Creating Care Pathways Committees
|
|
- Cecily Bates
- 5 years ago
- Views:
Transcription
1 Presentation Creating Care Title Pathways Committees December 12, 2012 December 12, 2012 Creating Care Pathways Committees LeadingAge Indiana Integrated Care & Payment Executive Series Health Dimensions Group Page 1
2 Your Presenter Ellen First, RN, MSN, RAC-CT Senior Consultant Health Dimensions Group 2 Clinical Pathway Development Clinical pathways were first utilized in the early 1990s in the United States and United Kingdom in attempt to best implement practices in standardized and reproducible manner Health Dimensions Group Page 2
3 Clinical Pathway Development Definition Document outlining standardized, evidencebased, multidisciplinary management plan, which identifies appropriate sequence of clinical interventions, time frames, milestones, and expected outcomes for homogeneous patient group Source: Quality Improvement & Enhancement Programme Clinical Pathways Board 4 Basics of Clinical Pathway Development Cochrane Review meta-analysis (27 studies surveying 11,398 participants) revealed that the use of clinical pathways reduced 1 : Overall length of stay Cost of care Number of complications experienced Research across 15 states noted 30-day hospital readmission for patients diagnosed with chronic obstructive pulmonary disease (COPD): 7.1% rate for patients with primary diagnosis of COPD 17.3% rate for patients with secondary diagnosis of COPD 2 1 Rotter, et. al., n.d. 2 AHRQ, Health Dimensions Group Page 3
4 Why Clinical Pathways? Improve patient care through consistent management based upon best practices Maximize efficient use of resources Reduce unnecessary variation in care processes, stimulate a collaborative approach, and promote continuity of care for patients with a common condition Improve communication with patients and families with regard to the expected course of treatment Promote effective clinical audit and continuous quality improvement Source: Audimoolam, et. al., Why Clinical Pathways? (continued) Beginning October 1, 2012, hospitals in the highest quartile for readmissions for patients with congestive heart failure (CHF), acute myocardial infarction (AMI), and pneumonia will be penalized up to 1% of their total Medicare reimbursement Health Dimensions Group Page 4
5 Set the Stage Commitment at senior management level and stakeholder involvement Ability to commit necessary time, resources, and effort Successful clinical pathway implementation 8 Clinical Pathway Steering Committee Clinical pathway steering committee is charged with responsibility for shepherding the process of development through the full Plan-Do-Study-Act quality management cycle Use of a project plan that assigns all needed action items to a specific person or group with expected dates of completion will help the team to stay on track Health Dimensions Group Page 5
6 Clinical Pathway Steering Committee (continued) Membership Considerations Who will be the members? When, where, and how often will members meet? What roles will various members fill, and what skills will they need? Multidisciplinary Collaboration Assure physician inclusion in all phases of planning, implementation, and revision 10 Clinical Pathway Steering Committee (continued) Requirements for effective steering committee include: Identify one or more physician sponsors Designate committee leader Agree on master template that provides ability to tailor to individual patient needs and choices Determine where/how the pathway will reside (paper, electronic, or combination?) Promote multidisciplinary approach Maintain records of meetings and activities Collaborate with IT from the beginning of the process forward Develop pathway review process that encourages direct provider input Develop communication and education plan that includes all stakeholders Health Dimensions Group Page 6
7 Clinical Pathway Steering Committee (continued) Determine under what circumstances changes will be made to the pathway Consider frequency of change and expediency of change into the process: Resources in time and material to change the pathway Incorporation of quality improvement information based upon variance analysis Evaluation of changes to evidence-based practice and methods for its applied use 12 Key Components Established timelines Categories of care with specific interventions Standards for patient/caregiver education Educational materials are standardized and accessible Outcomes criteria and monitoring Variance identification, analysis, and response Health Dimensions Group Page 7
8 Established Timelines Defines when intervention begins, how often it is provided, and when it is expected to be completed Assures that all key components are completed prior to discharge 14 Interventions Describes key elements of care in terms of expected outcome Begins with review of relevant scholarly literature to assure that basis is in research and evidence-based best practice Provides evidence that daily skilled care provided was needed in order to move patient along the pathway toward goal Assures that key goals are achieved when possible and that variances are analyzed when not Health Dimensions Group Page 8
9 Interventions (continued) Starting with the outcomes of care, determine what actions (interventions) are needed that best assure achievement of the stated outcome Interventions are based on scholarly research, not the way we have always done it here, but this sentiment might be the hardest obstacle to overcome in practice Clinical practice guidelines are often the basis of pathways, in that they represent best practices in prevention, diagnosis, therapies, risk, and cost Clinical pathway creates a system for implementation of this information in a consistent, reproducible way that allows for identification of variance 16 Outcomes, Criteria, and Monitoring Essential task of the pathway development steering committee is framing of clear, quantifiable, and realistic outcome statements that encompass essentials of best practice for problem under review In framing outcome statements, ask: how will I know that I have achieved this? Review of discharge plan should be included in all days of the pathway Health Dimensions Group Page 9
