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By: OR Manager
May 16, 2016
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Public reporting measures don’t indicate hospital safety

Editor's Note Common measures used to rate hospital safety, such as the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and the Centers for Medicare & Medicaid Services (CMS) Hospital-acquired Conditions, do not accurately capture the quality of care provided, this study finds. Only one measure out of…

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By: Judy Mathias
May 12, 2016
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VBP program rewards 231 low-quality hospitals

Editor's Note Through its Value Based Purchasing (VBP) program, the  Centers for Medicare and Medicaid Services (CMS) paid bonuses to 231 hospitals with lower quality because their patients were less expensive, this study finds. CMS began measuring both spending and quality in FY 2015 to encourage hospitals to provide more…

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By: Judy Mathias
May 5, 2016
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AHA asks CMS to suspend VBP pain questions

Editor's Note The American Hospital Association (AHA) on April 29 asked the Centers for Medicare & Medicaid Services (CMS) to suspend their pain-related questions in the Value-Based Purchasing (VBP) Program until concerns are addressed that the questions may contribute to the opioid epidemic, AHA News Now reports. The AHA says…

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By: Judy Mathias
May 2, 2016
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Teaching hospitals penalized for aggressive screening

Editor's Note Nearly half of US academic medical centers are being penalized by Medicare because their aggressive screening of patients leads to identification of more infections and other complications that trigger penalties, the April 20 Kaiser Health News reports. The Centers for Medicare & Medicaid Services (CMS) maintains that the…

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By: Judy Mathias
April 26, 2016
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Value-based payment raises quality stakes in patient care

Although many healthcare providers are still struggling to implement a value-based payment (VBP) model, everyone knows that the train has left the station and adjustments must be made. Shifting to a VBP system, expanding surgical patient care to “population health,” and developing a new generation of perioperative nurses are among…

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By: OR Manager
April 20, 2016
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Inpatient PPS proposed rule drops two-midnight payment cuts

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on April 18 issued its hospital inpatient prospective payment system (PPS) proposed rule for FY 2017 that includes two adjustments to reverse the effects of the 0.2% cut it instituted when implementing the two-midnight rule, AHA News Now reports. Included…

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By: Judy Mathias
April 19, 2016
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