Center for Medicare and Medicaid Services required Hospital More and more to demonstrate that they are not only reducing the cost of health services, but that they are coordinating better care for patients. Various programs have aimed to do this, including implementing computerized patient records, turning to alternative payment models that reward quality over service, and reporting Medicare patient data on quality and safety measures.
Outstanding performers are rewarded, but many hospitals also face penalties. While national readmission rates are falling, federal data shows that in 2014, a record more than 2,600 hospitals were fined because too many patients had to return for care within 30 days.
These topics were discussed during a panel on Tuesday in the District of Columbia US News Hospital of Tomorrow Conference, Titled “Medical encouragement and punishment: important lessons learned.” Panel members included Kim Heinrichsen, vice president of clinical operations and chief nursing officer Intermountain Healthcare; Akin Demihin, Senior Associate Director of Policy at the American Hospital Association; And Dr. Elizabeth Mort, Senior Vice President of Quality and Safety, and Chief Quality Officer Massachusetts General Hospital.
Ellen Lukens, senior vice president of Avalier Health, moderated the conversation.
- The panelists discussed hospitals’ evaluation of various measures, including incentive programs for hospital-acquired conditions, readmissions, and digital health records.
- Hospitals that reduced excess readmissions decreased Treatment Demehin said that payment by 3 percent. Data from the American Hospital Association shows that hospitals saved $ 420 million in 2016, and more than $ 1.3 billion in penalties since 2013.
- Mort shared that Massachusetts General Hospital’s three overarching goals included pioneering quality, improving patient safety, and incorporating external surveys and measures.
- Henriksen said looking at the length of stay of patients involves looking at the appropriate length for each.
- Demihin said, however, that the system could penalize hospitals that serve the number of needy patients and the number of people with complex conditions. “Some of the differences in patient population are not just by measures,” he said. “Some hospitals are targeting certain groups and doing what they should, but are still seeing an increase in readmission rates.”
- Mort showed statistics that hospitals need to make their quality measures online for the public to increase their accountability and results have improved.
- Mort also said that the hospital was focused on Administrative burden and burn, Because the new requirements may create more work for hospital staff.
- Giving better care means keeping patients engaged in their well-being. Henriksen reported that Intermountain Healthcare had changed its mission from providing excellence in health care to “helping people live the healthiest lives”.
The session showed a range of deductions and bonuses from the Centers for Medicare and Medicaid Services, both demonstrating how regulations help improve care, but where regulations can improve themselves. The panelists agreed that more data is needed on the Medicare population or baby boomers, which will continue to grow as more people age in the system.
“We don’t have good measures for that population,” Mort said. “Measures focus on specific disease rather than patient populations.”