10 Example Outcomes for a COPD Care Pathway Increased prevalence of patients with COPD who have up to date immunizations for flu and pneumococcal pneumonia Increased number of patients with COPD who have received disease-specific education prior to discharge Increased number of patients with COPD who can correctly demonstrate use of their inhaler/nebulizer prior to discharge Decreased unplanned hospital readmissions Decreased incidence of respiratory infections in patients with COPD 18 Variance Identification, Analysis, and Response If we deviated from the pathway, what was the reason? If reason was preventable, how could the team have better executed the plan? What changes could be put in place to more effectively achieve the expected outcome? It will be necessary to determine methodology for identifying, collating, analyzing, responding, and reporting of variances The more embedded the process can be into the electronic record, the greater consistency variance review team can expect Health Dimensions Group Page 10
11 Variance Identification, Analysis, and Response (continued) Variances generally fall into one of three major categories System variance Health professional variance Patient variance Would include staffing, equipment, and training issues Clinical judgment Complications, comorbid conditions, and choice 20 Variance Identification, Analysis, and Response (continued) Assign discrete categories to variance groupings to promote ease in collating and analysis i.e. 1.1 Patient condition, 1.2 Patient choice, 2.1 Clinical decision, 3.1 Other Create standardized processes for identification, documentation, and reporting of variances Additionally, create documentation fields that allow elaboration on reasons for and follow up to the identified variance Health Dimensions Group Page 11
12 Challenges to Pathway Implementation Clinician acceptance: bias, time, staff turnover, priorities Multiply comorbid patients/residents who might fit into multiple pathways Focus: time, multiple projects Information technology infrastructure Training: varied and numerous stakeholders, external team members 22 Review Characteristics of effective pathway include Basis in evidence-based best practices Clear and concise definitions and language Cues interventions Statements are outcome-based Interdisciplinary input to development and implementation plans Promotion of streamlined documentation methods including development of standardized fields in electronic medical record (EMR) systems Health Dimensions Group Page 12
13 Review (continued) Goals of effective clinical pathway include: Promotion of evidence-based practice Defined standards, interventions, timelines, and goals Assurance of interdisciplinary collaboration within framework of pathway Decreased variance occurrences Consistent initiation of discharge planning on admission day one Improved outcomes and satisfaction for patients and families 24 Questions? Health Dimensions Group Page 13
14 Contact Ellen First, RN, MSN, RAC-CT Senior Consultant, Health Dimensions Group 4400 Baker Road, Suite 100 Minneapolis, MN cell fax 26 Presentation Title Health Dimensions Group Page 14
Community Health Excellence (CHE) Grant Program Application Guide
Community Health Excellence (CHE) Grant Program 2018 2019 Application Guide CHE Mission and Goals The PacificSource Community Health Excellence (CHE) initiative was created to align with and support the
More informationHome Health. Improving Patient Outcomes & Reducing Readmissions. Home Health: Improving Outcomes & Reducing Readmissions
Home Health Improving Patient Outcomes & Reducing Readmissions Home Health: Improving Outcomes & Reducing Readmissions Benefits of Home Health Care Scientific evidence proves people heal more quickly,
More informationFactors that Impact Readmission for Medicare and Medicaid HMO Inpatients
The College at Brockport: State University of New York Digital Commons @Brockport Senior Honors Theses Master's Theses and Honors Projects 5-2014 Factors that Impact Readmission for Medicare and Medicaid
More informationUsing Facets of Midas+ Hospital Case Management to Support Transitions of Care. Barbara Craig, Midas+ SaaS Advisor
Using Facets of Midas+ Hospital Case Management to Support Transitions of Care Barbara Craig, Midas+ SaaS Advisor What does Transitional Care Include? Transitional Care is the smooth conversion of a patient
More informationQBPs: New Ways To Improve Patient Care
Module 1: QBPs: New Ways To Improve Patient Care Quality Based Procedures (QBPs) Pathway Improvement Program What are Quality Based Procedures (QBPs)? QBPs are groups of patients with similar diagnoses
More informationTRANSFORMING CARE DELIVERY
APRIL 2015 TRANSFORMING CARE DELIVERY THE POWER OF CLINICAL VARIATION MANAGEMENT About The Chartis Group The Chartis Group is a national advisory services firm that provides strategic planning, accountable
More informationIntroduction. Singapore. Singapore and its Quality and Patient Safety Position 11/9/2012. National Healthcare Group, SIN
Introduction Singapore and its Quality and Patient Safety Position Singapore 1 Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking
More informationReducing Readmissions: Potential Measurements
Reducing Readmissions: Potential Measurements Avoid Readmissions Through Collaboration October 27, 2010 Denise Remus, PhD, RN Chief Quality Officer BayCare Health System Overview Why Focus on Readmissions?
