MBQIP ABBREVIATIONS. Angiotensin Converting Enzyme Inhibitor. American Congress of Obstetricians and Gynecologists

Size: px
Start display at page:

Download "MBQIP ABBREVIATIONS. Angiotensin Converting Enzyme Inhibitor. American Congress of Obstetricians and Gynecologists"

Transcription

1 MBQIP ABBREVIATIONS A ACE-1 ACOG ARB ACA ADE AHA AHRQ AMI APIC Angiotensin Converting Enzyme Inhibitor American Congress of Obstetricians and Gynecologists Angiotensin Receptor Blocker Affordable Care Act adverse drug event American Hospital Association Agency for Healthcare Research and Quality acute myocardial infarction Association for Professionals in Infection Control and Epidemiology, Inc. ARRA American Recovery and Reinvestment Act of 2009 C C.Diff CAC CAH CAUTI CDC CLABSI CMS CPOE CT CUSP Clostridium Difficile children's asthma care critical access hospital catheter-associated urinary tract infection Centers for Disease Control and Prevention Central Line Associated Bloodstream Infection Centers for Medicare & Medicaid Services computerized physician order entry; computerized prescription order entry computer tomography Comprehensive Unit-based Safety Program

2 D DHSS DMH DRG DSS Department of Health and Senior Services Missouri Department of Mental Health diagnosis related group Missouri Department of Social Services E ED EED EHR EMR Emergency Department early elective deliveries electronic health records electronic medical records F FDA FFS FFY FMEA Food and Drug Administration fee-for-service federal fiscal year failure modes and effects analysis G GWTG Get with the Guidelines H HAC HAI HAPU HCAHPS hospital-acquired condition or healthcare-acquired condition hospital-acquired infection hospital acquired pressure ulcer Hospital Consumer Assessment of Healthcare Providers and Systems

3 HCUP HEN HF HHA HHS HIDI Healthcare Cost and Utilization Project Hospital Engagement Network heart failure home health agency U.S. Department of Health and Human Services Hospital Industry Data Institute HIPAA Health Insurance Portability and Accountability Act of 1996 HITECH HRET HRSA HSOPS Health Information Technology for Economic and Clinical Health Hospital Research and Educational Trust (AHA) Health Resources Services and Administration Hospital Survey on Patient Safety I IHI IMM IOM IPFQR IPPS IQR IRF ISMP Institute for Healthcare Improvement Immunizations Institute of Medicine inpatient psychiatric facility quality reporting inpatient prospective payment system inpatient quality reporting inpatient rehabilitation facility Institute for Safe Medication Practices J TJC The Joint Commission

4 L LTAC LTC LTC LTCH long-term acute care hospital long-term care long-term care facility long-term care hospital M MBQIP MCE MHA MHA MSC MOCPS Medicare Beneficiary Quality Improvement Project MHA Center for Education Missouri Hospital Association Missouri Hospital Association Management Services Corporation Missouri Center for Patient Safety N NAHQ NHSN NIH NPSF NQF National Association for Healthcare Quality National Healthcare Safety Network National Institute of Health National Patient Safety Foundation National Quality Forum O OAT ORHP OQR organizational assessment tool Office of Rural Health Policy outpatient quality reporting

5 P P.I. PC PCI PDSA PN POA PPS PSO performance improvement Perinatal Care percutaneous coronary intervention plan, do, study, act Pneumonia present on admission prospective payment system patient safety organization (MOCPS) Q Q.A. Q.I. QIO Q.M. QNet QRM QW quality assurance quality improvement quality improvement organization (Primaris) quality management QualityNet (CMS website) quality reporting module QualityWorks R RCA root cause analysis S SCIP STK SME Surgical Care Improvement Project Stroke subject matter expert

6 SSI surgical site infection T TeamSTEPPS TPT TQI TQM Team Strategies and Tools to Enhance Performance and Patient Safety Through-put Outpatient total quality improvement total quality management U UTI Catheter-associated urinary tract infection V VAP VBP VTE ventilator-associated pneumonia value-based purchasing venous thromboembolic events Updated 2/27/13

MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP)

MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP) MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP) Began in September 2011 Key quality improvement activity within the Medicare Rural Hospital Flexibility grant program Goal of MBQIP: to improve

More information

Centers for Medicare & Medicaid Services (CMS) Quality Improvement Program Measures for Acute Care Hospitals - Fiscal Year (FY) 2020 Payment Update

Centers for Medicare & Medicaid Services (CMS) Quality Improvement Program Measures for Acute Care Hospitals - Fiscal Year (FY) 2020 Payment Update ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) CMS s - Fiscal Year 2020 Centers for Medicare & Medicaid Services (CMS) Improvement s for Acute

More information

Hospital Inpatient Quality Reporting (IQR) Program Measures (Calendar Year 2012 Discharges - Revised)

Hospital Inpatient Quality Reporting (IQR) Program Measures (Calendar Year 2012 Discharges - Revised) The purpose of this document is to provide a reference guide on submission and Hospital details for Quality Improvement Organizations (QIOs) and hospitals for the Hospital Inpatient Quality Reporting (IQR)

More information

Improving quality of care during inpatient hospital stays

Improving quality of care during inpatient hospital stays DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Communications FACT SHEET FOR IMMEDIATE RELEASE Contact:

More information

Medicare Value Based Purchasing August 14, 2012

Medicare Value Based Purchasing August 14, 2012 Medicare Value Based Purchasing August 14, 2012 Wes Champion Senior Vice President Premier Performance Partners Copyright 2012 PREMIER INC, ALL RIGHTS RESERVED Premier is the nation s largest healthcare

More information

VALUE. Critical Access Hospital QUALITY REPORTING GUIDE

VALUE. Critical Access Hospital QUALITY REPORTING GUIDE better health care VALUE HEALTHIER POPULATIONS Critical Access Hospital QUALITY REPORTING GUIDE TABLE OF CONTENTS Introduction and Summary....2 Missouri Health Care-Associated Infection Reporting System

More information

National Provider Call: Hospital Value-Based Purchasing

National Provider Call: Hospital Value-Based Purchasing National Provider Call: Hospital Value-Based Purchasing Fiscal Year 2015 Overview for Beneficiaries, Providers, and Stakeholders Centers for Medicare & Medicaid Services 1 March 14, 2013 Medicare Learning

More information

Financial Policy & Financial Reporting. Jay Andrews VP of Financial Policy

Financial Policy & Financial Reporting. Jay Andrews VP of Financial Policy Financial Policy & Financial Reporting Jay Andrews VP of Financial Policy 1 Members & Groups Supported Center for Healthcare Excellence Hospital Leadership & Quality Departments Hospital Finance Departments

More information

August 1, 2012 (202) CMS makes changes to improve quality of care during hospital inpatient stays

August 1, 2012 (202) CMS makes changes to improve quality of care during hospital inpatient stays DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE Contact: CMS Media Relations

More information

(202) or CMS Proposals to Improve Quality of Care during Hospital Inpatient Stays

(202) or CMS Proposals to Improve Quality of Care during Hospital Inpatient Stays DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE April 30, 2014 Contact: CMS Media

More information

Hospital Inpatient Quality Reporting (IQR) Program

Hospital Inpatient Quality Reporting (IQR) Program FY 2019 IPPS Proposed Rule Acute Care Hospital Quality Reporting Programs Overview Questions and Answers Speakers Grace H. Snyder, JD, MPH Program Lead, Hospital IQR Program and Hospital Value-Based Purchasing

More information

Inpatient Quality Reporting Program for Hospitals

Inpatient Quality Reporting Program for Hospitals Inpatient Quality Reporting Program for Hospitals Candace Jackson, RN Project Lead, Hospital Inpatient Quality Reporting (IQR) Program Hospital Inpatient Value, Incentives, and Quality Reporting (VIQR)

More information

National Patient Safety Goals & Quality Measures CY 2017

National Patient Safety Goals & Quality Measures CY 2017 National Patient Safety Goals & Quality Measures CY 2017 General Clinical Orientation 2017 January National Patient Safety Goals 1. Identify Patients Correctly 2. Improve Staff Communication 3. Use Medications

More information

The Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle

The Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle The Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle Kim Charland, BA, RHIT, CCS Senior Vice President Clinical Innovation and Publisher VBPmonitor

More information

Pharmacy Round Table Tuesday, August 20, 2013

Pharmacy Round Table Tuesday, August 20, 2013 Florida Hospital Association Hospital Engagement Network (HEN) Pharmacy Round Table Tuesday, August 20, 2013 Audio for today s presentation is broadcast via phone access only: Please Dial-in - 866.740.1260

More information

IPPS Measure Waivers and Extraordinary Circumstances Exemptions

IPPS Measure Waivers and Extraordinary Circumstances Exemptions IPPS Measure Waivers and Extraordinary Circumstances Exemptions Candace Jackson, RN Project Lead, Inpatient Quality Reporting (IQR) Hospital Inpatient Value, Incentives, and Quality Reporting (VIQR) Outreach

More information

P4P Programs 9/13/2013. Medicare P4P Programs. Medicaid P4P Programs

P4P Programs 9/13/2013. Medicare P4P Programs. Medicaid P4P Programs P4P Programs Medicare P4P Programs Hospital Quality Reporting Programs (IQR and OQR) Hospital Value-Based Purchasing (VBP) Program Hospital Readmissions Reduction Program (HRRP) Hospital-Acquired Conditions

More information

Inpatient Quality Reporting Program

Inpatient Quality Reporting Program Hospital Value-Based Purchasing Program: Overview of FY 2017 Questions & Answers Moderator: Deb Price, PhD, MEd Educational Coordinator, Inpatient Program SC, HSAG Speaker(s): Bethany Wheeler, BS HVBP

More information

HOSPITAL QUALITY MEASURES. Overview of QM s

HOSPITAL QUALITY MEASURES. Overview of QM s HOSPITAL QUALITY MEASURES Overview of QM s QUALITY MEASURES FOR HOSPITALS The overall rating defined by Hospital Compare summarizes up to 57 quality measures reflecting common conditions that hospitals

More information

Facility State National

Facility State National Percentage Summary Report Page 1 of 5 Data As Of: 07/27/2016 Total Performance Facility State National 35.250000000000 37.325750561167 35.561361414483 Unweighted Domain Weighting Weighted Domain Clinical

More information

Medicare Beneficiary Quality Improvement Project (MBQIP)

Medicare Beneficiary Quality Improvement Project (MBQIP) Medicare Beneficiary Quality Improvement Project (MBQIP) Karla Weng, MPH, CPHQ November 14, 2017 Nebraska CAH Conference on Quality Kearney, NE Stratis Health Independent, nonprofit, Minnesota-based organization

More information

WA Flex Program Medicare Beneficiary Quality Improvement Program

WA Flex Program Medicare Beneficiary Quality Improvement Program WA Flex Program Medicare Beneficiary Quality Improvement Program Medicare Rural Hospital Flexibility Grant Program Assist CAHs by providing funding to state governments to encourage quality and performance

More information

FY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar

FY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar FY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar May 23, 2013 AAMC Staff: Scott Wetzel, swetzel@aamc.org Mary Wheatley, mwheatley@aamc.org Important Info on Proposed Rule In Federal Register

More information

Quality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment

Quality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment Quality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment presented by Sherry Kwater, MSM,BSN,RN Chief Nursing Officer Penn State Hershey Medical Center Objectives 1. Understand

More information

Medicare Value Based Purchasing Overview

Medicare Value Based Purchasing Overview Medicare Value Based Purchasing Overview Washington State Hospital Association Apprise Health Insights / Oregon Association of Hospitals and Health Systems DataGen Susan McDonough Lauren Davis Bill Shyne

More information

Medicare P4P -- Medicare Quality Reporting, Incentive and Penalty Programs

Medicare P4P -- Medicare Quality Reporting, Incentive and Penalty Programs Medicare P4P -- Medicare Quality Reporting, Incentive and Penalty Programs Presenter: Daniel J. Hettich King & Spalding; Washington, DC dhettich@kslaw.com 1 I. Introduction Evolution of Medicare as a Purchaser

More information

Quality Based Impacts to Medicare Inpatient Payments

Quality Based Impacts to Medicare Inpatient Payments Quality Based Impacts to Medicare Inpatient Payments Overview New Developments in Quality Based Reimbursement Recap of programs Hospital acquired conditions Readmission reduction program Value based purchasing

More information

June 24, Dear Ms. Tavenner:

June 24, Dear Ms. Tavenner: 1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 24, 2013 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid

More information

Accreditation, Quality, Risk & Patient Safety

Accreditation, Quality, Risk & Patient Safety Accreditation, Quality, Risk & Patient Safety Accreditation The Joint Commission (TJC) Centers for Medicare & Medicaid Services (CMS) Wyoming Department of Health (DOH) Joint Commission: - Joint Commission

More information

Objectives. Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004

Objectives. Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004 Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004 Session: C658 2013 ANCC National Magnet Conference Thursday, October 3, 2013

More information

Program Summary. Understanding the Fiscal Year 2019 Hospital Value-Based Purchasing Program. Page 1 of 8 July Overview

Program Summary. Understanding the Fiscal Year 2019 Hospital Value-Based Purchasing Program. Page 1 of 8 July Overview Overview This program summary highlights the major elements of the fiscal year (FY) 2019 Hospital Value-Based Purchasing (VBP) Program administered by the Centers for Medicare & Medicaid Services (CMS).

