Data Element Uniformity and Cross Se4ng Quality Measures

Size: px
Start display at page:

Download "Data Element Uniformity and Cross Se4ng Quality Measures"

Transcription

1 Data Element Uniformity and Cross Se4ng Quality Measures Stella Mandl, RN, Technical Advisor Tara McMullen, MPH, PhD(c), Analyst Anita Yuskauskas, PhD, Technical Director

2 Data Assessment Elements Goal When we keep in mind the ulamate goal of and step back to look at the big picture of what s been done to prepare, it becomes clearer where the work converges; how much of the work is connected and has already been done to achieve Achieving Uniformity to Facilitate Effec6ve Communica6on for Be:er Care of Individuals and Communi6es 2

3 CARE: Background 2000: Benefits Improvement & ProtecFon Act (BIPA) mandated standardized assessment items across the Medicare program, to supersede current items 2005: Deficit ReducFon Act (DRA) Mandated the use of standardized assessments across acute and post- acute sejngs Established Post- Acute Care Payment Reform DemonstraAon (PAC- PRD) which included a component tesang the reliability of the standardized items when used in each Medicare sejng 2006: Post- Acute Care Payment Reform DemonstraFon requirement: Data to meet federal HIT interoperability standards 3

4 CARE: Concepts Guiding Principles and Goals: Assessment Data is: Standardized Reusable InformaAve Communicates in the same informaaon across sejngs Ensures data transferability forward and backward allowing for interoperability StandardizaFon: Reduces provider burden Increases reliability and validity Offers meaningful applicaaon to providers Facilitates paaent centered care, care coordinaaon, improved outcomes, and efficiency Fosters seamless care transiaons Evaluates outcomes for paaents that traverse sejngs Allows for measures to follow the paaent Assesses quality across sejngs, and Inform payment modeling 4

5 Current State Data, Document and Transmission: A value stream for convergence PaAent and Resident Assessments uniform only at the provider- type level CommunicaAon not standardized Care CommunicaAon: Gap Measures lack harmonizaaon Providers double document/triple document Assessment Data not interoperable Data elements don t map exactly across sejngs Reliance on cross walks Quality measures only measure quality in one sejng 5

6 Building the Future State Assessment Instrument/Data Sets use uniform and standardized items Measures are harmonized at the Data Element level Providers/vendors have public access to standards Data Elements are easily available with naaonal standards to support PAC health informaaon technology (IT) and care communicaaon Transfer of Care Documents are able to incorporate uniform Data Elements used in PAC sejngs, if desired Measures can evaluate quality across sejngs 6

7 Keeping in Mind, the Ideal State FaciliAes are able to transmit electronic and interoperable Documents and Data Elements Provides convergence in language/terminology Data Elements used are clinically relevant Care is coordinated using meaningful informafon that is spoken and understood by all Measures can evaluate quality across se4ngs and evaluate intermisent and long term outcomes Measures follow the person Incorporates needs beyond healthcare system 7

8 Ideal State: Data Elements The Ideal Document and Data Elements would: Stop the push and pull of compeang documentaaon needs Be naturally occurring in paaent care documentaaon Able to serve mulaple purposes Create a common spoken and IT language Allow for reusable data E- specified using Federally accepted standards Allow for Interoperability Facilitate care coordinaaon through standardized communicaaon Be usable across the conanuum of care, and beyond the healthcare system Meet these requirements: Reflect natural Create useful informaaon for paaent care communicaaon and transfers of care Supply quality related informaaon Be available for payment methodology 8

9 As Is Transi6on To Be Nursing Homes MDS LTCHS LTCH CARE Data Set As Is: MulFple IncompaFble Data Sources InpaAent Rehab FaciliAes IRF- PAI Home Health Agencies OASIS Hospitals No Standard Data Set Physicians No Standard Data Set OutpaAent SeJngs No Standard Data Set GOAL: Uniform Data Elements Across Providers Standardized NaAonally Veded To Be: Uniform Assessment Data Elements Enable Use/re- use of Data Exchange PaFent- Centered Health Info Promote High Quality Care Support Care TransiFons Reduce Burden Expand QM AutomaFon Support Survey & CerFficaFon Process Generate CMS Payment 9

10 Future and Ideal States: Use of Data Elements Care Settings InpaFent RehabilitaFon FaciliFes Long term Care Hospitals Skilled Nursing FaciliFes Home Health Agencies Hospitals Hospice Physicians Community: LTSS/HCBS Data library of standardized elements SeJngs can pull from standardized inventory for data elements needed for assessments and/ or measures Data elements serve mulaple purposes, specifically a clinical purpose Use of standardized data elements in any sejng, for mulaple purposes especified 10

11 11 Data Element Library Concept Standardized data derived from CMS LTPAC PaFent Assessment Instruments, Clinical Quality Measures (CQMs), and other data requirements CMS Data Sets NH: MDS HHA: OASIS IRF: IRF:PAI LTCH: CARE Data Set HOSPICE Item Set (not assessment based now) Standardized metadata, pafent data, unique idenffiers (QuesFons, Responses and Data), clinical vocabularies and exchange standards mappings Data Element Library Data Consumers Care Planning CQM Reporting Payment (CMS /Stats) Program Integrity and Reg Compliance Research ecqm ReporFng: QDM Payment Survey and Certification CARE Data sets validated and applied by each Data Consumer Patient Transfers Other Data Users

