A WORKBOOK FOR HOSPITALS
|
|
- Donna Nicholson
- 5 years ago
- Views:
Transcription
1 A WORKBOOK FOR HOSPITALS 1
2 introduction Using the Workbook This workbook has been designed by the Fellows of the Estes Park Institute specifically for use at hospital board meetings and retreats. It is a companion to The Top Issues in Health Care 2013 report, which sheds new light on the challenges facing hospital leaders today. The report is available at This workbook will provide you with important tools to gauge your own hospital s leadership team s opinions, and compare them to national trends. Perhaps, most important, we view this as a critical step for hospitals to begin the dialogue about how to provide the best possible care. It is our desire that this material will give you a chance to discuss today s challenges and their implications for your board, your hospital, and your community and take the first steps toward an even more successful hospital. History has shown that understanding the challenges is imperative to choosing the right path. Contents Using This Workbook... 2 Moderator Instructions... 3 Board Survey... 4 Tabulated Results Form... 5 Discussion Guide... 7 About the Estes Park Institute
3 moderator instructions Ideally, the workbook exercise should be completed with the entire board in an allotted time of approximately 2 3 hours. Step 1: Conduct the Survey with Your Board Photocopy the Board Survey on page 4 and distribute a copy to all board members, asking them to complete their individual answers anonymously providing their own personal opinions. Step 2: Tabulate and Share the Survey Results After every board member has submitted his or her responses, tabulate them by totaling and averaging each one. Verbatim responses may need to be edited for conciseness. Next, use the Tabulated Results found on pages 5 6 to display/circulate the findings among your hospital board. Step 3: Compare Your Hospital s Survey Results with National Data Distribute The Top Issues in Health Care 2013 report, and note any key similarities and differences between your hospital and others. Step 4: Discussion Ask the board members to participate in a brief discussion about each issue and a deeper discussion of the most important issues. If your hospital s evaluation differs substantially from the national data, ask why that might be. Probe reactions to apparent variances between importance and ease of resolving an issue. As the moderator, you should encourage discussion that will lead to identifying specific goals, objectives, and action items for the future. You may also find the Discussion Guide on pages 7 10 helpful. Before concluding the meeting, discuss the development or continuation of an action plan to address key issues. 3
4 board survey Please select the title that best describes your role within the hospital: Board Member Executive / Management Physician Leader Other: Please rate each of the following health care-related issues, giving your own personal opinion. (1 means not at all important/difficult and 10 means extremely important/difficult. ) Issue Changing the health care delivery system to be more effective and less costly Improving patient safety Importance to Our Hospital Difficulty in Accomplishing Getting adequate reimbursement from Medicare Cutting costs while delivering better care Getting adequate reimbursement from Medicaid Getting adequate reimbursement from commercial insurance carriers Improving communications and trust between independent physicians and the hospital Better coordination of chronic illness Incorporating new technologies in medicine Finding ways to integrate employed physicians into the hospital organization Gaining access to new capital for expansion Resolving the on-call problem Gaining access to working capital Settling competitive issues with physicians, such as freestanding surgery centers Which of the issues above do you believe is the single most important issue facing your hospital today? Issue # Why? 4
5 tabulated results FORMS We asked each board member to rate each of the following health care-related issues, giving his or her own personal opinion. Ratings were based on a scale from 1 to 10. Issue Changing the health care delivery system to be more effective and less costly Improving patient safety Average Importance to Our Hospital Average Difficulty in Accomplishing Getting adequate reimbursement from Medicare Cutting costs while delivering better care Getting adequate reimbursement from Medicaid Getting adequate reimbursement from commercial insurance carriers Improving communications and trust between independent physicians and the hospital Better coordination of chronic illness Incorporating new technologies in medicine Finding ways to integrate employed physicians into the hospital organization Gaining access to new capital for expansion Resolving the on-call problem Gaining access to working capital Settling competitive issues with physicians, such as freestanding surgery centers 5
6 tabulated results (continued) We also asked board members which of the issues they believe is the single most important issue facing our hospital today. Issue Changing the health care delivery system to be more effective and less costly Number of Board Members who rated this the most important issue Improving patient safety Getting adequate reimbursement from Medicare Cutting costs while delivering better care Getting adequate reimbursement from Medicaid Getting adequate reimbursement from commercial insurance carriers Improving communications and trust between independent physicians and the hospital Better coordination of chronic illness Incorporating new technologies in medicine Finding ways to integrate employed physicians into the hospital organization Gaining access to new capital for expansion Resolving the on-call problem Gaining access to working capital Settling competitive issues with physicians, such as freestanding surgery centers A selection of comments: 6