More informationThe 5 W s of the CMS Core Quality Process and Outcome Measures
The 5 W s of the CMS Core Quality Process and Outcome Measures Understanding the process and the expectations Developed by Kathy Wonderly RN,BSPA, CPHQ Performance Improvement Coordinator Developed : September
More informationClinical Program Cost Leadership Improvement
Clinical Program Cost Leadership Improvement December 2017 Presbyterian recently developed a rapid-cycle process for integrating sustainable cost and quality improvements within clinical programs. Population
More informationReducing Preventable Hospital Readmissions in Post Acute Care Kim Barrows RN BSN
Reducing Preventable Hospital Readmissions in Post Acute Care Kim Barrows RN BSN Session Objectives At the end of the session the learner will be able to: 1. Discuss the history of hospital readmission
More informationIntegrated respiratory action network for patients with COPD
Integrated respiratory action network for patients with COPD In this Future Hospital Programme case study Dr Helen Ward describes how a team from The Royal Wolverhampton NHS Trust established a respiratory
More informationOptimizing Care for Complex Patients with COPD
Optimizing Care for Complex Patients with COPD Janice Gasaway, RN, MN, Director Quality & Safety Elvin Perkins, MBA, Chronic Disease Project Manager 1 Cone Health System: Who We Are Regional Health System
More informationEXECUTIVE SUMMARY: briefopinion: Hospital Readmissions Survey. Purpose & Methods. Results
briefopinion: Hospital Readmissions Survey EXECUTIVE SUMMARY: Purpose & Methods The purpose of this survey was to collect information about hospital readmission rates and practices. The survey was available
More informationMedicare 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
More informationUtilizing a Pharmacist and Outpatient Pharmacy in Transitions of Care to Reduce Readmission Rates. Disclosures. Learning Objectives
Utilizing a Pharmacist and Outpatient Pharmacy in Transitions of Care to Reduce Readmission Rates. Disclosures Rupal Mansukhani declares grant support from the Foundation for. Rupal Mansukhani, Pharm.D.