12 Data Element Library & Oversight Data Element Library 12

13 CMS Quality ReporFng and Performance Programs Hospital Quality Physician Quality ReporFng Post Acute Care Payment Model ReporFng PopulaFon Quality ReporFng Medicare and Medicaid EHR IncenFve Program PPS- Exempt Cancer Hospitals InpaFent Psychiatric FaciliFes InpaFent Quality ReporFng Medicare and Medicaid EHR IncenFve Program Physician Quality ReporFng System (PQRS) erx quality reporfng InpaFent RehabilitaFon Facility Nursing Home Compare Measures LTCH Quality ReporFng Hospice Quality ReporFng Medicare Shared Savings Program Hospital Value- based Purchasing Physician Feedback/Value- based Modifier* ESRD QIP Medicaid Adult Quality ReporFng* CHIPRA Quality ReporFng* Health Insurance Exchange Quality ReporFng* Medicare Part C* Medicare Part D* HAC payment reducfon program Home Health Quality ReporFng Readmission reducfon program OutpaFent Quality ReporFng Ambulatory Surgical Centers PAC Assessment Data 13

14 CMS Vision for Quality Measurement Align measures with the National Quality Strategy and Six Measure Domains Implement measures that fill critical gaps within the six domains Develop parsimonious sets of measures - core sets of measures Remove measures that are no longer appropriate (e.g., topped out) Align measures with external stakeholders, including private payers and boards and specialty societies Continuously improve quality measurement over time Align measures across CMS programs whenever and wherever possible 14

15 Alignment: NQF #0678: Percent of Residents or PaFents with Pressure Ulcers that are New or Worsened Originally implemented in the skilled nursing facility sejng Expanded to Long Term Care Hospitals and InpaFent RehabilitaFon FaciliAes Goal of expansion: harmonizafon of priority HAC Skilled nursing facility data suggests validity and reliability of this quality measure Overall feedback regarding this measure has been posifve Further review, analysis and modificaaons are needed CMS and RTI has integrated feedback from interviews, environmental scan and TEP to inform modificaaons to this measure 15

16 CMS Framework for Measurement Care Coordination Clinical Quality of Care Care type (preventive, acute, post-acute, chronic) Conditions Subpopulations Person- and Caregiver- Centered Experience and Outcomes Patient experience Caregiver experience Preference- and goaloriented care Patient and family activation Infrastructure and processes for care coordination Impact of care coordination FuncFon Safety All-cause harm HACs HAIs Unnecessary care Medication safety Population/ Community Health Health Behaviors Access Physical and Social environment Health Status Efficiency and Cost Reduction Cost Efficiency Appropriateness Measures should be patientcentered and outcome-oriented whenever possible Measure concepts in each of the six domains that are common across providers and settings can form a core set of measures 16

17 Improving Medicare Post- Acute Care TransformaFon (IMPACT) Act of 2014 Requires Standardized PaAent Assessment Data that will enable Medicare to: 1. Compare quality across PAC sejngs 2. Improve hospital and PAC discharge planning 3. Use this informaaon to reform PAC payments (via site neutral or bundled payments or some other reform) while ensuring conanued beneficiary access to the most appropriate sejng of care. PaAent Assessment Data Requirement for InpaFent Hospitals (medical condiaon, funcaonal status, cogniave funcaon, living situaaon, access to care at home, and any other indicators necessary for assessing paaent need)

18 FuncFonal Status FuncAon is a measurement area that touches on all 6 PrioriAes. FuncAonal status is relevant to all sejngs: High priority to consumers Specialized area of care provided by post- acute care providers, including IRFs, LTCHs, SNFs, and HHAs Long term outcomes link to funcaon FuncAonal Status data are collected by post acute care providers for payment and quality monitoring: IRFs (payment), SNFs (payment), LTCHs (risk adjustor for quality) and HHAs (payment and quality). However, funcaonal status data are currently sejng- specific and are not easily compared. 18

19 Standardizing FuncFon Acute HCBS Post Acute 19

20 Measures in Development IRF Functional Outcome Measure: Change in self- care score for medical rehabilitation patients. IRF Functional Outcome Measure: Change in mobility score for medical rehabilitation patients. IRF Functional Outcome Measure: Discharge mobility score for medical rehabilitation patients. IRF Functional Outcome Measure: Discharge self- care score for medical rehabilitation patients. Percent of LTCH patients with an admission and discharge functional assessment and a care plan that addresses function. LTCH Functional Outcome Measure: Change in mobility among patients requiring ventilator support. 20

21 FuncFonal Status Quality Measures Data collecaon using the CARE Item Set occurred as part of the Post Acute Care Payment Reform DemonstraAon and included 206 acute and PAC providers hdp://www.cms.gov/medicare/quality- IniAaAves- PaAent- Assessment- Instruments/Post- Acute- Care- Quality- IniAaAves/ CARE- Item- Set- and- B- CARE.html 21

22 CMS Library Concept & CARE CMS Assessment Data Element Library HCBS CARE OASIS- C IRF- PAI MDS 3.0 LTCH CARE Data Set CARE

23 CMS Vision for Quality Measurement Align measures with the National Quality Strategy and Six Measure Domains Implement measures that fill critical gaps within the six domains Develop parsimonious sets of measures - core sets of measures Remove measures that are no longer appropriate (e.g., topped out) Align measures with external stakeholders, including private payers and boards and specialty societies Continuously improve quality measurement over time Align measures across CMS programs whenever and wherever possible 23