7 discussion guide What Are Hospitals Saying About the Most Important Issues? Here s just a sample of what our attendees have to say about the top issues for 2013 and how they re affecting their health care organizations. Making the Health Care Delivery System More Effective and Less Costly says a mouthful At present, our hospital is struggling with the recently created multi-specialty/employed physician model, redefining the role of the physician/hospital, anticipating what our relationships will look like in the very near future, identifying delivery system inefficiencies, and reducing costs; all the while meeting safety/ quality standards in a collaborative and trustful environment. In the reduced reimbursement environment, and as reimbursements are more tied to continuum of care and preventive outcomes, collaboration between employed and independent medical staffs and the role of the hospital will be absolute in our efforts to be effective, efficient, fair, and profitable. All the while, we must do what is best for our stakeholders (patients). Cutting Costs while Delivering Better Care If this does not happen, we will not be around. Getting Adequate Reimbursement from Medicare So many reimbursements are based on Medicare rates. It s tough to stay in business when reimbursements don t cover expenses. Can we think of a new paradigm, such as local health care providers establishing community co-ops that provide lowest cost directly to patients and exclude insurance carriers and/or Medicare? 7
8 Improving Communications and Trust between Independent Physicians and the Hospital It is essential for effective integration and alignment that those being aligned and integrated do so from a basis of shared trust. Without a shared trust environment, participants will continue to act in what is perceived to be their self-interest rather than the interests of the care delivery organization. Finding Ways to Integrate Employed Physicians into the Hospital Organization Physician practices in our community all owned by external entities. Classic clinical integration just not possible. Need innovative ways to do so. Better Coordination of Chronic Illness It s a tsunami of cost coming at us. Improving Patient Safety... improving patient safety is critical because it is at the center of accountability, which is becoming the nexus for reimbursements from both government and private insurance providers. Gaining Access to New Capital for Expansion This issue, which is a direct result of health care reform, decreased reimbursement, and changes in access to health care, has impacted our daily cash on hand. We have important projects that will allow us to grow, but we need the capital to do so. 8
9 Incorporating New Technologies in Medicine Young physicians are trained on the latest technology, and we need to have it to attract the best and brightest. Getting Adequate Reimbursement from Commercial Insurance Carriers Reimbursement continues to decline from commercial payers as well as Medicare/Medicaid. We must have adequate reimbursement to continue [delivering] optimum care to patients. We have done a good job in cutting expenses, but there comes a time when you cannot cut anymore without jeopardizing patient care. Settling Competitive Issues with Physicians, such as Freestanding Surgery Centers In the move from production-based systems to value-based systems, physicians are motivated, more than ever, to do ALL cases that have better reimbursements to their owned-facilities, while they still can. In the 2 3 year interim, it will be very difficult for community hospitals to survive and the relationships will become very acrimonious. Resolving the On-Call Problem Paying for call is not a sustainable model for us and is considered by the physician community essential to providing coverage. Getting Adequate Reimbursement from Medicaid getting adequate compensation is taking us squarely into the no margin, no mission area when both the federal and state governments are cutting back on rates, there are more uninsured no-pay or reduced pay, and the insurance rates are following the lead of the federal rates, severely impacting the ability to stay in the black. 9
10 Gaining Access to Working Capital We need to upgrade our new facility. We have a strategic plan to do so by 2015, but in order to be successful we have to get our balance sheet in good shape. This means cutting costs while continuing to deliver excellent quality of care. In order to do that, we will have to find access to new working capital, access to new capital for expansion, and continue to keep technology within our organization up to date. It is almost like a domino effect. 10
11 A midst the chaos of daily health care management, you know that every decision, every new venture, and every new investment will impact the lives of your patients today and for generations to come. Choosing the right direction for your hospital s future has never been more difficult. Yet for America s most successful hospitals those thriving amidst the chaos a common thread is revealed: the Estes Park Institute. Since 1974, the Estes Park Institute has provided more than 75,000 physicians, health care executives, and trustees with the focused, up-to-date information, analysis, and insight they need to help guide their health care organizations toward their goals. To find out more about the Estes Park Institute conferences, call us at or visit EstesPark.org.
