Quality Data

Managing Patient Care Big Data
How to Leverage Big Data for Patient Care Management

The healthcare industry is in the midst of a rapid structural evolution, with a growing emphasis on “big data” gathering and utilization. The Centers for Medicare and Medicaid Services (CMS) is a primary catalyst in promoting many of these changes, specifically regarding quality and clinical data reporting. Though many CMS…

hospital outpatient procedures
Top 10 Short-Term Acute Care Hospitals

The healthcare industry is being molded by patients seeking affordable, convenient care facilities. This demand has led to innovation in the field of telehealth, and encouraged the growth of retail clinics, outpatient surgery centers, and freestanding imaging centers. Patients no longer rely solely on hospitals to receive preventative care and…

Top 5-star hospitals
Will HCAHPS Stars Light the Way to Healthcare Transparency?

In July 2016, the Centers for Medicare and Medicaid Services (CMS) introduced a ratings system as part of their Hospital Quality initiative. The aim of the new program is to meet consumer demand for objective, comprehensible data on the performance and care quality of individual hospitals. Hospitals are required by CMS…

Home Healthcare Agencies
CMS Proposes Change in HHA Reimbursements

Earlier this summer, CMS proposed payment updates for various sites of care. One of the most dramatic proposals will affect the home health agency prospective payment system (HHA-PPS). One of the primary differences in the payment update emphasizes a shift away from using therapy services as a replacement for patient…

hospital outpatient procedures
HCAHPS: What Hospital Patients Care About the Most

Patient experience has taken on new importance in recent years due to new CMS quality and reimbursement initiatives. Today, many hospitals’ Medicare payments are determined in part by their Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, a standardized program through which patients rate hospitals on 11 key…

quality of care
Readmission Prevention Not Always Worth the (Financial) Cost

A recent study that has been covered in several news outlets proposes an interesting conclusion: hospital quality improvement initiatives that successfully reduce preventable readmissions may not always be cost effective. The study, “Economic Evaluation of Quality Improvement Interventions Designed to Prevent Hospital Readmission,” examined previous research on the cost and…

quality of care
Value-Based Purchasing: A Bad Deal for Safety-Net Hospitals?

Hospitals are facing more pressure to improve outcomes and deliver better care than ever before. In addition to the spread of performance-based reimbursement agreements, acute-care providers are also subject to regulatory programs, such as the value-based purchasing (VBP) and readmissions reduction programs, which penalize facilities with low quality scores. Since…

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