24 CMS Vision for MU

25 TEFT Grant Program Addresses the Vision Four Components of TEFT Test an experience of care survey Test a set of data elements from the functional domain in the Continuity Assessment Record & Evaluation (CARE) Demonstrate personal health records with guidance from the Department of Defense (DoD) Identify, evaluate and harmonize standards for electronic long term services and supports (e-ltss) records in conjunction with the Office of National Coordinator s (ONC) Standards and Interoperability (S&I) Framework

26 Expansion of CARE to CB- LTSS Goals for expanding CARE items to CB- LTSS: Standardizes assessment concepts across populations and settings of care Supports person centered care through transitions Facilitates quality monitoring across providers and settings Leverages existing standards developed for the interoperable exchange of CARE items, specifically function Achieves other administrative benefits such as Aligns with Balancing Incentive Program (BIP) requirements Reduces costs to develop assessment tools Reduces data collection burden Increases ability to report data to CMS Supports bundled payment initiatives

Data Standardization: Looking Forward in Post-Acute Care. Stella Mandl, RN Technical Advisor Centers for Medicare & Medicaid Services

Data Standardization: Looking Forward in Post-Acute Care. Stella Mandl, RN Technical Advisor Centers for Medicare & Medicaid Services Data Standardization: Looking Forward in Post-Acute Care Stella Mandl, RN Technical Advisor Centers for Medicare & Medicaid Services As Is T ransit io n To Be Nursing Homes MDS LTCHS LTCH CARE Data Set

More information

CMS Vision for Quality Measurement and Public Reporting

CMS Vision for Quality Measurement and Public Reporting CMS Vision for Quality Measurement and Public Reporting Annual Policy Conference Federation of American Hospitals Kate Goodrich, M.D., M.H.S. Quality Measurement & Health Assessment Group, Center for Clinical

More information

Centers for Medicare & Medicaid Services Quality Measurement and Program Alignment

Centers for Medicare & Medicaid Services Quality Measurement and Program Alignment Centers for Medicare & Medicaid Services Quality Measurement and Program Alignment 1 Conflict of Interest Disclosure Deborah Krauss, MS, BSN, RN Maria Michaels, MBA, CCRP, PMP Maria Harr, MBA, RHIA Have

More information

Broad Issues in Quality Measurement: the CMS perspective

Broad Issues in Quality Measurement: the CMS perspective Broad Issues in Quality Measurement: the CMS perspective Shari M. Ling, MD Deputy Chief Medical Officer Centers for Medicare & Medicaid Services Workshop on Quality Measurement Developing Evidence-Based

More information

Performance Measurement in CMS Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS

Performance Measurement in CMS Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS Performance Measurement in CMS Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS Mind the Gap: Improving Quality Measures in Accountable Care Systems October

More information

CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS

CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS American Urological Association Quality Improvement Summit

More information

IMPACT Act: Connecting Post-Acute Care Across the Care Continuum

IMPACT Act: Connecting Post-Acute Care Across the Care Continuum IMPACT Act: Connecting Post-Acute Care Across the Care Continuum Jennie Harvell, M.Ed, Senior Technical Adviser, Centers for Medicare & Medicaid Services Terrence A. O Malley, MD, Physician, Massachusetts

More information

Value Based Care and Healthcare Reform

Value Based Care and Healthcare Reform Value Based Care and Healthcare Reform Dimensions in Cardiac Care November, 2014 Jacqueline Matthews, RN, MS Senior Director, Quality Reporting & Reform Quality and Patient Safety Institute Cleveland Clinic

More information

Updates on CMS Quality, Value and Public Reporting

Updates on CMS Quality, Value and Public Reporting Updates on CMS Quality, Value and Public Reporting Federation of American Hospitals Policy Conference Kate Goodrich, MD MHS Director, Quality Measurement and Value Based Incentives Group, CMS June 17,

More information

QUALITY BEGINNER. PQRS Training Module: QUALITY MEASUREMENT 101. Last Updated: August 2014

QUALITY BEGINNER. PQRS Training Module: QUALITY MEASUREMENT 101. Last Updated: August 2014 QUALITY 01 BEGINNER PQRS Training Module: QUALITY MEASUREMENT 101 Last Updated: August 2014 TRAINING MODULE OBJECTIVES Quality Measurement 101 is a training module for providers who are interested in learning

More information

Value-Based Payment and Health System Transformation

Value-Based Payment and Health System Transformation Value-Based Payment and Health System Transformation National Health Policy Forum Patrick Conway, M.D., MSc CMS Chief Medical Officer Deputy Administrator for Innovation and Quality Director, Center for

More information

PRESSURE ULCERS: CMS UPDATE AND PERSPECTIVES

PRESSURE ULCERS: CMS UPDATE AND PERSPECTIVES PRESSURE ULCERS: CMS UPDATE AND PERSPECTIVES Shari M. Ling, MD Deputy Chief Medical Officer Center for Clinical Standards & Quality, Centers for Medicare & Medicaid Services Stella Mandl, RN Quality Measurement

More information

Fiscal Year 2016 proposed Inpatient and Long-term Care Hospital policy and payment changes (CMS-1632-P)

Fiscal Year 2016 proposed Inpatient and Long-term Care Hospital policy and payment changes (CMS-1632-P) Fiscal Year 2016 proposed Inpatient and Long-term Care Hospital policy and payment changes (CMS-1632-P) Date 2015-04-17 Title Fiscal Year 2016 proposed Inpatient and Long-term Care Hospital policy and

More information

September 3, Submitted electronically

September 3, Submitted electronically September 3, 2015 Andrew M. Slavitt Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1622-P Room 445-G Hubert H. Humphrey Building