Low-Cost, Low-Administrative Burden Ways to Better Integrate Care for Medicare-Medicaid Enrollees
TECHNICAL ASSISTANCE BRIEF J UNE 2 0 1 2 Low-Cost, Low-Administrative Burden Ways to Better Integrate Care for Medicare-Medicaid Enrollees I ndividuals eligible for both Medicare and Medicaid (Medicare-Medicaid
More informationHealth Reform and IRFs
American Medical Rehabilitation Providers Association 8 th Annual AMRPA Educational Conference New Orleans, LA Health Reform and IRFs Planning Today for Success Tomorrow October 14, 2010 Agenda Introduce
More informationSample Exam Case Studies/Questions
Module II of the CHFP Program: HFMA's Operational Excellence exam Sample Exam Case Studies/Questions The intent of the Operational Excellence exam is for you to exhibit your mastery of the information
More informationNov. 17, Dear Mr. Slavitt:
Nov. 17, 2015 Mr. Andrew Slavitt Acting Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Washington, DC 20201 Re: NAMD
More informationOregon s Health System Transformation: Coordinated Care Model. November 2013 Jeanene Smith MD, MPH OHA Chief Medical Officer
Oregon s Health System Transformation: Coordinated Care Model November 2013 Jeanene Smith MD, MPH OHA Chief Medical Officer The Challenges Oregon Faced Rising healthcare costs outpacing state budget in
More informationSucceeding with Accountable Care Organizations
Succeeding with Accountable Care Organizations The Point B Webinar Series October 25, 2011 Today s Discussion Key ACO trends and emerging models Critical success factors for building an ACO Developing
More informationUsing An APCD to Inform Healthcare Policy, Strategy, and Consumer Choice. Maine s Experience
Using An APCD to Inform Healthcare Policy, Strategy, and Consumer Choice Maine s Experience What I ll Cover Today Maine s History of Using Health Care Data for Policy and System Change Health Data Agency
More informationStrategic Positioning: Making a 50-Year Decision for Your Hospital and Community
In Cooperation With: Hospital Solutions White Paper Series, July 2016 Strategic Positioning: Making a 50-Year Decision for Your Hospital and Community Strategic positioning reflects choices a company makes
More informationTesting a New Terminology System for Health and Social Services Integration
Strategies to Achieve Alignment, Collaboration, and Synergy across Delivery and Financing Systems Testing a New Terminology System for Health and Social Services Integration Research-in-Progress Webinar
More informationIssue Brief. Findings from HSC INSURED AMERICANS DRIVE SURGE IN EMERGENCY DEPARTMENT VISITS. Trends in Emergency Department Use
Issue Brief Findings from HSC INSURED AMERICANS DRIVE SURGE IN EMERGENCY DEPARTMENT VISITS by Peter Cunningham and Jessica May Visits to hospital emergency departments (EDs) have increased greatly in recent
More informationRural Hospitals. at a Crossroads
Rural Hospitals at a Crossroads R ural hospitals are the lifeblood of much of Alabama. They provide emergency medical care to those in need and preventative health care that sustains rural communities.
More informationACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S
ACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S Margaret Head, Chief Operating Officer/Chief Nursing Officer Susan Moseley Gent, Administrative Director Vanderbilt Medical Group March 10, 2012 With
More informationa critical cause 10 steps to improve CAH financial performance
MAY 2007 healthcare financial management FEATURE STORY Lawrence A. Fogel Joseph M. Watt a critical cause 10 steps to improve CAH financial performance Critical access hospitals need to learn how to operate
More informationPartnering with hospitals to create an accountable care organization Elias N. Matsakis, Esq.
Partnering with hospitals to create an accountable care organization Elias N. Matsakis, Esq. There are many opportunities for physicians and hospitals to affiliate and clinically integrate so as to enable
More informationManaged care consulting services
Managed care consulting services WeiserMazars Health Care Consulting Services WeiserMazars LLP is an independent member firm of Mazars Group. WeiserMazars Health Care Group Managed Care consulting services
More informationMANAGED CARE CONSULTING SERVICES
CONSULTING SERVICES WeiserMazars Health Care Consulting Services THE NEW JERSEY HOSPITAL ASSOCIATION April 30,2013 WeiserMazars LLP is an independent member firm of Mazars Group. WEISERMAZARS HEALTH CARE
More informationTHIRD WAVE. Over the last 20 years, we have observed two GETTING READY FOR THE OF PHYSICIAN-HOSPITAL INTEGRATION
4 GETTING READY FOR THE THIRD WAVE OF PHYSICIAN-HOSPITAL INTEGRATION Over the last 20 years, we have observed two major waves of physician-hospital integration. Now, partly in response to the recently
More informationAssignment of Medicare Fee-for-Service Beneficiaries
February 6, 2015 Ms. Marilyn B. Tavenner, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1461-P Room 445-G, Hubert H. Humphrey Building 200
