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Quality

 

Operating revenue fell faster than operating expenses for two years at hospitals which had been merged into or acquired by a new system, with no evidence of improvement on quality measures, according to a report released by the Deloitte Center for Health Solutions and Healthcare Financial Management Association (HFMA).

Communication-and-resolution programs (CRP) at four Massachusetts hospitals led to lower medical liability costs and improvements in patient safety after adverse events, countering concerns that telling patients about errors would motivate more to file lawsuits.

Sacramento, California-based Sutter Physician Services found success in helping to reduce readmissions at its affiliated Sutter Health hospitals by coordinating follow-up appointments and check-in calls with recently discharged patients, but communication and C-suite engagement have been critical to making the effort work.

Oct. 2 is the deadline for clinicians to start collecting performance data for the new Merit-based Incentive Payment System (MIPS) and still be eligible for a positive payment adjustment in 2019. With multiple sources showing clinicians and healthcare finance professionals feel unprepared for the first year of the new payment track, some eligible providers may settle for simply avoiding a negative adjustment.

Overall star ratings on the CMS Hospital Compare website will not be updated in October as previously scheduled, according to the American Hospital Association (AHA).

 

Recent Headlines

Change for the Better: Cleveland Clinic Improves the Patient Experience

After Delos “Toby” Cosgrove, MD, CEO of Cleveland Clinic in Cleveland, Ohio, made a presentation about the hospital’s record of operational excellence at Harvard Business School in Cambridge, Massachusetts, several years ago, a student asked him what the hospital was doing about teaching its physicians empathy.

Benchmarking Physician Performance: Methods and Metrics

Physician employment is back—and this time, it may be here to stay, says Nick Fabrizio, PhD, a principal with the Medical Group Management Association (MGMA) Health Care Consulting Group. "I see the employment trend continuing," he says. "Not only because of declining reimbursement, but because of increases in operating expenses every year. Add in

Streamlining Utilization: HCA North Texas

Nine-hospital health system HCA North Texas, based in Irving, is like most health care organizations in the United States: faced with a challenging financial environment, it needs to find innovative ways to do more with less. Explains Michael Hayes, director of asset management for the health system, "We have to streamline processes that

The New Hospital-Physician Alignment: Preparing for a Value-Based Future

Challenges to the traditional structure of physician economics were already creating a trend toward increased hospital-physician alignment when health care reform added a strong incentive in the form of support for accountable care organizations (ACOs).1 Greg Scrine, managing principal in GE Healthcare's Performance Solutions Integrated Healthcare

Virtua Voorhees Hospital: Patient-Centric Design for Smarter Care

When the team at Virtua, a non-profit health care system headquartered in Marlton, NJ, began planning its new Voorhees hospital location in 2002, it was agreed that the design of the new facility would be governed by patient care. “The goal we had in mind was to spend our money around the patient,” says Virtua CEO Richard Miller. “When we visited

PSO Transforms Smallest State Into Patient Safety Giant

Like their counterparts in other states, hospitals in Rhode Island have experienced their share of tragic outcomes based on medical errors, from mix-ups in medication administration to wrong-site surgeries. However, change is afoot in the state as data pertaining to events are more freely reported by hospital staff, aggregated, and shared by the

Improving the Patient Experience: From Ideal to Imperative

Improving the patient experience has long been a goal of health care providers. However, health care reform is making the patient experience more than just a marketing consideration: the Centers for Medicaid and Medicare Services (CMS) have structured value-based purchasing to link 1% of Medicare reimbursement to a hospital’s performance in quality

Borgess Health: Aligning Physicians to Optimize P4P

Patrick Dyson, executive vice president of strategy and corporative services for Borgess Health (Kalamazoo, Michigan), traces his organization’s “pay for quality” physician alignment strategy back to the Institute of Medicine’s November 1999 report “To Err Is Human.” Following the publication of the report, which shocked many with its statistics on

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