More information

K-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2

K-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2 Outcome Measure for Any One of the Following: Outcome Measures Meeting Either A or B: Adverse Drug Events (ADE) All measures are surveillance data Hospital Collected Anticoagulant (ADE-12) Opioid (ADE-111)

More information

VALUE. Acute Care & Critical Access Hospital QUALITY REPORTING GUIDE

VALUE. Acute Care & Critical Access Hospital QUALITY REPORTING GUIDE better health care VALUE HEALTHIER POPULATIONS Acute Care & Critical Access Hospital QUALITY REPORTING GUIDE TABLE OF CONTENTS Missouri Quality Transparency Measures....4 Missouri Health Care-Associated

More information

New Mexico Hospital Association

New Mexico Hospital Association New Mexico Hospital Association Hospital Quality Reporting Guide Revised: November 2014 TABLE OF CONTENTS Regulatory Landscape at a Glance... 4 Key Terms and Undserstanding Timeframes... 5 Hospital Inpatient

More information

NEW JERSEY HOSPITAL PERFORMANCE REPORT 2012 DATA PUBLISHED 2015 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES

NEW JERSEY HOSPITAL PERFORMANCE REPORT 2012 DATA PUBLISHED 2015 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES NEW JERSEY HOSPITAL PERFORMANCE REPORT 2012 DATA PUBLISHED 2015 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health Health Care Quality Assessment

More information

FY 2014 Inpatient Prospective Payment System Proposed Rule

FY 2014 Inpatient Prospective Payment System Proposed Rule FY 2014 Inpatient Prospective Payment System Proposed Rule Summary of Provisions Potentially Impacting EPs On April 26, 2013, the Centers for Medicare and Medicaid Services (CMS) released its Fiscal Year

More information

2015 Executive Overview

2015 Executive Overview An Independent Licensee of the Blue Cross and Blue Shield Association 2015 Executive Overview Criteria for the Blue Cross and Blue Shield of Alabama Hospital Tiered Network will be updated effective January

More information

Performance Scorecard 2013

Performance Scorecard 2013 NORTHWESTERN LAKE FOREST HOSPITAL Performance Scorecard 2013 updated May 2013 Northwestern Lake Forest Hospital is committed to providing the communities we serve the highest quality health care through

More information

CMS in the 21 st Century

CMS in the 21 st Century CMS in the 21 st Century ICE 2013 ANNUAL CONFERENCE David Saÿen, MBA Regional Administrator Centers for Medicare & Medicaid Services San Francisco November 15, 2013 The strategy is to concurrently pursue

More information

PATIENT SAFETY KNOWLEDGEBASE. How to prepare for a Survey

PATIENT SAFETY KNOWLEDGEBASE. How to prepare for a Survey PATIENT SAFETY KNOWLEDGEBASE How to prepare for a Survey 1 DEFINITIONS Patient Safety v is a process that guards against any adverse condition occurring in a patient as a result of wrong diagnosis or treatment

More information

Medicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years

Medicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years julian.coomes@flhosp.orgjulian.coomes@flhosp.org Medicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years 2018-2020 October 2017 Table of Contents Value Based Purchasing (VBP)

More information

Value Based Purchasing: Improving Healthcare Outcomes Using the Right Incentives

Value Based Purchasing: Improving Healthcare Outcomes Using the Right Incentives Value Based Purchasing: Improving Healthcare Outcomes Using the Right Incentives One (1.0) Contact Hour Course Expires: 1/15/2015 Course Published: 12/10/2013 Reproduction and distribution of these materials

More information

Hospital Value-Based Purchasing (VBP) Program

Hospital Value-Based Purchasing (VBP) Program Fiscal Year (FY) 2018 Percentage Payment Summary Report (PPSR) Overview Questions & Answers Moderator Maria Gugliuzza, MBA Project Manager, Hospital VBP Program Hospital Inpatient Value, Incentives, and

