Quality and Safety

With programs like "Pay-for-Performance," which enables insurance companies to reward physicians based on the quality of care they provide, healthcare providers aim to increase quality and safety for patients during appointments or hospital visits. By putting a heavy emphasis on decreasing readmissions, hospital-acquired infections and other patient dangers, healthcare providers expect to lower the overall cost of care.

RELATED STORIES:
Texas hospital saves $2.8 million with quality improvement program
Large multi-specialty medical groups offer higher quality, lower cost care
Leapfrog hospital survey: Quality still down, waste up

 
Weill Cornell Physicians, Cornell University's physician group, has inked a new accountable care agreement with Aetna, intended to enhance care for approximately 9,000 of the insurer's commercial and Medicare members in New York.
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Post date: September 11, 2014
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In the first part of our conversation with Money Atwal, who is both CFO and CIO at Hilo Medical Center in Hilo, Hawaii, he told us about how he and his team were digging into hospital operations. In the second half of that conversation, he talks about the intersection of quality, finance and technology.
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Post date: September 11, 2014
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As regional payers and providers take the first steps to begin working together in the era healthcare reform, one area they can start with is the issue of readmissions.
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Post date: September 11, 2014
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Accountable care organizations are captivating because they contain elements of care delivery that most experts agree should improve healthcare: financial risk sharing, electronic health records, quality benchmarks, patient engagement and care coordination. But the question remains: can ACOs pull it off?
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Post date: September 5, 2014
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A new analysis of hospital readmissions allows state Medicaid medical directors to better understand the nature and prevalence of hospital use in the Medicaid population, and provides a baseline for measuring improvement.
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Post date: September 3, 2014
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Healthcare organizations of all sizes continue to struggle with rapidly evolving models of population health-oriented reimbursement, according to a new report from Chilmark Research.
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Post date: August 29, 2014
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Putting technology in the hands of doctors that can provide real-time data can help cut costs, but such technology can be expensive for health systems. The question then becomes is it worth it economically?
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Post date: July 30, 2014
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If physicians and health executives could design and build a new hospital with features they've long dreamed of, would the finances fall into place? One booming healthcare market is about to find out.
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Post date: July 28, 2014
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Medicare officials have allowed patients at dozens of hospitals participating in pilot projects across the country to be exempted from the controversial requirement that limits nursing home coverage to seniors admitted to a hospital for at least three days.
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Post date: July 22, 2014
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Hospitals are increasingly making reducing hospital-acquired infections and readmissions a priority -- and saving millions of dollars in the process -- but there are still gaps to be filled.
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Post date: July 22, 2014
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Cancer treatment costs are among the highest in the healthcare industry. Insurer UnitedHealthcare created a pilot in an attempt to lower costs that has yielded some promising, though somewhat mixed results.
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Post date: July 14, 2014
News
Medicare regulators are updating hospital outpatient and ambulatory surgery center payments for next year, and also outlining a potential remedy to private Medicare overpayments.
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Post date: July 10, 2014
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Accountable care has taken a stronghold in today's healthcare environment, and the trend is progressing, according to respondents from Premier's semiannual Outlook survey.
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Post date: September 2, 2014
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Some of us thrive on change; others resist it, run from it or are paralyzed by it. Change is the one thing constant in our world generally, and of course, in healthcare. How can you inspire your team to create catalysts for change who will separate your organization from the pack?
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Post date: July 30, 2014
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If hospitals want to survive the new healthcare environment, they can't simply brace themselves for the Centers for Medicare & Medicaid Services' new reporting measures -- they must proactively improve their quality scores.
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Post date: July 30, 2014
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Health systems are making strides to move care beyond the hospital walls and better connect patients with resources that can keep them healthy. It starts by identifying areas of risk and harm -- both inside and outside of care facilities.
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Post date: July 25, 2014
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As healthcare continues the transition to value-based reimbursement models, acute and post-acute care collaboration that benefits both organizations -- financially and clinically -- is the future of patient care.
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Post date: July 24, 2014
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Children's hospitals increasingly face the same market challenges as other hospitals, including a growing pressure to significantly reduce costs. Dan May of Huron Healthcare offers performance improvement suggestions for finance and operations leaders at these facilities.
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Post date: July 10, 2014
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There are arguably more factors impacting the healthcare revenue cycle today than at any other time in history. The result is an increasingly unpredictable and dynamic revenue cycle that requires constant organizational adaptation and vigilance.
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Post date: June 19, 2014
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Healthcare reform and the shift toward value instead of volume underscore the importance of population health management for improving patient outcomes on a large scale. One essential component of a comprehensive population health program is patient access.
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Post date: June 9, 2014
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I am an unabashed proponent of the Lean philosophy in many settings, especially the clinical environment of a hospital. But Lean quickly goes by the wayside without the enthusiastic support and encouragement and personal involvement of senior management.
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Post date: June 4, 2014
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Bundled payments represent a new and increasingly accepted form of reimbursement. They can work now, if applied in modest, manageable ways from which lessons can be learned and applied more broadly later.
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Post date: May 22, 2014
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Value-based purchasing introduces the potential for unintended consequences, and needs to be monitored to avoid disparities between hospitals. But it's too early to claim that VBP puts disproportionate share hospitals at a disadvantage.
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Post date: May 19, 2014
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There's a lot of buzz in the healthcare community about the right path to choose for accreditation and deemed status with CMS. For many years, The Joint Commission has been the number one choice, but Det Norske Veritas, a newcomer in 2008, is gaining significant ground.
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Post date: April 23, 2014
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