Outcome Quality Measures: Risk Adjustment for Socioeconomic Status. Susannah M. Bernheim, MD MHS National Health Policy Forum September 26, 2014
|
|
|
- Winifred Blake
- 5 years ago
- Views:
Transcription
1 Outcome Quality Measures: Risk Adjustment for Socioeconomic Status Susannah M. Bernheim, MD MHS National Health Policy Forum September 26, 2014
2 13 (iii) ADJUSTMENT FOR SOCIO 14 ECONOMIC STATUS. 15 (I) IN GENERAL. In deter16 mining a hospital s excess readmission 17 ratio under clause (i) for purposes of 18 making payments for discharges 19 occurring on or after October 1, 2016, 20 the Secretary shall risk adjust re- 21 admissions to account for the socio 22 economic status of the patients served 23 by the hospital.
3 Is this the right solution?
4 Is this the right solution for these goals? Measures that illuminate healthcare quality Programs that incentivize improvements in care and outcomes and lessen disparities A strong healthcare safety net
5 Outline Measuring quality: Why SES is not just like other risk-factors Improving outcomes: Hospital Readmission Reduction Program Protecting the safety-net: Changing policies rather than measures
6 Measuring Quality why SES is not like other risk-factors
7 Real concerns: Variation in health care quality
8 Outcome quality measures to leverage improvements Assess results of care that are meaningful to patients Illuminate variation and opportunities for improvement Empower patients
9 Importance of risk-adjustment
10 Risk-adjustment Ensuring measures are fair Establishing the expected rate for an outcome Setting the standard for comparison But SES is different than other risk-factors.
11 Poor and minority patients receive lower quality care
12 There is a significant gap for all Americans between best possible care and that which is routinely delivered; and this gap is larger for patients who are members of minority groups, poor, of lower educational level, or disabled -- Carolyn Clancy
13 The challenge of healthcare disparities and quality measurement Poor and minority patients receive lower quality care Risk-adjustment for SES Setting the standard based on lower quality Expecting poorer outcomes Enshrining disparities
14 Is this the right solution for measuring quality?
15 Improving Outcomes: Hospital Readmission Reduction Program
16 Safety net hospitals achieve good outcomes Frequency Distributions For Thirty-Day Readmission Rates Of Patients Admitted For Heart Failure To Safety-Net And Non-Safety-Net Urban Hospitals, Ross J S et al. Health Aff 2012;31:
17 Readmission Reduction Program Improving patient outcomes Improving safety-net performance Little impact of risk-adjustment for SES
18 Improving patient outcomes
19 Impact of risk-adjustment
20 Is this the right solution?
21 Protecting the healthcare safety net
22 Measurement versus implementation Risks of changing measures Legacy of lower standards Obscuring quality information Invisible policy tool Little impact on hospital results Opportunities for changing implementation
23 Payment penalties and quality improvement It may take a greater investment of resources by hospitals to achieve best outcomes for low SES patients... if we had evidence that a pill helped low socioeconomic status patients avoid readmission, we might cover the cost for it, but in the case of readmission, that pill might actually be resource-intensive services such as social workers, extra time with translators, follow-up phone calls or bus rides to the next appointment.
24 Alternatives Peer-group thresholds for penalty (MedPAC) Single measure across all hospitals Penalty threshold set within sub-groups of hospitals Transparent and flexible
25 Better policy solutions Quality measurement that does not enshrine disparities Policy solutions for vulnerable safety-net Setting thresholds for peer groups (MEDPAC) Improvement measures Phasing in penalties Funding for quality improvement collaboratives
Performance Measures: Finding the Right Adjustment. Ann Greiner Vice President, NQF
Performance Measures: Finding the Right Adjustment Ann Greiner Vice President, NQF October 16, 2014 Overview of the Presentation 2 NQF: Mission & Approach to Our Work To improve health and healthcare through
Risk Adjustment for Socioeconomic Status or Other Sociodemographic Factors
Risk Adjustment for Socioeconomic Status or Other Sociodemographic Factors TECHNICAL REPORT July 2, 2014 Contents EXECUTIVE SUMMARY... iii Introduction... iii Core Principles... iii Recommendations...