More information

Value-based incentive payment percentage 3

Value-based incentive payment percentage 3 Report Run Date: 07/12/2013 Hospital Value-Based Purchasing Value-Based Percentage Payment Summary Report Page 1 of 5 Percentage Summary Report Data as of 1 : 07/08/2013 Total Score Facility State National

More information

Person-Centered Care and Population Health

Person-Centered Care and Population Health Physician Leader Forum Person-Centered Care and Population Health ZIAD HAYDAR, MD, MBA Chief Medical Officer Ascension Health 2013 by the Catholic Health Association of the United States Outline Describe

More information

Troubleshooting Audio

Troubleshooting Audio Welcome! Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines

More information

PATIENT SAFETY OVERVIEW

PATIENT SAFETY OVERVIEW PATIENT SAFETY OVERVIEW MUHAMMAD ISLAM, MBBS, MS, MCH, LSSBB DIRECTOR OF PATIENT SAFETY SUNY DOWNSTATE MEDICAL CENTER 1 DEFINITIONS Patient Safety v is a process that guards against any adverse condition

More information

PATIENT SAFETY OVERVIEW

PATIENT SAFETY OVERVIEW PATIENT SAFETY OVERVIEW MUHAMMAD ISLAM, MBBS, MS, MCH DIRECTOR OF PATIENT SAFETY SUNY DOWNSTATE MEDICAL CENTER 1 DEFINITIONS Patient Safety is a process that guards against any adverse condition occurring

More information

Medicare Value Based Purchasing Overview

Medicare Value Based Purchasing Overview Medicare Value Based Purchasing Overview South Carolina Hospital Association DataGen Susan McDonough Bill Shyne October 29, 2015 Today s Objectives Overview of Medicare Value Based Purchasing Program Review

More information

OHA HEN 2.0 Partnership for Patients Letter of Commitment

OHA HEN 2.0 Partnership for Patients Letter of Commitment OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information

More information

SAFER Care for Critical Access Hospitals

SAFER Care for Critical Access Hospitals SAFER Care for Critical Access Hospitals Marilyn Grafstrom, BSN, MPA, CPHRM Rural Health Liaison, Stratis Health NRHA Critical Access Hospital Conference, Kansas City, MO Sept. 21-23, 2016 Five Six Good

More information

2013 Health Care Regulatory Update. January 8, 2013

2013 Health Care Regulatory Update. January 8, 2013 2013 Health Care Regulatory Update January 8, 2013 Quality-Based Payment Reform, ACOs and Clinical Integration Bruce Johnson and Tom Donohoe Overview Quality-based payment reform programs Major programs

More information

OVERVIEW OF THE FY 2018 IPPS FINAL RULE. Published in the Federal Register August 14 th Rule to take effect October 1 st

OVERVIEW OF THE FY 2018 IPPS FINAL RULE. Published in the Federal Register August 14 th Rule to take effect October 1 st OVERVIEW OF THE FY 2018 IPPS FINAL RULE S UM M ARY OF CALCULATI ON ELEMENTS Published in the Federal Register August 14 th Rule to take effect October 1 st INDEX TO FFY 2018 CHANGES IN IPPS FACTORS Payment

More information

Inpatient Hospital Compare Preview Report Help Guide

Inpatient Hospital Compare Preview Report Help Guide Inpatient Hospital Compare Preview Report Help Guide The target audience for this publication is hospitals. The document scope is limited to instructions for hospitals on how to access and understand the

More information

Understanding Hospital Value-Based Purchasing

Understanding Hospital Value-Based Purchasing VBP Understanding Hospital Value-Based Purchasing Updated 12/2017 Starting in October 2012, Medicare began rewarding hospitals that provide high-quality care for their patients through the new Hospital

More information

Care Coordination What Matters

Care Coordination What Matters Care Coordination What Matters Researchers, Improvers, Providers, Patients and Caregivers Jane Brock, MD, MSPH Telligen 2 A little background how did we get here? Transitional care/care coordination A

More information

CMS Quality Program- Outcome Measures. Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018

CMS Quality Program- Outcome Measures. Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018 CMS Quality Program- Outcome Measures Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018 Philosophy The Centers for Medicare and Medicaid Services (CMS) is changing

More information

Medicare Value-Based Purchasing for Hospitals: A New Era in Payment

Medicare Value-Based Purchasing for Hospitals: A New Era in Payment Medicare Value-Based Purchasing for Hospitals: A New Era in Payment Daniel J. Hettich March, 2012 I. Introduction: Evolution of Medicare as a Purchaser Cost reimbursement rewards furnishing more services