More information

Medicare & Medicaid EHR Incentive Programs

Medicare & Medicaid EHR Incentive Programs Medicare & Medicaid EHR Incentive Programs Stage 2 NPRM Overview Robert Anthony Office of E-Health Standards and Services Marsha Smith Office of Clinical Standards and Quality March 21, 2012 Proposed Rule

More information

Post-acute care providers: Shortcomings in Medicare s fee-for-service highlight the need for broad reforms

Post-acute care providers: Shortcomings in Medicare s fee-for-service highlight the need for broad reforms C h a p t e r7 Post-acute care providers: Shortcomings in Medicare s fee-for-service highlight the need for broad reforms C H A P T E R 7 Post-acute care providers: Shortcomings in Medicare s fee-for-service

More information

May 7, 2012. Submitted Electronically

May 7, 2012. Submitted Electronically May 7, 2012 Submitted Electronically Secretary Kathleen Sebelius Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: 2014 edition EHR

More information

Charting a Path Forward for Uniform Assessment of LTSS Needs. Roundtable Report

Charting a Path Forward for Uniform Assessment of LTSS Needs. Roundtable Report Charting a Path Forward for Uniform Assessment of LTSS Needs Roundtable Report Barbara Gage, Ph.D. G. Lawrence Atkins, Ph.D. Elizabeth Blair Deanna Marion June 10, 2014 Supported by a grant from The SCAN

More information

PL 111-148 and Amendments: Impact on Post-Acute Care for Health Care Systems

PL 111-148 and Amendments: Impact on Post-Acute Care for Health Care Systems PL 111-148 and Amendments: Impact on Post-Acute Care for Health Care Systems By Kathleen M. Griffin, PhD. There are three key provisions of the law that will have direct impact on post-acute care needs

More information

Medicare Skilled Nursing Facility Prospective Payment System

Medicare Skilled Nursing Facility Prospective Payment System Medicare Skilled Nursing Facility Prospective Payment System Payment Rule Brief FINAL RULE Program Year: FFY 2016 Overview and Resources On August 4, 2015, the Centers for Medicare and Medicaid Services

More information

2014: Volume 4, Number 1. A publication of the Centers for Medicare & Medicaid Services, Office of Information Products & Data Analytics

2014: Volume 4, Number 1. A publication of the Centers for Medicare & Medicaid Services, Office of Information Products & Data Analytics 2014: Volume 4, Number 1 A publication of the Centers for Medicare & Medicaid Services, Office of Information Products & Data Analytics Medicare Post-Acute Care Episodes and Payment Bundling Melissa Morley,¹

More information

Blueprint for Post-Acute

Blueprint for Post-Acute Blueprint for Post-Acute Care Reform Post-acute care is a critical component within our nation s healthcare system and an essential aspect of care for many patients making a full recovery possible after

More information

Reimbursement Outlook and Analysis

Reimbursement Outlook and Analysis HIDA Webinar Series Reimbursement Outlook and Analysis SNFs, HHAs, & IRFs Agenda Current Regulatory Landscape Skilled Nursing Facilities Home Health Agencies Independent Rehab Facilities Healthcare Reform

More information

Quality Reporting and Registry Update: Challenges and Strategies for Success. Heather Smith, PT, MPH September 13, 2014

Quality Reporting and Registry Update: Challenges and Strategies for Success. Heather Smith, PT, MPH September 13, 2014 Quality Reporting and Registry Update: Challenges and Strategies for Success Heather Smith, PT, MPH September 13, 2014 1 SETTING THE STAGE FOR TOMORROW 2014 American Physical Therapy Association. All rights

More information

Inpatient Rehabilitation Facility Quality Reporting Program Train-the-Trainer Conference. May 2, 2012. Centers for Medicare & Medicaid Services 1

Inpatient Rehabilitation Facility Quality Reporting Program Train-the-Trainer Conference. May 2, 2012. Centers for Medicare & Medicaid Services 1 Division of National Systems Operationalizing Data Submission for ACA Section 3004 Stacy Mandl, RN Division of National Systems Who Are We? The Division of National Systems is located within the Data and

More information

Last January, the parent organization of CMS, the Department of Health and

Last January, the parent organization of CMS, the Department of Health and Executive White Paper Series April 2015 In Cooperation With: This white paper series is produced by the LINK Conference, whose mission is to accelerate productivity and innovation in long term care and

More information

June 2, 2014. RE: File Code CMS-1608-P. Dear Ms. Tavenner:

June 2, 2014. RE: File Code CMS-1608-P. Dear Ms. Tavenner: . June 2, 2014 Marilyn Tavenner Centers for Medicare & Medicaid Services Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue SW Washington, DC RE: File Code CMS-1608-P Dear Ms. Tavenner: The

More information

Integrating Post-Acute Providers with Health System Strategies

Integrating Post-Acute Providers with Health System Strategies Integrating Post-Acute Providers with Health System Strategies Bridging the Acute and Post-Acute Worlds The opinions expressed are those of the presenter and do not necessarily state or reflect the views

More information

White Paper: Standardizing Rehab Outcome Measures

White Paper: Standardizing Rehab Outcome Measures optimahcs.com White Paper: Standardizing Rehab Outcome Measures Ellen Strunk, Rehab Resources & Consulting, Inc. in partnership with Optima Healthcare Solutions 4229 SW High Meadows Avenue Palm City, Florida