More informationQUALITY IN PULMONARY REHABILITATION
QUALITY IN PULMONARY REHABILITATION GERENE BAULDOFF, PHD, RN, FAACVPR THE OHIO STATE UNIVERSITY COLLEGE OF NURSING WHAT IS QUALITY? Simply put, health care quality is getting: the right care to the right
More informationHospital Inpatient Quality Reporting (IQR) Program
Hospital Inpatient Quality Reporting (IQR) and Hospital Value-Based Purchasing (VBP) Programs Claims-Based Measures Hospital-Specific Report (HSR) Overview and Updates Questions and Answers Moderator Bethany
More informationMedicare 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 May 11, 2009 Avalere Health LLC Avalere Health LLC The intersection
More informationO U T C O M E. record-based. measures HOSPITAL RE-ADMISSION RATES: APPROACH TO DIAGNOSIS-BASED MEASURES FULL REPORT
HOSPITAL RE-ADMISSION RATES: APPROACH TO DIAGNOSIS-BASED MEASURES FULL REPORT record-based O U Michael Goldacre, David Yeates, Susan Flynn and Alastair Mason National Centre for Health Outcomes Development
More informationFollow-up Telephone Contact following Discharge from Long-Term Acute Care Hospitals
Eastern Kentucky University Encompass Doctor of Nursing Practice Capstone Projects Baccalaureate and Graduate Nursing 2016 Follow-up Telephone Contact following Discharge from Long-Term Acute Care Hospitals
More informationQUALITY IMPROVEMENT. Molina Healthcare has defined the following goals for the QI Program:
QUALITY IMPROVEMENT Molina Healthcare maintains an active Quality Improvement (QI) Program. The QI program provides structure and key processes to carry out our ongoing commitment to improvement of care
More informationEffective Care Transitions to Reduce Hospital Readmissions
Effective Care Transitions to Reduce Hospital Readmissions November 8, 2017 Anchorage, Alaska The vicious cycle of readmissions What is Care Transitions? The movement of patients across settings, referred
More informationNZWCS Venous Ulcer Clinical Pathway
NZWCS Venous Ulcer Clinical Pathway A clinical pathway is an optimal sequencing and timing of interventions by clinicians for a particular diagnosis or procedure. The NZWCS venous ulcer pathway predicts
More informationTransitions of Care: The need for collaboration across entire care continuum
H O T T O P I C S I N H E A LT H C A R E, I S S U E # 2 Transitions of Care: The need for collaboration across entire care continuum Safe, quality Transitions Ef f e c t iv e Collaborative Successful The
More informationSandra Robinson, RN, MSN, ACM, CEN
Developing and Measuring Care Coordination Outcome Goals and Objectives ACMA National Conference April 28, 2015 Cleveland Clinic Care Management Sandra Robinson, RN, MSN, ACM, CEN (robinss12@ccf.org) Joan
More informationThe Community Care Navigator Program At Lawrence Memorial Hospital
The Community Care Navigator Program At Lawrence Memorial Hospital Presented By: Linda Gall, MSN, RN, ACM Director of Care Coordination October 21, 2011 Learning Objectives: 1. Describe the vision and
More informationSession Objectives 10/27/2014. How Can I get Beyond the Basics of Hospital Readmission and Become a Preferred Provider? Kim Barrows RN BSN
How Can I get Beyond the Basics of Hospital Readmission and Become a Preferred Provider? Kim Barrows RN BSN Session Objectives At the end of the session the learner will be able to: 1. Discuss the history
More informationExpression of Interest for Wound Care Project
Expression of Interest for Wound Care Project November 11, 2016 Telewound Care EOI Page 1 of 12 Contents 1 Introduction... 3 2 Telewound Care Project Background... 4 2.1 Background... 4 2.2 Purpose...
More informationHospital Readmission Reduction: Not Just Nursing s Job
Hospital Readmission Reduction: Not Just Nursing s Job David Farrell, LNHA, MSW Affordable Care Act - Three Aims Better patient experience Better outcomes Lower costs 1 Linking Payments to Quality Outcomes
More informationCommunity Health Needs Assessment Three Year Summary
Community Health Needs Assessment Three Year Summary 2013 2016 Community Health Needs Assessment Three Year Summary 2014 2016 Key needs were identified by community stakeholders which included the following:
More informationMalnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum. May 2015 avalere.com
Malnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum May 2015 avalere.com Malnutrition Has a Significant Impact on Patient Outcomes MALNUTRITION IS ASSOCIATED WITH
More informationClinical Documentation: Beyond The Financials Cheryll A. Rogers, RHIA, CDIP, CCDS, CCS Senior Inpatient Consultant 3M HIS Consulting Services
Clinical Documentation: Beyond The Financials Cheryll A. Rogers, RHIA, CDIP, CCDS, CCS Senior Inpatient Consultant 3M HIS Consulting Services Clinical Documentation: Beyond The Financials Key Points of
More informationPay-for-Performance. GNYHA Engineering Quality Improvement
Pay-for-Performance GNYHA Engineering Quality Improvement The Writing Is On The Wall IOM Report - Rewarding Provider Performance: Aligning Incentives In Medicare 9/21/06 Medicare P4P and quality improvement
More informationPaying for Outcomes not Performance
Paying for Outcomes not Performance 1 3M. All Rights Reserved. Norbert Goldfield, M.D. Medical Director 3M Health Information Systems, Inc. #Health Information Systems- Clinical Research Group Created
More informationAnnual Leadership Institute August 25, Triple Check: A Process for Preventing False Claims
Annual Leadership Institute August 25, 2016 Triple Check: A Process for Preventing False Claims 1 Your presenter today is: Sophie A. Campbell, MSN, RN, CRRN, RAC-CT, CNDLTC Director, Clinical Advisory
More informationCMS 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 informationVNAA BLUEPRINT FOR EXCELLENCE BEST PRACTICES TO REDUCE HOSPITAL ADMISSIONS FROM HOME CARE. Training Slides
VNAA BLUEPRINT FOR EXCELLENCE BEST PRACTICES TO REDUCE HOSPITAL ADMISSIONS FROM HOME CARE Training Slides 061015 Why Take Action to Prevent Readmissions? Better patient care and patient experience Home
More informationDischarge checklist and follow-up phone calls: the foundation to an effective discharge process
Discharge checklist and follow-up phone calls: the foundation to an effective discharge process Shari Aman, BSN, RN, MBA, CPHQ Denise Andrews, MBA Stephanie Storie, BSN, RN, CMSRN Deb Nation, RN, CMSRN
More informationSNF * Readmissions Bootcamp The SNF Readmission Penalty, Post-Acute Networks, and Community Collaboratives
SNF * Readmissions Bootcamp The SNF Readmission Penalty, Post-Acute Networks, and Community Collaboratives Lindsay Holland, MHA Associate Director, Care Transitions Health Services Advisory Group (HSAG)
More informationQuality Improvement Plan
Quality Improvement Plan Agency Mission: The mission of MMSC Home Care Plus is to at all times render high quality, comprehensive, safe and cost-effective home health care and public health services to
More informationReadmission Policy REIMBURSEMENT POLICY UB-04. Reimbursement Policy Oversight Committee
Readmission Policy Policy Number 2018F7001A Annual Approval Date 11/11/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission
More informationRe-Hospitalizations and the Bottom Line: What SNFs Can Do to Get Ready. Maureen McCarthy, RN, BS, RAC-CT, CPRA President & CEO Celtic Consulting
Re-Hospitalizations and the Bottom Line: What SNFs Can Do to Get Ready Maureen McCarthy, RN, BS, RAC-CT, CPRA President & CEO Celtic Consulting OBJECTIVES Define Rehospitalization and discuss current statistics
More informationCase-mix Analysis Across Patient Populations and Boundaries: A Refined Classification System
Case-mix Analysis Across Patient Populations and Boundaries: A Refined Classification System Designed Specifically for International Quality and Performance Use A white paper by: Marc Berlinguet, MD, MPH
More informationAmbulatory-care-sensitive admission rates: A key metric in evaluating health plan medicalmanagement effectiveness
Milliman Prepared by: Kathryn Fitch, RN, MEd Principal, Healthcare Management Consultant Kosuke Iwasaki, FIAJ, MAAA Consulting Actuary Ambulatory-care-sensitive admission rates: A key metric in evaluating
More informationThe Use Of Guidelines And Clinical Pathways
The Use Of Guidelines And Clinical Pathways Quality & Safety In Healthcare First Congress Lebanese Society for Quality & Safety in Healthcare 15-16 November 2013 Ashraf Ismail, MD, MPH, CPHQ Managing Director,
More information2017 Quality Improvement Work Plan Summary
Project Member Service and Satisfaction Commercial Products: Commercial Project Description: To improve member service and satisfaction and increase member understanding of how the member s plan works.