Sociodemographic Risk Adjustment for Health Care Performance Measures
Sociodemographic Risk Adjustment for Health Care Performance Measures David R. Nerenz, Ph.D. Director, Center for Health Policy and Health Services Research Henry Ford Health System Detroit, MI September
Refining the Hospital Readmissions Reduction Program. Mark Miller, PhD Executive Director December 6, 2013
Refining the Hospital Readmissions Reduction Program Mark Miller, PhD Executive Director December 6, 2013 Medicare Payment Advisory Commission Independent, nonpartisan, Congressional support agency 17
Using Data for Proactive Patient Population Management
Using Data for Proactive Patient Population Management Kate Lichtenberg, DO, MPH, FAAFP October 16, 2013 Topics Review population based care Understand the use of registries Harnessing the power of EHRs
Market Mover? The Emerging Role of CMS in P4P. Linda Magno Director, Medicare Demonstrations Group August 24, 2004
Market Mover? The Emerging Role of CMS in P4P Linda Magno Director, Medicare Demonstrations Group August 24, 2004 Why Medicare P4P? Quality & Patient Safety Significant room for improvement Significant
Dear Acting Administrator Slavitt,
June 27, 2016 Mr. Andy Slavitt, Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Re: Merit-Based
Achieving Health Equity After the ACA: Implications for cost, quality and access
Achieving Health Equity After the ACA: Implications for cost, quality and access Michelle Cabrera, Research Director SEIU State Council April 23, 2015 SEIU California 700,000 Members Majority people of
Why Are We Doing This?
ALIGNING PAYMENT WITH PATIENT-CENTERED CARE AND VALUE-BASED PAY Craig Hostetler MPCA Annual Conference August 5 th, 2013 Why Are We Doing This? Why Take the Risk? Our stakeholders wanted something better
Reducing Hospital Readmissions for Vulnerable Patient Populations: Policy Concerns and Interventions
Reducing Hospital Readmissions for Vulnerable Patient Populations: Policy Concerns and Interventions Jacob Roberts Washington and Lee University 17 Poverty and Human Capability: A Research Seminar Winter
The Current State of CMS Payfor-Performance. HFMA FL Annual Spring Conference May 22, 2017
The Current State of CMS Payfor-Performance Programs HFMA FL Annual Spring Conference May 22, 2017 1 AGENDA CMS Hospital P4P Programs Hospital Acquired Conditions (HAC) Hospital Readmissions Reduction
Rural Relevance in Oklahoma
Rural Relevance in Oklahoma OHA Annual Conference 2017 November 1, 2017 Agenda Introductions The Rural Relevance Study Impact of Current and Proposed Health Policies on Rural Providers Oklahoma Rural Hospitals:
Person-Centered Accountable Care
Person-Centered Accountable Care Nelly Ganesan, MPH, Senior Director, Avalere s Evidence, Translation and Implementation Practice October 12, 2017 avalere.com @NGanesanAvalere @avalerehealth Despite Potential
Hospital Inpatient Quality Reporting (IQR) Program
Hospital Readmissions Reduction Program Early Look Hospital-Specific Reports Questions and Answers Transcript Speakers Tamyra Garcia Deputy Division Director Division of Value, Incentives, and Quality
issue brief Bridging Research and Policy to Advance Medicare s Hospital Readmissions Reduction Program Changes in Health Care Financing & Organization
January 2014 Changes in Health Care Financing & Organization issue brief Bridging Research and Policy to Advance Medicare s Hospital Readmissions Reduction Program Changes in Health Care Financing and
Regulatory Advisor Volume Eight
Regulatory Advisor Volume Eight 2018 Final Inpatient Prospective Payment System (IPPS) Rule Focused on Quality by Steve Kowske WEALTH ADVISORY OUTSOURCING AUDIT, TAX, AND CONSULTING 2017 CliftonLarsonAllen
CMS Proposed Payment Rule FY Cheryl Phillips, MD Evvie Munley