More informationPhysician/Hospital Integration: Challenges and Opportunities for Small and Rural Hospitals
Physician/Hospital Integration: Challenges and Opportunities for Small and Rural Hospitals Small and Rural Hospital Conference Charlotte, NC November 12, 2013 Facilitated by: Marc D. Halley, MBA President
More informationThe Evolution of ASC Joint Ventures: Key Trends for Value-Based Care
The Evolution of ASC Joint Ventures: Key Trends for Value-Based Care The Evolution of ASC Joint Ventures: Key Trends for Value-Based Care By Laura Dyrda As healthcare moves toward value-based care and
More informationproducing an ROI with a PCMH
REPRINT April 2016 Emma Mandell Gray Rachel Aronovich healthcare financial management association hfma.org producing an ROI with a PCMH Patient-centered medical homes can deliver high-quality care and
More informationTHE NEW IMPERATIVE: WHY HEALTHCARE ORGANIZATIONS ARE SEEKING TRANSFORMATIONAL CHANGE AND HOW THEY CAN ACHIEVE IT
Today s challenges are not incremental, but transformational; across the country, many CEOs and executives in healthcare see the need not merely to improve traditional ways of doing business, but to map
More informationDenver Health overview. Ambulatory Care Center (ACC) Role of ACC in meeting the needs of the community and Denver Health s viability
Denver Health overview Ambulatory Care Center (ACC) Role of ACC in meeting the needs of the community and Denver Health s viability Denver Health & Denver: History of Working Together Questions 2 Denver
More informationNew Alignments in Data-Driven Care Coordination & Access for Specialty Products: Insights from the DIMENSIONS Report
New Alignments in Data-Driven Care Coordination & Access for Specialty Products: Insights from the DIMENSIONS Report Our Objectives By the end of the session, participants will understand: Evolving demands
More information23 rd Annual Health Sciences Tax Conference
23 rd Annual Health Sciences Tax Conference December 9, 2013 Disclaimer This content is for educational and discussion purposes only, and is not intended, and should not be relied upon, as accounting advice.
More informationPopulation Health Management in the Safety Net Elaine Batchlor, MD, MPH CEO, Martin Luther King, Jr. Community Hospital
Population Health Management in the Safety Net Elaine Batchlor, MD, MPH CEO, Martin Luther King, Jr. Community Hospital November 5, 2013 Martin Luther King, Jr. Community Hospital Page 1 11/05/2013 Agenda
More informationPerson-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
More informationImproving Hospital Performance Through Clinical Integration
white paper Improving Hospital Performance Through Clinical Integration Rohit Uppal, MD President of Acute Hospital Medicine, TeamHealth In the typical hospital, most clinical service lines operate as
More informationHidden Hazards: Closing the Care Gap Between Physicians and Patients with Multiple Chronic Conditions
Hidden Hazards: Closing the Care Gap Between Physicians and Patients with Multiple Chronic Conditions A Survey of Primary Care Physicians and Medicare Patients Introduction Key Findings The Toll of Chronic
More informationAustin Regional Clinic Seton Health Alliance
Austin Regional Clinic Seton Health Alliance Clinical Integration Through the Eyes of an Independent Multispecialty Physician Group AMGA Annual Conference March 14, 2013 Norman H. Chenven, M.D. Founder
More informationCalifornia s Current Section 1115 Waiver & Its Impact on the Public Hospital Safety Net
February 2010 California s Current Section 1115 Waiver & Its Impact on the Public Hospital Safety Net Executive Summary The current Section 1115 Medicaid waiver, which was intended to stabilize California
More informationSNC BRIEF. Safety Net Clinics of Greater Kansas City EXECUTIVE SUMMARY CHALLENGES FACING SAFETY NET PROVIDERS TOP ISSUES:
EXECUTIVE SUMMARY The Safety Net is a collection of health care providers and institutes that serve the uninsured and underinsured. Safety Net providers come in a variety of forms, including free health
More informationExecutive Summary November 2008
November 2008 Purpose of the Study This study analyzes short-term risks and provides recommendations on longer-term policy opportunities for the Marin County healthcare delivery system in general as well
More informationPhysician Alignment Strategies and Options. June 1, 2011
Physician Alignment Strategies and Options June 1, 2011 1 Today s Discussion Review physician-hospital alignment objectives Understand the changing paradigm Evaluate alignment strategies for a new delivery
More information2017 Oncology Insights
Cardinal Health Specialty Solutions 2017 Oncology Insights Views on Reimbursement, Access and Data from Specialty Physicians Nationwide A message from the President Joe DePinto On behalf of our team at
More informationPHYSICIAN-HOSPITAL JOINT VENTURES: A STRATEGIC ALTERNATIVE
PHYSICIAN-HOSPITAL JOINT VENTURES: A STRATEGIC ALTERNATIVE By Joseph S. Zasa, JD, Managing Partner ASD Management Since the first ambulatory surgery center was developed in Phoenix, Arizona in 1970, ambulatory