More information

Inpatient Hospital Compare Preview Report Help Guide

Inpatient Hospital Compare Preview Report Help Guide Inpatient Hospital Compare Preview Report Help Guide The target audience for this publication is hospitals. The document scope is limited to instructions for hospitals to access and interpret the data

More information

Quality Based Impacts to Medicare Inpatient Payments

Quality Based Impacts to Medicare Inpatient Payments Quality Based Impacts to Medicare Inpatient Payments Brian Herdman Operations Manager, CBIZ KA Consulting Services, LLC July 30, 2015 Overview How did we get here? Summary of IPPS Quality Programs Hospital

More information

Medicare Inpatient Prospective Payment System

Medicare Inpatient Prospective Payment System Program Summary Medicare Inpatient Prospective Payment System Program Year: FFY 2013 Proposed Rule Table of Contents Overview... 1 Inpatient Payment Rates... 1 Updates to the Federal Operating, Hospital

More information

Table of Contents. Current and Proposed CMS Quality Measures for Reporting in 2014 through 2019 Revised 07/25/2014

Table of Contents. Current and Proposed CMS Quality Measures for Reporting in 2014 through 2019 Revised 07/25/2014 Table of Contents Current Proposed CMS Quality Measures for Reporting in through 2019 Revised 07/25/ Inpatient Measures Collected Submitted by Hospital AMI/Emergency Department/ Immunization Page 2 Heart

More information

Quality Health Indicators: Measure List. Clinical Quality: Monthly

Quality Health Indicators: Measure List. Clinical Quality: Monthly Clinical Quality: Monthly Healthcare Associated Infections per 100 Inpatient Days *Core Measure* Unassisted Patient Falls per 100 Inpatient Days *Core Measure* Readmission within 30 days (All Cause) -

More information

IHA District Meetings February-March, : Iowa Environmental Assessment in Quality and Patient Safety HEN, QIN, TCPI, SIM

IHA District Meetings February-March, : Iowa Environmental Assessment in Quality and Patient Safety HEN, QIN, TCPI, SIM IHA District Meetings February-March, 2015 2015: Iowa Environmental Assessment in Quality and Patient Safety HEN, QIN, TCPI, SIM Looking Back 10 Years Ago IHA, AHA, CMS, IFMC, State of Iowa, JCAHO, AHRQ

More information

Future of Quality Reporting and the CMS Quality Incentive Programs

Future of Quality Reporting and the CMS Quality Incentive Programs Future of Quality Reporting and the CMS Quality Incentive Programs Current Quality Environment Continued expansion of quality evaluation Increasing Reporting Requirements Increased Public Surveillance/Scrutiny

More information

Hospital-Acquired Condition Reduction Program. Hospital-Specific Report User Guide Fiscal Year 2017

Hospital-Acquired Condition Reduction Program. Hospital-Specific Report User Guide Fiscal Year 2017 Hospital-Acquired Condition Reduction Program Hospital-Specific Report User Guide Fiscal Year 2017 Contents Overview... 4 September 2016 Error Notice... 4 Background and Resources... 6 Updates for FY 2017...

More information

SCORING METHODOLOGY APRIL 2014

SCORING METHODOLOGY APRIL 2014 SCORING METHODOLOGY APRIL 2014 HOSPITAL SAFETY SCORE Contents What is the Hospital Safety Score?... 4 Who is The Leapfrog Group?... 4 Eligible and Excluded Hospitals... 4 Scoring Methodology... 5 Measures...

More information

Nexus of Patient Safety and Worker Safety

Nexus of Patient Safety and Worker Safety Nexus of Patient Safety and Worker Safety Jeffrey Brady, MD, MPH & James Battles, PhD Agency for Healthcare Research and Quality October 25, 2012 Diagnosing the Safety Problem is One Challenge The fundamental

More information

Medicare Payment Strategy

Medicare Payment Strategy Data and Analytics Medicare Payment Strategy CMS Inpatient Pay For Performance Program Update Eric Fontana, Practice Manager, Data and Analytics Group analytics@advisory.com 2011 THE ADVISORY BOARD COMPANY

More information

Value-Based Purchasing & Payment Reform How Will It Affect You?