CMS Proposed Payment Rule FY 2017 Cheryl Phillips, MD Evvie Munley Key Points The link for the full rule: https://www.gpo.gov/fdsys/pkg/fr-2016-04- 25/pdf/2016-09399.pdf Comments due CoB 6/20/16 You do
Term of Contract 15-year term, from 1 October 2018 to 31 December 2033
CLP Power Hong Kong Ltd Overview of the Scheme of Control Agreement (SCA) for 2018-2033 Overview Permitted Rate of 8% on Average Net Fixed Assets Return Term of Contract 15-year term, from 1 October 2018
Low Acuity Emergency Department Visits. Joanna Cohen, MD June 2018
Low Acuity Emergency Department Visits Joanna Cohen, MD June 2018 Goals and Objectives Identify and quantify low acuity ED visits Analyze challenges associated with low acuity ED visits Assess the impact
Cardiovascular Disease Prevention: Team-Based Care to Improve Blood Pressure Control
Cardiovascular Disease Prevention: Team-Based Care to Improve Blood Pressure Control Task Force Finding and Rationale Statement Table of Contents Intervention Definition... 2 Task Force Finding... 2 Rationale...
The Impact of Socioeconomic Status on 30-day Hospital Readmissions in South Carolina
Clemson University TigerPrints All Dissertations Dissertations 5-2017 The Impact of Socioeconomic Status on 30-day Hospital Readmissions in South Carolina Joseph Alexander Ewing Clemson University, josephaewing@gmail.com
PHCPI framework: Presentation Crosswalk to Service Delivery Elements
PHCPI framework: Presentation Crosswalk to Service Delivery Elements C. Service Delivery America s Federally Qualified Health Centers (FQHC) Program David Stevens, MD, FAAFP George Washington University
Minnesota Statewide Quality Reporting and Measurement System: Quality Incentive Payment System Framework
Minnesota Statewide Quality Reporting and Measurement System: Quality Incentive Payment System Framework AUGUST 2017 Minnesota Statewide Quality Reporting and Measurement System: Quality Incentive Payment
HOSPITAL READMISSION REDUCTION STRATEGIC PLANNING
HOSPITAL READMISSION REDUCTION STRATEGIC PLANNING HOSPITAL READMISSIONS REDUCTION PROGRAM In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System (IPPS) hospitals
Primary Health Network Core Funding ACTIVITY WORK PLAN
y Primary Health Network Core Funding ACTIVITY WORK PLAN 2016 2018 Table of Contents Introduction 2 Strategic Vision 3 Planned Activities - Primary Health Networks Core Flexible Funding NP 1: Commissioning
RE: CMS-1677-P; Medicare Program; Request for Information on CMS Flexibilities and Efficiencies
June 13, 2017 Ms. Seema Verma Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1677-P P.O. Box 8011 Baltimore, MD 21244-1850 RE: CMS-1677-P;
Physician Compensation in an Era of New Reimbursement Models
2014 IHA Annual Membership Meeting Physician Compensation in an Era of New Reimbursement Models Taryn E. Stone Ice Miller LLP (317) 236-5872 taryn.stone@ Agenda Background New Reimbursement Models Trends
National Partnership for Hospice Innovation 1299 Pennsylvania Avenue NW Suite 1175 Washington, DC 20004
National Partnership for Hospice Innovation 1299 Pennsylvania Avenue NW Suite 1175 Washington, DC 20004 Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1629-P
LESSONS LEARNED IN LENGTH OF STAY (LOS)
FEBRUARY 2014 LESSONS LEARNED IN LENGTH OF STAY (LOS) USING ANALYTICS & KEY BEST PRACTICES TO DRIVE IMPROVEMENT Overview Healthcare systems will greatly enhance their financial status with a renewed focus
KPI Framework for NZ Mental Health and Addiction Services. July 2011
KPI Framework for NZ Mental Health and Addiction Services July 2011 1 Outline Background KPIs and targets defined Published KPI data Outcomes Project milestones Background Shift from information collection
Neighborhoods, resources and capacity to improve
Neighborhoods, resources and capacity to improve Jane Brock, MD, MSPH Telligen QIN QIO National Coordinating Center This material was prepared by Telligen, the Quality Innovation Network National Coordinating