More informationImproving Health in a Climate of Change NACo San Diego, California January 31, 2014
Improving Health in a Climate of Change NACo San Diego, California January 31, 2014 A. Clinton MacKinney, MD, MS Deputy Director and Assistant Professor University of Iowa College of Public Health 2 Price
More informationValue-Based Readiness: Setting the Right Pace
HEALTHLEADERS MEDIA INTELLIGENCE REPORT MAY 2017 Value-Based Readiness: Setting the Right Pace An Independent HealthLeaders Media Report Supported by: An Independent HealthLeaders Media Report Powered
More informationManaging Healthcare Payment Opportunity Fundamentals CENTER FOR INDUSTRY TRANSFORMATION
Managing Healthcare Payment Opportunity Fundamentals dhgllp.com/healthcare 4510 Cox Road, Suite 200 Glen Allen, VA 23060 Melinda Hancock PARTNER Melinda.Hancock@dhgllp.com 804.474.1249 Michael Strilesky
More informationExecutive Summary. Leadership Toolkit for Redefining the H: Engaging Trustees and Communities
Executive Summary Leadership Toolkit for Redefining the H: Engaging Trustees and Communities Report produced by the AHA Committee on Research and Committee on Performance Improvement 2015 Executive Summary
More informationResident and Faculty Involvement in Reducing Health Care Disparities: The University of Oklahoma Tulsa Approach
Resident and Faculty Involvement in Reducing Health Care Disparities: The University of Oklahoma Tulsa Approach 2015 AHME Institute San Diego May 12, 2015 F. Daniel Duffy, MD Learning Objectives Understand
More informationCalifornia Community Health Centers
California Community Health Centers Financial & Operational Performance Analysis, 2011-2014 Prepared by Sponsored by Blue Shield of California Foundation Introduction This report, prepared by Capital Link
More informationINSTITUTIONAL/INSTITUTIONAL EQUIVALENT (I/IESNP) DUAL SPECIAL NEEDS PLAN (DSNP) CHRONIC SPECIAL NEEDS PLAN (LSNP)
SNP MODEL OF CARE ANNUAL EVALUATIONS FOR 2013 INSTITUTIONAL/INSTITUTIONAL EQUIVALENT (I/IESNP) DUAL SPECIAL NEEDS PLAN (DSNP) CHRONIC SPECIAL NEEDS PLAN (LSNP) 1 7 0 1 P O N C E D E L E O N B L V D, S
More informationICD-10 is Financially Disastrous for Physicians
Kathleen Sebelius Secretary US Department of Health and Human Services Hubert H Humphrey Building, Room 445-G 200 Independence Avenue, SW Washington, DC 20201 Dear Secretary Sebelius: On behalf of the
More informationChronic Care Management INFORMATION RESOURCE
Contents Chronic Care Management INFORMATION RESOURCE Purpose... 1 What Is CCM?... 1 Background... 1 Initiating Visit and Person-Centered Plan... 2 Clinical Supervision... 2 Qualifications for Personnel
More informationGood day Chairpersons Gill and Vitale and distinguished committee members. Thank you for the
Written Testimony Before the New Jersey Senate Committee on Commerce and Committee on Health, Human Services and Senior Citizens Hearing on the OMNIA Health Alliance formed by Horizon Blue Cross Blue Shield
More informationARLINGTON programs and incentives
ARLINGTON programs and incentives Arlington Economic Development is committed to attracting and retaining high-quality businesses of all shapes and sizes. When it comes to assisting businesses, we don
More informationThe MetroHealth System
The MetroHealth System June 16, 2016 Presentation to Ohio Joint Medicaid Oversight Committee Dr. James Misak, Vice Chair of Community and Population Health, Department of Family Medicine Susan Mego, Executive
More informationAligning Physician Groups to Maximize Managed Care Performance
Aligning Physician Groups to Maximize Managed Care Performance Presented to: 2016 Spring Managed Care Forum Friday, April 22, 2016 Introduction Today s speaker Page 1 Craig D. Pederson Principal Insight
More informationPATH Program. Getting Started Guide
PATH Program Getting Started Guide We have a BIG opportunity. Together, we can empower and encourage people to take an active role in their health. Preventive health care services help people find and
More informationSTAAR Initiative STate Action on Avoidable Rehospitalizations
Amy Boutwell, MD MPP Primary Investigator, STAAR Initiative Institute for Healthcare Improvement Commonwealth Fund-supported initiative to reduce avoidable rehospitalizations, taking states as unit of
More informationDecrease in Hospital Uncompensated Care in Michigan, 2015
Decrease in Hospital Uncompensated Care in Michigan, 2015 July 2017 Introduction The Affordable Care Act (ACA) expanded access to health insurance coverage for Michigan residents in 2014 through the creation
More informationPrimary Care 101: A Glossary for Prevention Practitioners
PREVENTION COLLABORATION IN ACTION Engaging the Right Partners Primary Care 101: A Glossary for Prevention Practitioners As the U.S. healthcare landscape continues to change under the Affordable Care Act
More informationNote: Accredited is the highest rating an exchange product can have for 2015.