Value-Based Purchasing & Payment Reform How Will It Affect You? Value-Based Purchasing & Payment Reform How Will It Affect You? HFAP Webinar September 21, 2012 Nell Buhlman, MBA VP, Product Strategy Click to view recording. Agenda Payment Reform Landscape Current &

More information

Quality Health Indicators: Measure List. Clinical Quality: Monthly

Quality Health Indicators: Measure List. Clinical Quality: Monthly Clinical Quality: Monthly Healthcare Associated Infections per 100 Inpatient Days *Core Measure* Unassisted Patient Falls per 100 Inpatient Days *Core Measure* Readmission within 30 days (All Cause) -

More information

Mastering the Mandatory Elements of the Affordable Care Act. Melinda Hancock Walter Coleman

Mastering the Mandatory Elements of the Affordable Care Act. Melinda Hancock Walter Coleman Mastering the Mandatory Elements of the Affordable Care Act Melinda Hancock Walter Coleman 1 ACA Gains through 2019 Amounts in Billions Source:CBO and Joint Committee on Taxation, 2010 Projection 2 Current

More information

Scoring Methodology SPRING 2018

Scoring Methodology SPRING 2018 Scoring Methodology SPRING 2018 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 6 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician

More information

CMS Value Based Purchasing: The Wave of the Future

CMS Value Based Purchasing: The Wave of the Future CMS Value Based Purchasing: The Wave of the Future Ninth National Pay for Performance Summit David Saÿen, MBA Regional Administrator Centers for Medicare & Medicaid Services San Francisco Betsy L. Thompson,

More information

National Hospital Inpatient Quality Reporting Measures Specifications Manual

National Hospital Inpatient Quality Reporting Measures Specifications Manual National Hospital Inpatient Quality Reporting Measures Specifications Manual Release Notes Version: 4.4a Release Notes Completed: October 21, 2014 Guidelines for Using Release Notes Release Notes 4.4a

More information

Marin General Hospital. Performance Metrics and Core Services Report. 1st Quarter 2016

Marin General Hospital. Performance Metrics and Core Services Report. 1st Quarter 2016 Marin General Hospital Performance Metrics and Core Services Report 1st Quarter 2016 Submitted 08-02-2016 Marin General Hospital Performance Metrics and Core Services Report: 1st Quarter 2016 TIER 1 PERFORMANCE

More information

Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Guide

Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Guide Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Guide April 2015 600 East Superior Street, Suite 404 Duluth, Minnesota 55802 218-727-9390 info@ruralcenter.org Get to know us better: www.ruralcenter.org

More information

Scoring Methodology FALL 2017

Scoring Methodology FALL 2017 Scoring Methodology FALL 2017 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician Order

More information

Hospital Inpatient Quality Reporting Program

Hospital Inpatient Quality Reporting Program Hospital Inpatient Quality Reporting Program FY 2016 IQR Hospital IPPS Final Rule Questions & Answers Moderator: Candace Jackson, RN Inpatient Quality Reporting (IQR) Program Lead, Hospital Inpatient Value,

More information

June 27, Dear Ms. Tavenner:

June 27, Dear Ms. Tavenner: 1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 27, 2014 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid

More information

Measure Applications Partnership (MAP)

Measure Applications Partnership (MAP) Measure Applications Partnership (MAP) Uniform Data System for Medical Rehabilitation Annual Conference Aisha Pittman, MPH Senior Program Director National Quality Forum August 9, 2012 Overview MAP Background

More information

Scoring Methodology FALL 2016

Scoring Methodology FALL 2016 Scoring Methodology FALL 2016 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 7 Process/Structural Measures... 7 Computerized Physician Order

More information

Troubleshooting Audio

Troubleshooting Audio Welcome! Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines

More information

Inpatient Hospital Compare Preview Report Help Guide

Inpatient Hospital Compare Preview Report Help Guide Inpatient Hospital Compare Preview Report Help Guide The target audience for this publication is hospitals. The document scope is limited to instructions for hospitals on how to access and interpret the

More information

Hospital Value-Based Purchasing (At a Glance)

Hospital Value-Based Purchasing (At a Glance) Hospital Value-Based Purchasing (At a Glance) Healthcare Financial Management Association South Carolina Chapter March 20, 2012 Presenters: Linda Moore, RN, Manager of Federal Programs and Services, CCME

More information

Date Contact

Date Contact Fiscal Year (FY) 2019 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Prospective Payment System Final Rule (CMS-1694-F) Date 2018-08-02 Title Fiscal

More information

Overview of Final Rule for FY 2011 Revisions to the Medicare Hospital Inpatient Prospective Payment System