Summary of U.S. Senate Finance Committee Health Reform Bill
Summary of U.S. Senate Finance Committee Health Reform Bill September 2009 The following is a summary of the major hospital and health system provisions included in the Finance Committee bill, the America
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
IMPACT OF SOCIOECONOMICS ON HOSPITAL QUALITY
IMPACT OF SOCIOECONOMICS ON HOSPITAL QUALITY FOCUS: STATE OF MICHIGAN November 16 th, 2016 Prepared by the Economic Alliance for Michigan Socioeconomics & Hospital Safety F O C U S : S T A T E O F M I
The U.S. Healthcare Revolution
The U.S. Healthcare Revolution The Impact of Obamacare on American Physicians & Nurses Peter Edelstein, M.D. Chief Medical Officer Elsevier Clinical Solutions Metrics Definition of Provider Economic Drivers
Case Study: Decreasing Costs and Improving Outcomes Through Community- Based Care Transitions and Care Coordination Technology.
The mobile initiative of HIMSS. Case Study: Decreasing Costs and Improving Outcomes Through Community- Based Care Transitions and Care Coordination Technology March 2014 www.himss.org/mobilehealthit/roadmap
Prior to implementation of the episode groups for use in resource measurement under MACRA, CMS should:
Via Electronic Submission (www.regulations.gov) March 1, 2016 Andrew M. Slavitt Acting Administrator Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, MD episodegroups@cms.hhs.gov
Readmission Program. Objectives. Todays Inspiration 9/17/2018. Kristi Sidel MHA, BSN, RN Director of Quality Initiatives
The In s and Out s of the CMS Readmission Program Kristi Sidel MHA, BSN, RN Director of Quality Initiatives Objectives General overview of the Hospital Readmission Reductions Program Description of measures
HACs, Readmissions and VBP: Hospital Strategies for Turning Lemons into Lemonade
HACs, Readmissions and VBP: Hospital Strategies for Turning Lemons into Lemonade Jennifer Faerberg AAMCFMOLHS Jolee Bollinger Andy Ruskin Morgan Lewis 1 Value Based Purchasing Transforming Medicare from
MedPAC June 2013 Report to Congress: Medicare and the Health Care Delivery System
MedPAC June 2013 Report to Congress: Medicare and the Health Care Delivery System STEPHANIE KENNAN, SENIOR VICE PRESIDENT 202.857.2922 skennan@mwcllc.com 2001 K Street N.W. Suite 400 Washington, DC 20006-1040
Memo SUMMARY OF APPEALS
TO: Consensus Standards Approval Committee (CSAC) FR: Helen Burstin, Chief Scientific Officer Marcia Wilson, Senior Vice President, Quality Measurement RE: Appeal of Measures for the Readmissions 2015-2017
Alternative Managed Care Reimbursement Models
Alternative Managed Care Reimbursement Models David R. Swann, MA, LCSA, CCS, LPC, NCC Senior Healthcare Integration Consultant MTM Services Healthcare Reform Trends in 2015 Moving from carve out Medicaid
Review of Public Health Act 2010
Review of Public Health Act 2010 3 June 2016 Phone: 02 9211 2599 Email: info@ Suite 301, Level 3, 52-58 William St, Woolloomooloo NSW 2011 About NCOSS The NSW Council of Social Service (NCOSS) works with
Accounting for Social Risk Factors in Medicare Payment: Criteria, Factors, and Methods
BOARD ON POPULATION HEALTH & PUBLIC HEALTH PRACTICE BOARD ON HEALTH CARE SERVICES Accounting for Social Risk Factors in Medicare Payment: Criteria, Factors, and Methods July 2016 Committee on Accounting
Corporate Social Responsibility Policy
B.BRAUN MEDICAL (INDIA) PRIVATE LIMITED Corporate Social Responsibility Policy Version : 1 Date : 5 November 2015 Author: Legal Corporate Social Responsibility Policy B. Braun Medical (India) Private Limited
Public Policy and Health Care Quality. Readmissions: Taking Progress into the Future
Public Policy and Health Care Quality Readmissions: Taking Progress into the Future Today s Agenda The Current State -- The Hospital Readmissions Reduction Program What Have We Learned? Polish Up the Crystal