Quality Overview Accreditation Exchange Product Accrediting Organization: NCQA HMO (Exchange) Accreditation Status: Accredited Note: Accredited is the highest rating an exchange product can have for 215.
More informationRecovery Homes: Recovery and Health Homes under Health Care Reform
Recovery Homes: Recovery and Health Homes under Health Care Reform 4/27/11 Richard H. Dougherty, Ph.D. DMA Health Strategies Challenges of health reform Increasing coverage Reducing costs of coverage Reducing
More informationTHE RFP PROCESS: STEPS FOR GETTING THE MOST ACCURATE BIDS
THE RFP PROCESS: STEPS FOR GETTING THE MOST ACCURATE BIDS Hospital based physician (HBP) services including Anesthesia, Emergency Department, Hospitalists, Pediatric Services and Radiology, are vitally
More informationWest Virginia Hospitals
West Virginia Hospitals The Heart of a Healthier West Virginia Hospital Community Benefits Report Message to our Communities With more West Virginians having access to coverage than ever before, the goal
More informationACOs the Medicare Shared Savings Program And Other Healthcare Reform Payment Methods
A unique vision for an ever-changing healthcare environment ACOs the Medicare Shared Savings Program And Other Healthcare Reform Payment Methods Presented by Joe Laden, President, ORVA, LLC The Environment
More informationSean Cavanaugh Deputy Administrator, Centers for Medicare and Medicaid Services Director, Center for Medicare
March 4, 2016 Sean Cavanaugh Deputy Administrator, Centers for Medicare and Medicaid Services Director, Center for Medicare Jennifer Wuggazer Lazio, F.S.A., M.A.A.A. Director Parts C & D Actuarial Group
More informationSEPTEMBER 2011 CREATING SUCCESSFUL MATERNAL FETAL MEDICINE PARTNERSHIPS
SEPTEMBER 2011 CREATING SUCCESSFUL MATERNAL FETAL MEDICINE PARTNERSHIPS About The Chartis Group The Chartis Group is an advisory services firm that provides management consulting and applied research to
More informationAlameda Health System & Alameda County: Organizational History
Alameda System & Alameda County: Organizational History Work Sessions between Alameda County Board of Supervisors and Alameda System Board of Trustees Session 1, November 2, 2015 Public Hospitals and Care
More informationOverview of appeals process Tip sheet Sample appeals letter Sample doctor s letter
Date: Dear Helpline Caller: The Medicare Rights Center is a national, nonprofit organization. We help older adults and people with disabilities with their Medicare problems. We support caregivers and train
More informationCenters for Medicare & Medicaid Services: Innovation Center New Direction
Centers for Medicare & Medicaid Services: Innovation Center New Direction I. Background One of the most important goals at CMS is fostering an affordable, accessible healthcare system that puts patients
More informationTransitioning Care to Reduce Admissions and Readmissions. Sven T. Berg, MD, MPH Julie Mobayed RN, BSN, MPH
Transitioning Care to Reduce Admissions and Readmissions Sven T. Berg, MD, MPH Julie Mobayed RN, BSN, MPH Disclaimer: Potential for Error Type One Error Rejecting the null hypothesis when it is true
More informationRodney M. Wiseman, DO, FACOFP dist. ACOFP President
November 20, 2017 VIA ELECTRONIC SUBMISSION (CMMI_NewDirection@cms.hhs.gov) Seema Verma, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMMI Request
More informationFY STRATEGIC BUSINESS PLAN
FY2017-2019, North Carolina OUR To save a life, hold a hand, and be prepared to respond in our community when and where our patients need us. OUR Medic will be an adaptable patient-centered system of care
More informationCoordinated Care: Key to Successful Outcomes
Coordinated Care: Key to Successful Outcomes Best practices in care coordination improve health, lower costs and increase patient satisfaction 402 Lippincott Drive Marlton, NJ 08053 856.782.3300 www.continuumhealth.net
More informationAlaska Mental Health Trust Authority. Medicaid
Alaska Mental Health Trust Authority Medicaid November 20, 2014 Background Why focus on Medicaid? Trust result desired in working on Medicaid policy issues and in implementing several of our focus area
More informationTransplant Resource Guide
Transplant Resource Guide The Transplant Resource Guide (TRG) and the supporting tools provide strategies, concepts and resources to enhance transplant program quality and value in our dynamic environment.