More informationDevelopment of a Regional Clinical Pathway for Total Hip Replacement in a Rural Health Network
Healthcare Quarterly ONLINE CASE STUDY Development of a Regional Clinical Pathway for Total Hip Replacement in a Rural Health Network Jessica Meleskie and Katrina Wilson 1 Abstract The Grey Bruce Health
More informationInnovation. Successful Outpatient Management of Kidney Stone Disease. Provider HealthEast Care System
Successful Outpatient Management of Kidney Stone Disease HealthEast Care System Many patients with kidney stones return to the ED multiple times due to recurrent symptoms. Patients then tend to receive
More informationBeyond the Hospital Walls: Impact of a SNFist Practice Model
Beyond the Hospital Walls: Impact of a SNFist Practice Model Aaron Snyder, MD Vice President, US Acute Care Solutions Kim Repac Chief Financial Officer, WMHS Aging Population 50 Million Distribution
More informationSkilled Nursing Facility (SNF) Shared Best Practices to Reduce Potentially Preventable Readmissions (PPRs)
Skilled Nursing Facility (SNF) Shared Best Practices to Reduce Potentially Preventable Readmissions (PPRs) Referral Review referrals to determine if care needs can be met in your facility by: Triaging
More informationChristi McCarren, SVP, Retail Health & Community Based Care Lynnell Hornbeck, Manager, Home Health
Christi McCarren, SVP, Retail Health & Community Based Care Lynnell Hornbeck, Manager, Home Health Webinar: Northwest Regional Telehealth Resource Center October 27, 2016 1 MultiCare Health System MultiCare
More informationPatient Identifiers: Facial Recognition Patient Address DOB (month/day year) / / UHHC. Month Day Year / / Month Day Year
Transfer (M0010) CMS Certification Number: 367549 (M0014) Branch State: OH (M0016) Branch ID Number: N/A Patient Identifiers: Facial Recognition Patient Address DOB (month/day year) / / UHHC (M0020) Patient
More informationCutting Avoidable Readmissions Starts in the Emergency Department
WHITE PAPER Cutting Avoidable Readmissions Starts in the Emergency Department SMARTER EMERGENCY CARE: EVERYWHERE, EVERY TIME. Our experience and innovative approach offers smarter solutions for emergency
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 informationUCSF Stanford Center for Research & Innovation in Patient Care. How to Write a Good Abstract: Dos, Don ts, and Helpful Hints
1 UCSF Stanford Center for Research & Innovation in Patient Care How to Write a Good Abstract: Dos, Don ts, and Helpful Hints Before You Begin Susan E. Shapiro, PhD, RN Nancy Donaldson RN, DNSc. FAAN Abstracts
More informationDelivery System Reform The ACA and Beyond: Challenges Strategies Successes Failures Future
Delivery System Reform The ACA and Beyond: Challenges Strategies Successes Failures Future Arnold Epstein MSU 2018 Health Care Policy Conference April 6, 2018 The Good Ole Days 2 Per Capita National Healthcare
More informationHot Spotter Report User Guide
PATIENT-CENTERED CARE Hot Spotter Report User Guide Overview The Hot Spotter Report is designed to give providers and care team members a heads up when their attributed patients appear to be at risk for
More informationIMPROVING HCAHPS, PATIENT MORTALITY AND READMISSION: MAXIMIZING REIMBURSEMENTS IN THE AGE OF HEALTHCARE REFORM
IMPROVING HCAHPS, PATIENT MORTALITY AND READMISSION: MAXIMIZING REIMBURSEMENTS IN THE AGE OF HEALTHCARE REFORM OVERVIEW Using data from 1,879 healthcare organizations across the United States, we examined
More informationramping up for bundled payments fostering hospital-physician alignment
REPRINT May 2016 Angie Curry James P. Fee healthcare financial management association hfma.org ramping up for bundled payments fostering hospital-physician alignment AT A GLANCE When hospitals embark on
More informationFOR LEADINGAGE POST-ACUTE AND LONG TERM SERVICES AND SUPPORTS
December 2016 MODEL SCORE CARD ELEMENTS FOR LEADINGAGE POST-ACUTE AND LONG TERM SERVICES AND SUPPORTS BACKGROUND The purpose of this scorecard is threefold: 1. To help organize quality measures into internal
More informationExecutive Summary. This Project
Executive Summary The Health Care Financing Administration (HCFA) has had a long-term commitment to work towards implementation of a per-episode prospective payment approach for Medicare home health services,
More informationQuality Measures in Healthcare Facilities for Patient Family Advisory Council members
Quality Measures in Healthcare Facilities for Patient Family Advisory Council members Maura Collins Feldman Director, Hospital Performance Measurement & Improvement June 11, 2014 Today s Agenda What are
More informationStrategy Guide Specialty Care Practice Assessment
Practice Transformation Network Strategy Guide Specialty Care Practice Assessment 1/20/2017 1 Strategy Guide: Specialty Care PAT 2.2 Contents: Demographics Tab: 3 Question 1: Aims... 3 Question 2: Aims...