Health Care Reform Provisions Affecting Older Adults and Persons with Special Needs 3/30/10
Health Care Reform Provisions Affecting Older Adults and Persons with Special Needs 3/30/10 On March 23, 2010, President Obama signed a comprehensive health care reform bill (H.R. 3590) into law. On March
ADULT ACUTE INPATIENT SERVICES TIER LEVEL THREE SERVICE SPECIFICATION
on behalf of all DHBs ADULT ACUTE INPATIENT SERVICES TIER LEVEL THREE SERVICE SPECIFICATION STATUS: Approved for recommended use for nationwide non-mandatory description of services to be provided. RECOMMENDED
Minnesota Statewide Quality Reporting and Measurement System: Quality Incentive Payment System
Minnesota Statewide Quality Reporting and Measurement System: Quality Incentive Payment System JUNE 2015 DIVISION OF HEALTH POLICY/HEALTH ECONOMICS PROGRAM Minnesota Statewide Quality Reporting and Measurement
Quality Measures and Federal Policy: Increasingly Important and A Work in Progress. American Health Quality Association Policy Forum Washington, D.C.
Quality Measures and Federal Policy: Increasingly Important and A Work in Progress American Health Quality Association Policy Forum Washington, D.C. February 9, 2016 Quality Journey NCQA Develops Health
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
Legislative Updates / Topics for Small Business
Legislative Updates / Topics for Small Business Legislative & Regulatory Affairs Strategic Work Placement / Supplier Diversity BOEING is a trademark of Boeing Management Company. Copyright 2009 Boeing.
Methodist McKinney Hospital Community Health Needs Assessment Overview:
Methodist McKinney Hospital Community Health Needs Assessment Overview: 2017-2019 October 26, 2016 Prepared by MHS Planning CHNA Requirement: Overview In order to maintain tax exempt status, the Affordable
Minnesota health care price transparency laws and rules
Minnesota health care price transparency laws and rules Minnesota Statutes 2013 62J.81 DISCLOSURE OF PAYMENTS FOR HEALTH CARE SERVICES. Subdivision 1.Required disclosure of estimated payment. (a) A health
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
Future of Patient Safety and Healthcare Quality
Future of Patient Safety and Healthcare Quality Patrick Conway, M.D., MSc CMS Chief Medical Officer Director, Center for Clinical Standards and Quality Acting Director, Center for Medicare and Medicaid
Bariatric Surgery Registry Outlier Policy
Bariatric Surgery Registry Outlier Policy 1 Revision History Version Date Author Reason for version change 1.0 10/07/2014 Wendy Brown First release 1.1 01/09/2014 Wendy Brown Review after steering committee
HMO Value & Quality Roadmap for Wisconsin Medicaid. Rachel Currans-Henry Director Medicaid Bureau of Benefits Management August 8, 2017
HMO Value & Quality Roadmap for Wisconsin Medicaid Rachel Currans-Henry Director Medicaid Bureau of Benefits Management August 8, 2017 1 Agenda A. Background B. Quality Roadmap C. 2018 SSI Managed Care
Succeeding in a New Era of Health Care Delivery
March 14, 2012 Succeeding in a New Era of Health Care Delivery Building Value-Based Partnerships LeadingAge Pennsylvania Kathleen Griffin, PhD, National Director Post-Acute and Senior Services 1 Your Presenter
AU 9 TH PRIVATE SECTOR FORUM
AU 9 TH PRIVATE SECTOR FORUM Building Africa s Capacity in Science & Technology and Creating Enabling Environment for Techpreneurship What are the capacity imperatives? 13 November 2017, Pretoria, South
Care Coordination is more than a Care Coordinator: Translating Research to Practice in Rural
Care Coordination is more than a Care Coordinator: Translating Research to Practice in Rural Jennifer P. Lundblad, PhD, MBA Washington University PCOR Symposium April 5-6, 2016 Washington University 2016
Statement for the Record. American College of Physicians. Hearing before the House Energy & Commerce Subcommittee on Health