More information

1,146 1,097 1,008. 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Year

1,146 1,097 1,008. 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Year Chairman Brady, Ranking Member McDermott, distinguished Committee members. I am Mark Miller, executive director of the Medicare Payment Advisory Commission (MedPAC). I appreciate the opportunity to be

More information

Centers for Medicare & Medicaid Services 1

Centers for Medicare & Medicaid Services 1 Affordable Care Act Section 3004 Inpatient Rehabilitation Facility Quality Reporting Program Provider Training Caroline D. Gallaher, R.N., B.S.N, J.D. CMS, Office of Clinical Standards and Quality Division

More information

CMS s framework for Value Modifier

CMS s framework for Value Modifier CMS s framework for Value Modifier Relationship between quality of care, cost composites and the Value Modifier Clinical Care Patient Experience Population/ Community Health Patient Safety Care Coordination

More information

RE: CMS-1605-P; Medicare Program - Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2015

RE: CMS-1605-P; Medicare Program - Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2015 June 27, 2014 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1605-P Room 445-G Hubert H. Humphrey Building 200 Independence

More information

Timeline for Health Care Reform

Timeline for Health Care Reform Patient Protection and Affordable Care Act (H.R. 3590) and the Reconciliation Bill (H.R. 4872) March 24, 2010 Color Code: Hospitals Insurance Coverage Other/Workforce Delivery System 2010 Expands the RAC

More information

AGENCY-SPECIFIC PLAN FOR THE NATIONAL QUALITY STRATEGY

AGENCY-SPECIFIC PLAN FOR THE NATIONAL QUALITY STRATEGY AGENCY-SPECIFIC PLAN FOR THE NATIONAL QUALITY STRATEGY Adult Medicaid Quality Grants Program The Adult Medicaid Quality Grants Program is a 2-year funding opportunity designed to support grantee Medicaid

More information

CMS HIT for Care Transitions CARE, MDS, OASIS

CMS HIT for Care Transitions CARE, MDS, OASIS CMS HIT for Care Transitions CARE, MDS, OASIS NQF Care Coordination Meeting March 27, 2008 Joanne Lynn, MD, MA, MS Division of Chronic and Post-Acute Care Quality Measures and Health Assessment Group Office

More information

Healthcare Reform: What Does the Future Hold for Long Term Care. John Sheridan, MHSA, FACHE President ehealth Data Solutions, LLC June 11, 2014

Healthcare Reform: What Does the Future Hold for Long Term Care. John Sheridan, MHSA, FACHE President ehealth Data Solutions, LLC June 11, 2014 YOUR DATES HERE Healthcare Reform: What Does the Future Hold for Long Term Care John Sheridan, MHSA, FACHE President ehealth Data Solutions, LLC June 11, 2014 Health Care Reform what it holds for LTC Why

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Discharge Planning

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Discharge Planning DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services ICN 908184 October 2014 This booklet was current at the time it was published or uploaded onto the web. Medicare policy

More information

Request for Information: Advancing Interoperability and Health Information Exchange

Request for Information: Advancing Interoperability and Health Information Exchange April 22, 2013 Ms. Marilyn Tavenner Acting Administrator, Chief Operating Officer Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Farzad Mostashari, MD, ScM National

More information

Healthcare Reform Update Conference Call VI

Healthcare Reform Update Conference Call VI Healthcare Reform Update Conference Call VI Sponsored by the Healthcare Reform Educational Task Force October 9, 2009 2:00-2:45 2:45 pm Eastern Healthcare Delivery System Reform Provisions in America s

More information

Inpatient Transfers, Discharges and Readmissions July 19, 2012

Inpatient Transfers, Discharges and Readmissions July 19, 2012 Inpatient Transfers, Discharges and Readmissions July 19, 2012 Discharge Status Codes Two-digit code Identifies where the patient is at conclusion of encounter Visit Inpatient stay End of billing cycle

More information

BUNDLING ARE INPATIENT REHABILITATION FACILITIES PREPARED FOR THIS PAYMENT REFORM?

BUNDLING ARE INPATIENT REHABILITATION FACILITIES PREPARED FOR THIS PAYMENT REFORM? BUNDLING ARE INPATIENT REHABILITATION FACILITIES PREPARED FOR THIS PAYMENT REFORM? Uniform Data System for Medical Rehabilitation Annual Conference August 10, 2012 Presented by: Donna Cameron Rich Bajner

More information

Center for Medicare and Medicaid Services. Shari M Ling, MD CMS Deputy Chief Medical Officer. September 11, 2014

Center for Medicare and Medicaid Services. Shari M Ling, MD CMS Deputy Chief Medical Officer. September 11, 2014 Center for Medicare and Medicaid Services Shari M Ling, MD CMS Deputy Chief Medical Officer September 11, 2014 Shaping the future of Aging in Place An understanding of factors that allow people to remain

More information

Medicare & Medicaid EHR Incentive Programs- Past, Present, & Future. Travis Broome, Centers for Medicare & Medicaid Services 12/18/2012

Medicare & Medicaid EHR Incentive Programs- Past, Present, & Future. Travis Broome, Centers for Medicare & Medicaid Services 12/18/2012 Medicare & Medicaid EHR Incentive Programs- Past, Present, & Future Travis Broome, Centers for Medicare & Medicaid Services 12/18/2012 Medicare-only Eligible Professionals Medicaid-only Eligible Professionals

More information

Welcome to the Data Analytics Toolkit PowerPoint presentation on clinical quality measures, meaningful use, and data analytics.