More informationStatement of George D. Farr President and Chief Executive Officer Children's Medical Center of Dallas Dallas, Texas
nachri ROBERT H. SWEENEY President PROPOSALS TO IMPROVE CHILD HEALTH CARE COVERAGE UNDER MEDICAID AND THE MCH SERVICES BLOCK GRANT PROGRAMS Statement of George D. Farr President and Chief Executive Officer
More informationCenter for Health Care Strategies, Inc. From the Beneficiary Perspective: Core Elements to Guide Integrated Care for Dual Eligibles IN BRIEF
CHCS Center for Health Care Strategies, Inc. From the Beneficiary Perspective: Core Elements to Guide Integrated Care for Dual Eligibles Technical Assistance Brief December 2010 By Alice Lind and Suzanne
More informationWhen the Best Surprise is No Surprise
PROVIDER ENGAGEMENT When the Best Surprise is No Surprise Managing Margins and Efficiency in Outpatient Surgery Sarah Wald Dedicated Advisor Impetus for Outpatient Expansion 2 Continued Outpatient Volume
More informationThe spoke before the hub
Jones Lang LaSalle February Series: Ambulatory Care The spoke before the hub Turning the healthcare delivery model upside down For decades, the model for delivering healthcare in the U.S. has been slowly
More informationHow To Have Community Conversations: A toolkit for advancing health in America
How To Have Community Conversations: A toolkit for advancing health in America American Hospital Association, Committee on Research. (2014, September). How to have Community Conversations: A toolkit for
More informationTHE ROLE AND VALUE OF THE PACKARD FOUNDATION S COMMUNICATIONS: KEY INSIGHTS FROM GRANTEES SEPTEMBER 2016
THE ROLE AND VALUE OF THE PACKARD FOUNDATION S COMMUNICATIONS: KEY INSIGHTS FROM GRANTEES SEPTEMBER 2016 CONTENTS Preface 3 Study Purpose and Design 4 Key Findings 1. How the Foundation s Communications
More informationData Shows Rural Hospitals At Risk Without Special Attention from Lawmakers
Data Shows Rural Hospitals At Risk Without Special Attention from Lawmakers As Affordable Care Act Faces Uncertainty in America s Healthcare Future, Rural Hospitals Barely Hang On Compared to Urban Hospital
More informationState Policy, Health Care Disparities, and the Invisible Hand of the Market
State Policy, Health Care Disparities, and the Invisible Hand of the Market State Health Research and Policy Interest Group - Poster Session Academy Health Annual Research Meeting June 7, 2008 Washington
More informationUAMS/SVI Partnership Agreement. Proposal
UAMS/SVI Partnership Agreement Proposal Introduction The University of Arkansas for Medical Sciences (UAMS) is the health sciences and academic medical component of the University of Arkansas. St Vincent
More informationThe Accountable Care Organization Specific Objectives
Accountable Care Organizations and You E. Christopher h Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences CEO, OSU Faculty Group Practice Chair, Department of Surgery Ohio State
More informationTurning Value-Based Health Care into a Real Business Model
Page 1 of 6 STRATEGY EXECUTION Turning Value-Based Health Care into a Real Business Model by Laura S. Kaiser and Thomas H. Lee OCTOBER 08, 2015 The shift from volume-based to value-based health care is
More informationWHITE PAPER. The Shift to Value-Based Care: 9 Steps to Readiness.
The Shift to Value-Based Care: Table of Contents Overview 1 Value Based Care Is it here to stay? 1 1. Determine your risk tolerance 2 2. Know your cost structure 3 3. Establish your care delivery network
More informationThe Consultant Perspective: Big Picture View of Health Care Environment
2013 CliftonLarsonAllen LLP The Consultant Perspective: Big Picture View of Health Care Environment Section 3 cliftonlarsonallen.com John Richter Chief Practice Officer - Industries CliftonLarsonAllen
More informationAnticipating the Trump Administration s Impact on Health Care
Leadership Survey Anticipating the Trump Administration s Impact on Health Care Stephen Swensen, MD, MMM, FACR Mayo Clinic Namita S. Mohta, MD NEJM Catalyst Edward Prewitt NEJM Catalyst Insights Report
More informationPresented to you by The Cooperative of American Physicians, Inc.
ICD-10 Action Guide for Medical Practices PAGE 1 Presented to you by The Cooperative of American Physicians, Inc. Table of Contents Introduction... 3 What Is Changing and Why?... 4 What Are the Main Provisions
More informationManaged Long Term Care & Social Adult Day Care
Managed Long Term Care & Social Adult Day Care Presentation to the New York State Adult Day Services Association Mark Ustin Manatt Health September 30, 2016 Agenda 2 1 Background on Managed Long Term Care
More informationTransplant Resource Guide
Transplant Resource Guide The Transplant Resource Guide (TRG) and the supporting tools provide strategies, concepts and resources to enhance transplant program quality and value in our dynamic environment.
