April 30, 2012 by Jerri Lynn Ward, J.D.
Filed under Assisted Living, Hospitals, Licensed Health Providers, Medicaid, Medicare, Nursing Homes, Operational Issues, Other Posts, Patient Protection and Affordable Care Act, Quality Assurance
Since October 2008, the Centers for Medicare and Medicaid Services (“CMS”) have not paid hospitals for certain hospital-acquired conditions. That is, CMS will not pay for certain conditions that were not present in the patient upon admission. The conditions are, as designated by CMS, conditions that are: (a) high cost or high volume or both, [...]
The New England Journal of Medicine recently published an article regarding four habits of effective hospitals. Although the article is geared towards, hospitals, the principles below are applicable to any health care organization. Specification and planning – Base choices, transitions, subgroups, and patient pathway on specific, meaningful criteria. Infrastructure design – Create microsystems to meet the needs [...]
The reviewers will be using standardized checklists as part of the new review process. The good news is that these checklists are available for providers and may be printed and used as internal QA.
The Centers for Medicare and Medicaid Services (CMS) announced last week that it will offer cash incentives to improve quality of care in nursing homes. CMS will ask Arizona, Mississippi, New York, and Wisconsin to participate. (Source) Quality of care areas include nurse staffing and the scope and severity of deficiency citations the home has [...]
The Texas Department and Aging and Disability Services (DADS) notified Community Living Assistance and Support Services (CLASS) providers that Form 8604, the Transition Assistance Services (TAS) Assessment and Authorization, has been replaced by Form 3621-A, CLASS Transition Assistance Services. See the TAS handbook for more information. DADS is offering new forms for programs like Deaf/Blind [...]
Last week, the Centers for Medicare & Medicaid Services (CMS) announced a final rule that restates its commitment to implementing Value Based Purchasing incentives, one of which is to improve the quality of care with Medicare in hospital outpatient departments (HOPDs). CMS hopes to give hospitals an incentive to improve care by tying quality of [...]
As the stereotype goes, physicians’ handwriting is notoriously illegible. Last week, the Centers for Medicare & Medicaid Services (CMS) announced a new electronic prescribing system designed to eliminate medication errors caused by people misreading handwritten prescriptions. (Source) Kerry Weems, CMS acting administrator said “more than 1.5 million Americans are injured every year by drug errors. [...]
The Centers for Medicare and Medicaid Services (CMS) announced last week that a pilot pay-for-performance program, which pays doctors based on quality of care, has lowered costs “in some cases” and improved quality of care for patients with congestive heart failure, coronary artery disease, and diabetes. According to CMS, four of the 10 groups participating [...]
Yesterday, the Centers for Medicare and Medicaid Services (CMS) proposed to change the way it pays Medicare reimbursements to hospitals. (Kaiser Network) CMS seeks to reduce payments by a flat rate (2 percent to 5 percent) to create an “incentive payment pool” for hospitals that meet quality of care thresholds. According to CQ HealthBeat, the [...]
Mary Ousley, past chair of the American Health Care Association, which represents long term care providers, testified before a congressional committee last week about the long term care professionâ€™s experience with the Omnibus Budget Reconciliation Act of 1987 (OBRA â€˜87). OBRA ’87 is considered landmark legislation because it established many nursing home oversight rules in [...]