Welcome to the Data Analytics Toolkit PowerPoint presentation on clinical quality measures, meaningful use, and data analytics. Welcome to the Data Analytics Toolkit PowerPoint presentation on clinical quality measures, meaningful use, and data analytics. According to the Centers for Medicare and Medicaid Services, Clinical Quality

More information

Meaningful Use Stage 2 Requirements Primer

Meaningful Use Stage 2 Requirements Primer WHITE PAPER Meaningful Use Stage 2 Requirements Primer Shefali Mookencherry, MPH, MSMIS, RHIA Principal Consultant Hayes Management Consulting Hayes WHITE PAPER: Meaningful Use Stage 2 Requirements Source:

More information

How Health Reform Will Affect Health Care Quality and the Delivery of Services

How Health Reform Will Affect Health Care Quality and the Delivery of Services Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care

More information

Accelerating Innovation in Health Care Payment and Delivery: The CMS Innovation Center

Accelerating Innovation in Health Care Payment and Delivery: The CMS Innovation Center Accelerating Innovation in Health Care Payment and Delivery: The CMS Innovation Center William J. Kassler, MD, MPH Chief Medical Officer, New England Region Center for Medicare & Medicaid Innovation We

More information

Hot Topics in Post Acute Care

Hot Topics in Post Acute Care HCCA Hawaii Regional Conference October 15, 2010 Hot Topics in Post Acute Care Lynda Hilliard, CHC, CCEP Deputy Compliance Officer University of California Hot Topics in Post Acute Care Presentation Objectives:

More information

Medicare Value-Based Purchasing Programs

Medicare Value-Based Purchasing Programs By Jane Hyatt Thorpe and Chris Weiser Background Medicare Value-Based Purchasing Programs To improve the quality of health care delivered to Medicare beneficiaries, the Centers for Medicare and Medicaid

More information

HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs

HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs March 26, 2015 Agenda Meaningful Use Stage 3 NPRM 2015

More information

SMD# 13-001 ACA #23. Re: Health Home Core Quality Measures. January 15, 2013. Dear State Medicaid Director:

SMD# 13-001 ACA #23. Re: Health Home Core Quality Measures. January 15, 2013. Dear State Medicaid Director: DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 SMD# 13-001 ACA #23 Re: Health Home Core Quality

More information

Meaningful Use Stage 2: What s Next?

Meaningful Use Stage 2: What s Next? Meaningful Use Stage 2: What s Next? Stage 2 Proposed Rule Lisa Hays, Program Manager Sue Shumate, Implementation Specialist MO-12-02-REC April 2012 Slides adapted from Robert Anthony, CMS Steve Posnack

More information

CMS Physician Quality Reporting Programs Strategic Vision

CMS Physician Quality Reporting Programs Strategic Vision CMS Physician Quality Reporting Programs Strategic Vision FINAL DRAFT March 2015 1 EXECUTIVE SUMMARY As the largest payer of healthcare services in the United States, the Centers for Medicare & Medicaid

More information

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use Stage 1 Focuses on Functional & Interoperability

More information

Meaningful Use Stage 2 2014

Meaningful Use Stage 2 2014 Meaningful Use Stage 2 2014 Marcela Reyes, CHTS- CP Sevocity Product Manager 877-777-2298!! www.sevocity.com! ! What is Meaningful Use?! How do I parbcipate?! Medicare or Medicaid?! Register! ADest Meaningful

More information

LOOKING FORWARD TO STAGE 2 MEANINGFUL USE. 2012 Louisiana HIPAA & EHR Conference Presenter: Kathleen Keeley

LOOKING FORWARD TO STAGE 2 MEANINGFUL USE. 2012 Louisiana HIPAA & EHR Conference Presenter: Kathleen Keeley LOOKING FORWARD TO STAGE 2 MEANINGFUL USE 2012 Louisiana HIPAA & EHR Conference Presenter: Kathleen Keeley Topics of Discussion Stage 2 Eligibility Stage 2 Meaningful Use Clinical Quality Measures Payment

More information

Using Data to Understand the Medicare Spending Per Beneficiary Measure

Using Data to Understand the Medicare Spending Per Beneficiary Measure Using Data to Understand the Medicare Spending Per Beneficiary Measure Mary Wheatley, AAMC Jacqueline Matthews, Cleveland Clinic Keely Macmillan, Partners Healthcare December 17, 2013 Webinar Details The

More information

Medicare Long-Term Care Hospital Prospective Payment System

Medicare Long-Term Care Hospital Prospective Payment System Medicare Long-Term Care Hospital Prospective Payment System Payment Rule Brief PROPOSED RULE Program Year: FFY 2015 Overview, Resources, and Comment Submission On May 15, the Centers for Medicare and Medicaid

More information

Medicare Physician Reporting: Beyond PQRS. Mary Patton Wheatley Senior Specialist, AAMC August 17, 2011

Medicare Physician Reporting: Beyond PQRS. Mary Patton Wheatley Senior Specialist, AAMC August 17, 2011 Medicare Physician Reporting: Beyond PQRS Mary Patton Wheatley Senior Specialist, AAMC August 17, 2011 Who is the AAMC? The Association of American Medical Colleges (AAMC) serves and leads the academic

More information

June 25, 2012. Dear Acting Administrator Tavenner,

June 25, 2012. Dear Acting Administrator Tavenner, June 25, 2012 Marilyn B. Tavenner, RN, Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1588-P P.O. Box 8011 Baltimore, MD 21244-1850

More information

Regulations Overview

Regulations Overview Meaningful Use - Stage 2 Regulations Overview Brought to you by Presented by: Travis Broome, MPH, MBA September 18, 2012 Objectives Specific regulatory changes and requirements based on the CMS Stage 2

More information

Executive summary. review the prospects for reform across Medicare s payment systems for post-acute care.