More informationHEALTH CARE REFORM IN THE U.S.
HEALTH CARE REFORM IN THE U.S. A LOOK AT THE PAST, PRESENT AND FUTURE Carolyn Belk January 11, 2016 0 HEALTH CARE REFORM BIRTH OF THE AFFORDABLE CARE ACT Health care reform in the U.S. has been an ongoing
More informationSeptember 11, Submitted via Dear Ms. Verma:
September 11, 2017 Submitted via www.regulations.gov Seema Verma Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-1676-P P.O. Box 8016 7500 Security
More informationThe Intersection of Compliance and Quality Health Care Compliance Association North Central Regional Annual Conference
The Intersection of Compliance and Quality Health Care Compliance Association North Central Regional Annual Conference October 1, 2010 Mark J. Swearingen, Esq. Hall, Render, Killian, Heath & Lyman One
More informationNURSING FACILITIES: FRIENDS OR FOES? Marie C. Berliner Joy & Young, LLP Austin, Texas (512)
NURSING FACILITIES: FRIENDS OR FOES? Marie C. Berliner Joy & Young, LLP Austin, Texas (512) 330-0228 Program Overview Status of Hospice Nursing Facility Relationships Multiple contact points and transactions
More informationMay 3, 2018 Rick Reid Director, Provider Payment Analytics Michael Felczak Director, Provider Payment Analytics
Hot Reimbursement Topics Rural Area Hospitals May 3, 2018 Rick Reid Director, Provider Payment Analytics Michael Felczak Director, Provider Payment Analytics RICHARD S. REID, MPA, FHFMA, CPA, Director,
More informationTransforming Clinical Practice Initiative (TCPI) A Service Delivery Innovation Model. Better Health. Better Care. Lower Cost.
Transforming Clinical Practice Initiative (TCPI) A Service Delivery Innovation Model Better Health. Better Care. Lower Cost. 1 Context for Transforming Clinical Practice With the passage of the Affordable
More informationSTAYING THE COURSE ON VALUE
32 % of respondents say the fee-for-service payment model is least effective in quality and cost improvements INTELLIGENCE REPORT MAY/JUNE 2018 STAYING THE COURSE ON VALUE ANALYSIS... 2 SURVEY RESULTS...
More informationOverview of Alaska s Hospitals and Nursing Homes. House HSS Committee March 1, 2012
Overview of Alaska s Hospitals and Nursing Homes House HSS Committee March 1, 2012 Alaska Hospital and Nursing Homes Testifying Today Fairbanks Memorial Hospital Mike Powers Central Peninsula Hospital
More informationImpactful Virtual Health in a Value-Based World. Healthcare Perspective
Impactful Virtual Health in a Value-Based World Healthcare Perspective VIRTUAL HEALTH NOT ONLY ALLOWS PROVIDERS TO CONNECT WITH PATIENTS OUTSIDE OF THE TRADITIONAL CLINIC OR HOSPITAL LOCATIONS, BUT ALSO
More informationBehavioral Health Redesign. 1. Progress toward transformation 2. Readiness to go live January 1, Contingency plan for provider payment
Behavioral Health Redesign 1. Progress toward transformation 2. Readiness to go live January 1, 2017 3. Contingency plan for provider payment Behavioral Health Redesign The goal is to integrate physical
More informationFuture Proofing Healthcare: Who Knows?
Future Proofing Healthcare: Who Knows? Marcel Loh Chief Executive, Swedish Suburban Hospitals & Affiliates Swedish Health Services 2 3 4 Things do not happen. Things are made to happen. John F. Kennedy
More information8 / 1 9 / 2. Factors Supporting Critical Access Hospital Turnaround. Muskie School of Public Service
Factors Supporting Critical Access Hospital Turnaround NOSORH Region C Grantee Meeting Omaha, NE August, Maine Rural Health Research Center Flex Monitoring Team Contact Information John A. Gale Maine Rural
More informationHealth Reform, Medicaid Expansion and Challenges for Providers
Health Reform, Medicaid Expansion and Challenges for Providers Jeff Moser Vice President, Sg2 May 31, 2012 www.sg2.com Agenda Market Update Redesigning Care 2012 Outlook: A Year Like No Other Unprecedented
More informationExecutive Summary and A Vision for Health Care
N AT I O N A L C O M M U N I T Y P H A R M A C I S T S A S S O C I AT I O N Executive Summary and A Vision for Health Care The face of independent pharmacy 2006 NCPA-Pfizer Digest-In-Brief November 2006
More information