Statement for the Record American College of Physicians Hearing before the House Energy & Commerce Subcommittee on Health A Permanent Solution to the SGR: The Time Is Now January 21-22, 2015 The American
Transforming Maternity Care Blueprint for Action Disparities in Access and Outcomes of Maternity Care
! Transforming Maternity Care Blueprint for Action Disparities in Access and Outcomes of Maternity Care This document presents the content of the Transforming Maternity Care Blueprint for Action that addresses
Avoidable Hospitalisation
Avoidable Hospitalisation Introduction Avoidable hospitalisation is used to measure the occurrence of a severe illness that theoretically could have been avoided by either; Ambulatory sensitive hospitalisation
SNF REHOSPITALIZATIONS
SNF REHOSPITALIZATIONS David Gifford MD MPH SVP Quality & Regulatory Affairs National Readmission Summit Arlington VA Dec 6 th, 2013 Use of Long Term Care Services 19% 4 35% 2 20% 1 23% 1 20% 3 1. Mor
Value-Based Payments 101: Moving from Volume to Value in Behavioral Health Care
Value-Based Payments 101: Moving from Volume to Value in Behavioral Health Care Nina Marshall, MSW Senior Director, Policy and Practice Improvement NinaM@TheNationalCouncil.org Bill Hudock Senior Public
Meet DEAN & EDNA: The Application of HHQI Resources in the Reduction of Avoidable Hospitalizations
Meet DEAN & EDNA: The Application of HHQI Resources in the Reduction of Avoidable Hospitalizations Cindy Sun, MSN, RN Objectives At the conclusion of this session, the participant will be able to: Access
The Nurse Practitioner Will See You Now
The Nurse Practitioner Will See You Now An Overview of Concierge Medicine for the Nurse Practitioner 5 th Annual Nurse Practitioners Conference November 7, 2015 Hyatt Regency Hotel Houston, TX Presented
Supporting rural Medicare Locals - challenges and opportunities. Australian Medicare Local Alliance
Supporting rural Medicare Locals - challenges and opportunities Australian Medicare Local Alliance Supporting rural Medicare Locals - challenges and opportunities Claire Austin CEO Australian Medicare
CMS 30-Day Risk-Standardized Readmission Measures for AMI, HF, Pneumonia, Total Hip and/or Total Knee Replacement, and Hospital-Wide All-Cause Unplanned Readmission 2013 Hospital Inpatient Quality Reporting
Urban Partnerships (UP) Program
Urban Partnerships (UP) Program 1 URBAN PARTNERSHIPS PROGRAM FUNDING The objective for the Urban Partnerships program is to increase the participation of urban Aboriginal people in the economy. The overarching
Care Coordination in a no discharge system
Care Coordination in a no discharge system Barry Bittman, MD Estes Park Institute Let s begin with a basic question. Who should be responsible? How can we align physicians with our hospital? Can we continue
PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI)
PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI) Robin Newhouse, PhD, RN, NEA-BC, FAAN Member, PCORI Methodology Committee The Patient-Centered Outcomes Research Institute: Research Foundations and
Driving Quality Improvement in Managed Care. Toby Douglas, Director California Department of Health Care Services
1 Driving Quality Improvement in Managed Care Toby Douglas, Director 2 Presentation Overview 1. Background on California s Medicaid Program (Medi-Cal) 2. California s Quality Improvement Focuses 3. Challenges
Physician communication skills training and patient coaching by community health workers
Physician communication skills training and patient coaching by community health workers Category Title of intervention Objectives Physician communication skills training and patient coaching by community
Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings
Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings Executive Summary The Alliance for Home Health Quality and
FEDERAL FUNDS ARE FLOWING: WHO'S GETTING WHAT, WHERE AND WHY?
Not Peer Reviewed FEDERAL FUNDS ARE FLOWING: WHO'S GETTING WHAT, WHERE AND WHY? Dianne Heffron Principal 1050 Connecticut Ave., NW Suite 700 Washington, DC National Governor s Association Learning From
Minnesota Statewide Quality Reporting and Measurement System:
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Statewide
Eliminating Excessive, Unnecessary, and Wasteful Expenditures: Getting to a High Performance U.S. Health System
Eliminating Excessive, Unnecessary, and Wasteful Expenditures: Getting to a High Performance U.S. Health System Karen Davis President, The Commonwealth Fund IOM Workshop Series: The Policy Agenda September
Lessons from the States: Oregon s APM Model
Lessons from the States: Oregon s APM Model F R I D AY, N O V E M B E R 6, 2 0 1 5 2 : 0 0 P M E T C R A I G H O S T E T L E R, E X E C U T I V E D I R E C T O R, O P C A K E R S T E N B U R N S L A U
Passage of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): The Doc Fix
April, 2015 Passage of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): The Doc Fix Author: Annemarie Wouters, Senior Advisor The President has signed into law the bipartisan bill H.R. 2,
Fast-Track PCMH Recognition
Fast-Track PCMH Recognition i2i Systems integrated package of Population Health Management and reporting technology, documented processes and consulting services aligned with NCQA guidelines supports and
MEDICARE INPATIENT PSYCHIATRIC FACILITY PROSPECTIVE PAYMENT SYSTEM
MEDICARE INPATIENT PSYCHIATRIC FACILITY PROSPECTIVE PAYMENT SYSTEM PAYMENT RULE BRIEF PROPOSED RULE Program Year: FFY 2019 OVERVIEW AND RESOURCES The Centers for Medicare & Medicaid Services released the
June 27, Dear Secretary Burwell and Acting Administrator Slavitt,
June 27, 2016 The Honorable Sylvia Matthews Burwell Secretary, U.S. Department of Health and Human Services 200 Independence Avenue, SW Washington, D.C. 20201 Mr. Andy Slavitt Acting Administrator, Centers
Preventable Deaths per 100,000 population
Evidence, Incentives and Uncertainty: the Evolution of Pay-for-Performance in Health Care Glen P. Mays, PhD Department of Health Policy and Management nt Fay W. Boozman College of Public Health University
N.E.W.T. Level Measurement:
N.E.W.T. Level Measurement: Voldemort or Dumbledore? Nathan Spell, MD, FACP Chief Quality Officer, Emory University Hospital Georgia Chapter Scientific Meeting American College of Physicians Savannah,
The Intersection of PFE, Quality, and Equity: Establishing Diverse Patient and Family Advisory Councils to Improve Patient Safety
The Intersection of PFE, Quality, and Equity: Establishing Diverse Patient and Family Advisory Councils to Improve Patient Safety OHA HIIN: Partnership for Patients (PfP) Webinar Lee Thompson, MS, AIR
RED SIGNAL REPORTSM RADIOLOGY. August 2018 Vol. 1 No. 1. Claims Data Signals & Solutions to Reduce Risks and Improve Patient Safety.