Executive summary. review the prospects for reform across Medicare s payment systems for post-acute care. Executive summary Executive summary By law, the Medicare Payment Advisory Commission reports to the Congress each March on the Medicare fee-for-service (FFS) payment systems, the Medicare Advantage (MA)

More information

Summary: The Improving Medicare Post-Acute Care Transformation Act of 2014 (The IMPACT Act) (H.R. 4994/S. 2553) Overview

Summary: The Improving Medicare Post-Acute Care Transformation Act of 2014 (The IMPACT Act) (H.R. 4994/S. 2553) Overview Transformation Act of 2014 (The IMPACT Act) (H.R. 4994/S. 2553) Overview The IMPACT Act amends Title XVIII of the Social Security Act to require post-acute care (PAC) providers to report and share standardized

More information

Post-Acute Care and Long-Term Care: A Complex Relationship

Post-Acute Care and Long-Term Care: A Complex Relationship Post-Acute Care and Long-Term Care: A Complex Relationship PRESENTED TO: 2011 Long-Term Care Interest Group Policy Seminar PRESENTED BY: Allen Dobson, Ph.D. PREPARED BY: Allen Dobson, Ph.D., Joan E. DaVanzo,

More information

Institute of Medicine Roundtable on Health Literacy The CMS Perspective

Institute of Medicine Roundtable on Health Literacy The CMS Perspective Institute of Medicine Roundtable on Health Literacy The CMS Perspective Shari M. Ling, MD Deputy Chief Medical Officer Centers for Medicare & Medicaid Services November, 2011 * The materials in this presentation

More information

UNIVERSITY OF VIRGINIA BOARD OF VISITORS MEETING OF THE MEDICAL CENTER OPERATING BOARD FOR THE UNIVERSITY OF VIRGINIA TRANSITIONAL CARE HOSPITAL

UNIVERSITY OF VIRGINIA BOARD OF VISITORS MEETING OF THE MEDICAL CENTER OPERATING BOARD FOR THE UNIVERSITY OF VIRGINIA TRANSITIONAL CARE HOSPITAL UNIVERSITY OF VIRGINIA BOARD OF VISITORS MEETING OF THE MEDICAL CENTER OPERATING BOARD FOR THE UNIVERSITY OF VIRGINIA TRANSITIONAL CARE HOSPITAL FEBRUARY 18, 2016 UNIVERSITY OF VIRGINIA MEDICAL CENTER

More information

The importance of home and community-based settings in population health management

The importance of home and community-based settings in population health management The importance of home and community-based settings in population health management Nathan Cohen Dieter van de Craen Andrija Stamenovic Charles Lagor Philips Home Monitoring March 2013 Philips Healthcare

More information

Stage 2 Overview Tipsheet Last Updated: August, 2012

Stage 2 Overview Tipsheet Last Updated: August, 2012 Stage 2 Overview Tipsheet Last Updated: August, 2012 Overview CMS recently published a final rule that specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical

More information

Repeal the Sustainable Growth Rate (SGR), avoiding annual double digit payment cuts;

Repeal the Sustainable Growth Rate (SGR), avoiding annual double digit payment cuts; Background Summary of H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015 SGR Reform Law Enacts Payment Reforms to Improve Quality, Outcomes, and Cost On April 16, 2015, the President signed

More information

Medicare s post-acute care: Trends and ways to rationalize payments

Medicare s post-acute care: Trends and ways to rationalize payments C h a p t e r7 Medicare s post-acute care: Trends and ways to rationalize payments R E C O M M E N D A T I O N 7 The Congress should direct the Secretary of Health and Human Services to eliminate the differences

More information

February 24, 2012 (202) 690-6145 CMS PROPOSES DEFINITION OF STAGE 2 MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGY

February 24, 2012 (202) 690-6145 CMS PROPOSES DEFINITION OF STAGE 2 MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGY DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Communications FACT SHEET FOR IMMEDIATE RELEASE Contact:

More information

UPDATE ON THE ADOPTION OF HEALTH INFORMATION TECHNOLOGY AND RELATED EFFORTS TO FACILITATE THE ELECTRONIC USE AND EXCHANGE OF HEALTH INFORMATION

UPDATE ON THE ADOPTION OF HEALTH INFORMATION TECHNOLOGY AND RELATED EFFORTS TO FACILITATE THE ELECTRONIC USE AND EXCHANGE OF HEALTH INFORMATION www.ilhitrec.org UPDATE ON THE ADOPTION OF HEALTH INFORMATION TECHNOLOGY AND RELATED EFFORTS TO FACILITATE THE ELECTRONIC USE AND EXCHANGE OF HEALTH INFORMATION JULY 2013 Information is widely recognized

More information

The Triple AIM and the Affordable Care Act

The Triple AIM and the Affordable Care Act The Triple AIM and the Affordable Care Act Preparing for the Future: Alzheimer s Disease & Related Dementias Lawrence Ramunno, SVP, Medical Director Care Management and Integration June 15, 2013 1 If you

More information

CPDP Strategy Session on Stage 2 Meaningful Use

CPDP Strategy Session on Stage 2 Meaningful Use CPDP Strategy Session on Stage 2 Meaningful Use March 29, 2012 Christine Bechtel, Vice President National Partnership for Women & Families David Lansky,President and Chief Executive Officer Pacific Business