More informationSTRATEGIES AND SOLUTIONS FOR REDUCING INAPPROPRIATE READMISSIONS
WHITE PAPER STRATEGIES AND SOLUTIONS FOR REDUCING INAPPROPRIATE READMISSIONS This paper offers a two-pronged approach to lower readmission rates and avoid Federal penalties. Jasen W. Gundersen, M.D., M.B.A.,
More informationTransitions Through the Care Continuum: Discussions on Barriers to Patient Care, Communications, and Advocacy
Transitions Through the Care Continuum: Discussions on Barriers to Patient Care, Communications, and Advocacy Scott Matthew Bolhack, MD, MBA, CMD, CWS, FACP, FAAP April 29, 2017 Disclosure Slide I have
More informationMedicare 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 informationThe Basics: Disease-Specific Care Certification Clinical Practice Guidelines and Performance Measures
The Basics: Disease-Specific Care Certification Clinical Practice Guidelines and Performance Measures June 21, 2017 Caroline Isbey, RN, MSN, CDE Associate Director, Certification David Eickemeyer, MBA
More informationJoseph W. Thompson, MD, MPH Arkansas Surgeon General Director, Arkansas Center for Health Improvement
Joseph W. Thompson, MD, MPH Arkansas Surgeon General Director, Arkansas Center for Health Improvement Arkansas Health System Improvement Workforce Payment System Health Information Technology Insurance
More informationChallenges and Innovations in Community Health Nursing
Challenges and Innovations in Community Health Nursing Diana Lee Chair Professor of Nursing and Director The Nethersole School of Nursing The Chinese University of Hong Kong An outline The changing context
More informationTHE LOGICAL RECORD ARCHITECTURE (LRA)
THE LOGICAL RECORD ARCHITECTURE (LRA) Laura Sato KITH Conference 27 September 2011 Presentation Overview NHS (England) Informatics NHS Data Standards & Products develops and delivers UK terminologies and
More informationCKHA Quality Improvement Plan (QIP) Scorecard
CKHA Quality Improvement Plan () Scorecard 217-18 Quality dimension Performance Indicator 217-18 Performance Goals results where available Current Value Page Safety Medication Reconciliation completed
More information8/22/2016. Chapter 5. Nursing Process and Critical Thinking. Introduction. Introduction (Cont.) Nursing defined Nursing process
Chapter 5 Nursing Process and Critical Thinking All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Introduction Nursing defined Nursing process
More informationSucceeding 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
More informationHH Compare. IMPACT Act. Measure HHVBP
Measure HH Compare Star Rating Improvement in Bathing X X X Improvement in Bed Transferring X X X Improvement in Ambulation/Locomotion X X X Improvement in Management of Oral Medications X X Improvement
More information2017 Quality Reporting: Claims and Administrative Data-Based Quality Measures For Medicare Shared Savings Program and Next Generation ACO Model ACOs
2017 Quality Reporting: Claims and Administrative Data-Based Quality Measures For Medicare Shared Savings Program and Next Generation ACO Model ACOs June 15, 2017 Rabia Khan, MPH, CMS Chris Beadles, MD,
More information2014 QAPI Plan for [Facility Name]
presented by: Quality Leadership for Long-Term Care 2014 QAPI Plan for [Facility Name] Vision A vision statement is sometimes called a picture of your organization in the future; it is your inspiration
More informationEVOLENT HEALTH, LLC. Heart Failure Program Description 2017
EVOLENT HEALTH, LLC Heart Failure Program Description 2017 1 Evolent Health Heart Failure Program Description 2017 Table of Contents Section Page Number I. Introduction. 3 II. Program Scope. 3 III. Program
More informationCareTrek : Nebraska s Journey to Safe Care Transitions
CareTrek : Nebraska s Journey to Safe Care Transitions Audrey Paulman, MD, MMM Principal Clinical Coordinator CIMRO of Nebraska This material was prepared by CIMRO of Nebraska, the Medicare Quality Improvement
More informationRethinking annual assessments: Identifying and closing gaps in care
Rethinking annual assessments: Identifying and closing gaps in care Expert presenters Curtis A. Mock, MD, MBA, National Medical Director, Complex Population Management Annual in-home assessments provide
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 4/1/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationChronic Disease Management Resources & Services
Chronic Disease Management Resources & Services Michelle Nelson, RN, BSN Director of Ambulatory Services & Chronic Disease Management Gidgett Bates, RN, BSN Manager of Palliative Care, Diabetes Education,
More informationHospital Readmissions
Article Title Hospital Readmissions Published By Pramit Sengupta, Georgia Institute of Technology Hospital Readmissions Overview of Hospital Readmission A readmission is defined as a hospitalization that
