It is certainly a good idea to avoid readmissions that are deemed unnecessary. However, from the vantage point of risk and patient safety, the sword of readmissions reduction has another sharp and dangerous edge. Plain and simple, along with sensible system solutions, there will be irrational but powerful pressures exerted on the gatekeepers of inpatient admission to send sick patients home rather than readmit them.
The patient satisfaction survey, HCAHPS, reflects patients’ perspectives of their hospital experience. The survey results are used to compare hospitals to each other using measures that are significant to healthcare consumers. HCAHPS scores are used by CMS to determine a slice of reimbursement to hospitals, making up 25% of a hospital’s Total Performance Score in the Hospital Value-Based Purchasing program for 2016.
The following case is from an online CME course by Dan Sullivan, MD, JD, FACEP. The course, Batch Events - Catastrophic System Risk, explores the question:
What is a batch medical incident or batch claim and why read a course on this subject?
Batch medical incident is a term coined by the insurance industry to recognize and manage a certain type of legal claim.
Providing a better patient experience continues to challenge hospitals and other medical facilities, despite:
What prompted this deluge of interest?
In pursuit of our mission to improve patient safety and reduce risk, The Sullivan Group (TSG) held our semi-annual gathering of the Risk, Safety, and Quality (RSQ™) Collaborative in mid-November. The RSQ Collaborative, formed in 2010, is an elite group of nationally and internationally recognized clinical champions that share TSG’s passion for reducing medical risk, the frequency of medical errors, and ultimately saving patient’s lives.
Healthcare is all abuzz about evidence-based medicine (EBM), and legions of clinicians are struggling with how to incorporate EBM into the new paradigm of providing the safest possible high-quality healthcare in the most efficient manner.
Fifteen years ago, the Institute of Medicine (IOM) published a landmark report “To Err is Human: Building a Safer Health System.” The IOM shocked the world revealing that up to 98,000 humans may die each year as a result of medical errors. That actually came as no surprise to those of us dedicated to patient safety and medical error reduction for the last two decades.As a healthcare provider, one need only pay attention to see that the frequency of errors is obvious. As a healthcare worker with a family member in the hospital, a tally sheet is required if you want to know the real frequency of medical error. Count them up.
[4 MIN READ]
World Stroke Day, established by the World Stroke Organization in 2006, is observed worldwide on October 29 to underscore the serious nature and high rates of stroke, raise awareness of the prevention and treatment of the condition, and ensure better care and support for survivors.
Stroke has emerged as one of the most significant quality, risk and safety issues of the 21st century.
Consider some of the numbers:
This presentation will be a bit of a departure from our typical clinical case presentation-discussion format. But the time has come to offer a look at the medical marketplace from 20,000 feet, how healthcare organizations are responding, the regulatory changes that are tied to clinical performance, and the support TSG provides to facilitate this clinical transformation to achieve success.
What follows is a summary of program updates for FY2017 that will impact healthcare reimbursement.
Value-Based Purchasing Program:
The Value-Based Purchasing (VBP) Program for FY2017 (with performance period of 2015) will focus on several domains:
