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

 
At the behest of affected patients and providers, Intermountain Healthcare decided to build what it calls a Personalized Care Clinic, an initiative that has the look of a patient-centered medical home, but offers services for a specific patient demographic facing complex, ongoing medical issues.
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Post date: October 24, 2014
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Health systems as well as independent providers have an opportunity to drive best practices in specialty care and secure sustainable revenue with a new business and care model.
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Post date: October 16, 2014
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Seismic changes altering the healthcare industry are creating an increasing number of compliance requirements for hospitals and health systems to meet. This means a larger role for an organization's chief compliance officer.
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Post date: October 9, 2014
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This week the Centers for Medicare & Medicaid Services expanded the agency's Five Star Quality Rating System for Nursing Homes, and proposed new conditions of participation for home health agencies.
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Post date: October 8, 2014
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Rural, critical access hospitals are being left out of some of the biggest shifts in American healthcare initiated by the ACA, leaving some rural healthcare leaders worried about being marginalized and that they could be left behind as reforms spread.
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Post date: October 1, 2014
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Home health agencies can help hospitals reduce readmissions and control overall healthcare costs, according to a new study, but how effective these agencies are in meeting such goals largely depends on the quality of organizational support given to healthcare field workers.
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Post date: September 26, 2014
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A program that combines a mobile app, analytics and direct intervention is showing promise in reducing the costs associated with hospitals' most expensive patients -- the so-called "super-utilizers."
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Post date: September 19, 2014
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New research by the Centers for Disease Control and Prevention and Premier, Inc., concludes that the inappropriate use of antibiotics in U.S. hospitals could result in an estimated $163 million in excessive costs.
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Post date: September 18, 2014
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The value-based model of healthcare is gradually transitioning from the pilot phase to implementation, as health insurers and providers strive to offer better care while eliminating unnecessary costs. But for providers who have always been paid fee-for-service, it is a different way of thinking.
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Post date: September 17, 2014
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Predictive analytics uses a variety of statistical techniques that analyze current and historical facts in order to make predictions about the future. In the healthcare setting, such data analysis can be effective in addressing a variety of key issues, including preventable readmissions.
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Post date: September 16, 2014
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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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Improving the health of at-risk, vulnerable and chronically sick populations remains a massive challenge for healthcare organizations' financial administrators. In order to properly manage complex populations, comprehensive and reliable data on patient health and demographics are required.
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Post date: October 22, 2014
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An article published last week in the New England Journal of Medicine casts doubt that malpractice reform would reduce the use of supposed "defensive medicine."
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Post date: October 20, 2014
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Is your hospital's case management model strictly focused on discharge planning and retroactive utilization reviews? If so, there's no better time to transition to an updated, outcomes-driven model, that focuses on the big picture, than right now.
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Post date: October 14, 2014
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In this essay, Bill Pugh, CFO of PinnacleHealth, addresses the challenges and opportunities the Harrisburg, Pa.-based health system experienced moving towards the accountable care model. He offers some "lessons learned" for other health systems embarking on the ACO journey.
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Post date: September 30, 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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