Hospital Peer Review – October 1, 2016
October 1, 2016
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MACRA Coming Soon, and Many Hospitals Not Ready
The MACRA is aimed at physicians and their reimbursement, but hospitals will be affected by the implementation of this law as well. Many hospitals are not prepared for the increased data collection and quality assessments MACRA will bring, experts say.
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Meaningful Use Experience Can Help
One component of the MACRA addresses performance on the use of electronic health records, similar to the Meaningful Use program. An organization’s experience with Meaningful Use could be valuable under MACRA, says Julia Adler-Milstein, PhD, assistant professor of health management and policy at the University of Michigan School of Public Health in Ann Arbor.
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Final Rule Changes Quality Initiatives, and More
The Inpatient Prospective Payment System final rule for the 2017 fiscal year comes with some noteworthy elements, including requirements for new data collection, changes to several quality initiatives, and a change to the Two-Midnight rule.
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Step Toward Bundled Payments
The IPPS rule could easily be retitled “Get Ready for Bundled Payments,” says Susan Nedza, MD, MBA, senior vice president of clinical outcomes management with MPA Healthcare Solutions, a healthcare analytics consultancy in Chicago. An emergency medicine physician, Nedza previously was a regional chief medical officer at CMS and a senior executive at the American Medical Association. She says the final rule is similar to MACRA, but with a great deal more complexity.
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Hospital Overcomes Us-vs.-Them with Doctors
After serving as a tanker and cavalryman for almost four decades in the U.S. Army, becoming the Commanding General of U.S. Army Europe, the Seventh Army, and spending more than three years in combat, Mark Hertling, Lieutenant General, U.S. Army (Ret.) needed a new challenge.
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Hospitals and Physicians Benefit from Collaboration
A hospital in New York and an orthopedic physician practice have achieved a symbiotic relationship that includes a successful bundled payment initiative, and both parties say this kind of cooperation should be a goal for more healthcare organizations.
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Patients and Families Can Teach Safety
Researchers from Boston Children’s Hospital in Massachusetts and several other institutions have concluded that it is feasible to engage patients and families in patient safety education.
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Nursing Home Five-Star Quality Ratings Updated
CMS has updated the Nursing Home Compare Five-Star Quality Ratings to incorporate new measures that it says will provide more information for patients and family members. Five of six new measures will be used in the Five-Star Quality Rating calculations.