More informationHealth Economics Program
Health Economics Program Issue Brief 2006-02 February 2006 Health Conditions Associated With Minnesotans Hospital Use Health care spending by Minnesota residents accounts for approximately 12% of the state
More informationMedicare 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 informationBenchmarking variation in coding across hospitals in Canada: A data surveillance approach
Benchmarking variation in coding across hospitals in Canada: A data surveillance approach Lori Kirby Canadian Institute for Health Information October 11, 2017 lkirby@cihi.ca cihi.ca @cihi_icis Outline
More informationProvider Information Guide Complex Care and Condition Care Overview
Complex and Overview Introduction Complex and are essential components of Passport Health Plan s (Passport) Coordination services, which are used to support the practitioner-patient relationship and plan
More informationUsing EHRs and Case Management to Improve Patient Care and Population Health
Using EHRs and Case Management to Improve Patient Care and Population Health Session #211, February 22, 2017 Thomas Schiller, MD and Jennifer Kuroda, SwedishAmerican Health System A Division of UW 1 Speaker
More informationHospital Readmissions
Hospital Readmissions The Long-Term Care Provider s Ultimate Survival Guide to Incorporating INTERACT TM Into Health Information Technology (HIT) In this survival guide, we ll give you the tips you need
More informationReadmissions Moving beyond blame to fill the patient needs. Jackie Conrad RN, MBA, RCC Cynosure Health
Readmissions Moving beyond blame to fill the patient needs Jackie Conrad RN, MBA, RCC Cynosure Health jconrad@cynosurehealth.org 1 51 year old male with 3 acute care admissions and 2 ED visits in the past
More informationUniversity of Michigan Health System. Inpatient Cardiology Unit Analysis: Collect, Categorize and Quantify Delays for Procedures Final Report
Project University of Michigan Health System Program and Operations Analysis Inpatient Cardiology Unit Analysis: Collect, Categorize and Quantify Delays for Procedures Final Report To: Dr. Robert Cody,
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 2015-2016 3/31/2015 This document is intended to provide health care organizations in Ontario with guidance as to how they
More informationJumpstarting population health management
Jumpstarting population health management Issue Brief April 2016 kpmg.com Table of contents Taking small, tangible steps towards PHM for scalable achievements 2 The power of PHM: Five steps 3 Case study
More information3/14/2014. Preventing Rehospitalizations How to Change Your When in Doubt, Send em Out Way of Thinking. Objectives. Background Information
Preventing Rehospitalizations How to Change Your When in Doubt, Send em Out Way of Thinking Jennifer Moore, RN Content Developer Objectives Describe two reasons why returns to the hospital are not desirable
More informationMinnesota Health Care Home Care Coordination Cost Study
Minnesota Health Care Home Care Coordination Cost Study Lacey Hartman, Elizabeth Lukanen, and Christina Worrall State Health Access Data Assistance Center (SHADAC) Minnesota Health Care Home Learning Days
More informationAt EmblemHealth, we believe in helping people stay healthy, get well and live better.
At EmblemHealth, we believe in helping people stay healthy, get well and live better. Welcome to the 2017 course on Special Needs Plan Model of Care. This year s course is focused on how we can successfully
More informationWinning at Care Coordination Using Data-Driven Partnerships
Idriz Limaj, LNHA, RN Chief Operating Officer Winning at Care Coordination Using Data-Driven Partnerships Session #166, February 22, 2017 1 Steven Littlehale, MS, GCNS-BC EVP & Chief Clinical Officer Speaker
More informationRESPIRATORY HEALTH DELIVERY PLAN
RESPIRATORY HEALTH DELIVERY PLAN 1. BACKGROUND AND CONTEXT Together for Health a Respiratory Health Delivery Plan was published in April 2014 and provides a framework for action by Health Boards and NHS
More informationQuality Standards. Patient Reference Guide. Chronic Obstructive Pulmonary Disease Care in the Community for Adults. November 2017
Quality Standards Patient Reference Guide Chronic Obstructive Pulmonary Disease Care in the Community for Adults November 2017 Quality standards outline what high-quality care looks like. They focus on
More informationPresenter Disclosure
Improving Transitions from the Hospital to Community Settings IHI National Forum Learning Lab Sunday, December 9, 2012 Session L20 Presenter Disclosure Leora Horwitz, MD Assistant Professor of medicine
More information