Overview of Final Rule for FY 2011 Revisions to the Medicare Hospital Inpatient Prospective Payment System Overview of Final Rule for FY 2011 Revisions to the Medicare Hospital Inpatient Prospective Payment System The final rule regarding fiscal year (FY) 2011 revisions to the Medicare hospital inpatient prospective

More information

Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654

Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 DECEMBER 2017 APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 Minnesota

More information

Q & A with Premier: Implications for ecqms Under the CMS Update

Q & A with Premier: Implications for ecqms Under the CMS Update Q & A with Premier: Implications for ecqms Under the CMS Update Lori Harrington Senior Director, Quality and regulatory solutions Premier, Inc. Aisha Pittman Director, Quality policy and analysis Premier,

More information

MBQIP Quality Measure Trends, Data Summary Report #20 November 2016

MBQIP Quality Measure Trends, Data Summary Report #20 November 2016 MBQIP Quality Measure Trends, 2011-2016 Data Summary Report #20 November 2016 Tami Swenson, PhD Michelle Casey, MS University of Minnesota Rural Health Research Center ABOUT This project was supported

More information

Troubleshooting Audio

Troubleshooting Audio Welcome! Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines

More information

Hospital Quality Reporting Program Updates: An Overview of the CMS Final IPPS Rule for 2017

Hospital Quality Reporting Program Updates: An Overview of the CMS Final IPPS Rule for 2017 Hospital Quality Reporting Program Updates: An Overview of the CMS Final IPPS Rule for 2017 Presented by Vicky Mahn-DiNicola RN, MS, CPHQ VP Clinical Analytics & Research, Midas+, A Xerox Company Accessing

More information

ACRONYMS 101 NATIONAL RURAL HEALTH RESOURCE CENTER 61

ACRONYMS 101 NATIONAL RURAL HEALTH RESOURCE CENTER 61 ACRONYMS 101 AAFP ACA ADC ACHE ACO ACS ADE AHA AHC AHIMA AHQA AHRQ ALOS ALS AMA AMC AMI AMIA ARRA ASC ATLS BBA BBRA BCHS BFCC BHP BHRD BIA BIPA BLS BPHC BSC CAH American Academy of Family Physicians Affordable

More information

What should board members know about new health care reform payment structures?*

What should board members know about new health care reform payment structures?* What should board members know about new health care reform payment structures?* Passage and implementation of the Patient Protection and Affordable Care Act (ACA) has driven America s health care system

More information

Medicare Beneficiary Quality Improvement Project. March 11, Chillicothe, Mo.

Medicare Beneficiary Quality Improvement Project. March 11, Chillicothe, Mo. Medicare Beneficiary Quality Improvement Project March 11, 2015 - Chillicothe, Mo. 1 Welcome and MBQIP Overview 2 Introductions Dana Downing, B.S., MBA, CPHQ Jim Mikes, ScD, MPH Melissa VanDyne, B.S. CAHs

More information

Troubleshooting Audio

Troubleshooting Audio Welcome Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines

More information

Quality and Health Care Reform: How Do We Proceed?

Quality and Health Care Reform: How Do We Proceed? Quality and Health Care Reform: How Do We Proceed? Susan D. Moffatt-Bruce, MD, PhD Chief Quality and Patient Safety Officer Associate Dean of Clinical Affairs Quality and Patient Safety Associate Professor

More information

NORTHWESTERN LAKE FOREST HOSPITAL. Scorecard updated September 2012

NORTHWESTERN LAKE FOREST HOSPITAL. Scorecard updated September 2012 NORTHWESTERN LAKE FOREST HOSPITAL Performance Scorecard 2012 updated September 2012 Northwestern Lake Forest Hospital is committed to providing the communities we serve the highest quality healthcare through

More information

Value Based Purchasing

Value Based Purchasing Value Based Purchasing Baylor Health Care System Leadership Summit October 26, 2011 Sheri Winsper, RN, MSN, MSHA Vice President for Performance Measurement & Reporting Institute for Health Care Research

More information

NEW JERSEY HOSPITAL PERFORMANCE REPORT 2014 DATA PUBLISHED 2016 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES

NEW JERSEY HOSPITAL PERFORMANCE REPORT 2014 DATA PUBLISHED 2016 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES NEW JERSEY HOSPITAL PERFORMANCE REPORT 2014 DATA PUBLISHED 2016 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health Health Care Quality Assessment

More information