RED SIGNAL REPORTSM August 2018 Vol. 1 No. 1 Claims Data Signals & Solutions to Reduce Risks and Improve Patient Safety. RADIOLOGY MEDICAL LIABILITY INSURANCE BUSINESS ANALYTICS RISK MANAGEMENT & EDUCATION
Patient Engagement in the Population Health Management Era
Patient Engagement in the Population Health Management Era Creagh Milford, DO, MPH President, Population Health Services A Catholic healthcare ministry serving Ohio and Kentucky Agenda Agenda I. Overview
AHA Survey on Hospitals Ability to Meet Meaningful Use Requirements of the Medicare and Medicaid Electronic Health Records Incentive Programs
AHA Survey on Hospitals Ability to Meet Meaningful Use Requirements of the Medicare and Medicaid Electronic Health Records Incentive Programs February 7, 2011 Executive Summary The vast majority of hospitals
Global Health Workforce Crisis. Key messages
Global Health Workforce Crisis Key messages - 2013 Despite the increased evidence that health workers are fundamental for ensuring equitable access to health services and achieving universal health coverage,
DRIVING VALUE-BASED POST-ACUTE COLLABORATIVE SOLUTIONS. Amy Hancock, CEO Presented to: CPERI April 16, 2018
DRIVING VALUE-BASED POST-ACUTE COLLABORATIVE SOLUTIONS Amy Hancock, CEO Presented to: CPERI April 16, 2018 Cross-Continuum Road-Mapping Post-acute partners are beginning to utilize tools to identify new
CORPORATE SOCIAL RESPONSIBILITY POLICY March, 2017 Version 1.2
CORPORATE SOCIAL RESPONSIBILITY POLICY March, 2017 Version 1.2 Name of document Corporate Social Responsibility Policy Policy Version 1.2 Issued by CSR Committee Amendment date 22.03.2017 Effective Date
Minnesota Statewide Quality Reporting and Measurement System: Quality Incentive Payment System
Minnesota Statewide Quality Reporting and Measurement System: Quality Incentive Payment System JUNE 2016 HEALTH ECONOMICS PROGRAM Minnesota Statewide Quality Reporting and Measurement System: Quality Incentive
Medicare-Medicaid Payment Incentives and Penalties Summit
Medicare-Medicaid Payment Incentives and Penalties Summit Patrick Conway, M.D., MSc CMS Chief Medical Officer and Director, Office of Clinical Standards and Quality May 31, 2012 Objectives Outline methods
Medicare Skilled Nursing Facility Prospective Payment System
Final Rule Summary Medicare Skilled Nursing Facility Prospective Payment System Program Year: FY2019 August 2018 1 TABLE OF CONTENTS Overview and Resources... 2 SNF Payment Rates... 2 Wage Index and Labor-Related
Understanding the Implications of Total Cost of Care in the Maryland Market
Understanding the Implications of Total Cost of Care in the Maryland Market January 29, 2016 Joshua Campbell Director KPMG LLP Matthew Beitman Sr. Associate KPMG LLP The concept of total cost of care is
HACs, Readmissions and VBP: Hospital Strategies for Turning
HACs, Readmissions and VBP: Hospital Strategies for Turning Lemons into Lemonade Jennifer Faerberg AAMCFMOLHS Jolee Bollinger Andy Ruskin Morgan Lewis Value Based Purchasing Transforming Medicare from
Findings Brief. NC Rural Health Research Program
Do Current Medicare Rural Hospital Payment Systems Align with Cost Determinants? Kristin Moss, MBA, MSPH; G. Mark Holmes, PhD; George H. Pink, PhD BACKGROUND The financial performance of small, rural hospitals
Roundtable on Health Literacy Institute of Medicine 17 March 2014
Project RED: Reengineering the Discharge Process Roundtable on Health Literacy Institute of Medicine 17 March 2014 Michael Paasche-Orlow MD, MA, MPH Associate Professor of Medicine Boston University School