More information

= AUDIO 8/20/2015. e Clinical Quality Reporting for Hospitals and Providers. An Important Reminder. Mission of OFMQ. Ashley Rhude RHIA, CHTS IM

= AUDIO 8/20/2015. e Clinical Quality Reporting for Hospitals and Providers. An Important Reminder. Mission of OFMQ. Ashley Rhude RHIA, CHTS IM e Clinical Quality Reporting for Hospitals and Providers Ashley Rhude RHIA, CHTS IM An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906 0123. Step 2: Enter code 2071585#. Step

More information

Partnerships for Population Health 9/23/2013

Partnerships for Population Health 9/23/2013 Partnerships for Population Health 9/23/2013 Barbara McCann, Chief Industry Officer, Interim HealthCare Brian Silverstein, MD, President, HC Wisdom Amanda Twiss, President, Garnet Advisors 1 Continuum

More information

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions ACOG Government Affairs May 2015 The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions This landmark bipartisan legislation, signed into law

More information

September 4, 2012. Submitted Electronically

September 4, 2012. Submitted Electronically September 4, 2012 Ms. Marilyn Tavenner Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1589-P P.O. Box 8016 Baltimore, MD 21244-8016

More information

Principles and Strategy for Accelerating Health Information Exchange (HIE)

Principles and Strategy for Accelerating Health Information Exchange (HIE) Principles and Strategy for Accelerating Health Information Exchange (HIE) I. Background As a nation, we are transforming health care delivery into a system that is patient-centered and value-based. Existing

More information

Exchanged Quality Data for Rehabilitation (EQUADR SM ) Patient Safety Organization & Inpatient Rehabilitation Facility Quality Reporting

Exchanged Quality Data for Rehabilitation (EQUADR SM ) Patient Safety Organization & Inpatient Rehabilitation Facility Quality Reporting Exchanged Quality Data for Rehabilitation (EQUADR SM ) Patient Safety Organization & Inpatient Rehabilitation Facility Quality Reporting Suzanne Snyder, FACHE, PT, CPHM Administrative Director Carolinas

More information

Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation

Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation Proposal 113 th Congress - - H.R.4015/S.2000 114 th Congress - - H.R.1470 SGR Repeal and Annual Updates General

More information

Submitted Electronically RE: CMS-1609-P: ISSUE # 1: Solicitation of Comments on Definitions of Terminal Illness and Related Conditions :

Submitted Electronically RE: CMS-1609-P: ISSUE # 1: Solicitation of Comments on Definitions of Terminal Illness and Related Conditions : June 20, 2014 Submitted Electronically Ms. Marilyn B. Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 200 Independence Avenue, SW Washington, DC

More information

CMS National Dry Run: All-Cause Unplanned Readmission Measure for 30 Days Post Discharge from Inpatient Rehabilitation Facilities

CMS National Dry Run: All-Cause Unplanned Readmission Measure for 30 Days Post Discharge from Inpatient Rehabilitation Facilities CMS National Dry Run: All-Cause Unplanned Readmission Measure for 30 Days Post Discharge from Inpatient Rehabilitation Facilities Special Open Door Forum October 20, 2015 2-3 PM ET RTI International is

More information

Population Health Management: Banner Health Network s Perspective. Neta Faynboym, Medical Director Banner Health Network

Population Health Management: Banner Health Network s Perspective. Neta Faynboym, Medical Director Banner Health Network Population Health Management: Banner Health Network s Perspective Neta Faynboym, Medical Director Banner Health Network 29 Acute Care Hospitals BANNER AT A GLANCE Banner Health Network with 400K lives

More information

RE: Advancing Interoperability and Health Information Exchange

RE: Advancing Interoperability and Health Information Exchange April 21, 2013 Ms. Marilyn Tavenner Acting Administrator, Chief Operating Officer Centers for Medicare and Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD

More information

Who Reports NQF 18 NCQA

Who Reports NQF 18 NCQA Who Reports NQF 18 Various providers & health care systems are required and/or incentivized to annually report this clinical measure to payers such as CMS and national quality entities. The next slides

More information

The Right Care for the Right Cost: Post-Acute Care and the Triple Aim. Tianna Tu Ike Bennion Michelle Templin

The Right Care for the Right Cost: Post-Acute Care and the Triple Aim. Tianna Tu Ike Bennion Michelle Templin The Right Care for the Right Cost: Tianna Tu Ike Bennion Michelle Templin September 2014 The Right Care for the Right Cost: Tianna Tu Ike Bennion Michelle Templin CONTENTS Introduction.... 1 What is Post-Acute

More information

Who are we? *Founded in 2005 by Purdue University, the Regenstrief Center for Healthcare Engineering, and the Indiana Hospital Association.

Who are we? *Founded in 2005 by Purdue University, the Regenstrief Center for Healthcare Engineering, and the Indiana Hospital Association. Who are we? Purdue Healthcare Advisors (PHA)*, a business unit of Purdue University, specializes in affordable assistance to organizations that share our passion for healthcare transformation. We bring

More information

The Future of Home Health Care Project MAY 2014

The Future of Home Health Care Project MAY 2014 The Alliance for Home Health Quality & Innovation The Future of Home Health Care Project MAY 2014 About the Alliance The Alliance for Home Health Quality & Innovation is a 501(c)(3) foundation with a mission

More information

June 16, Dear Mr. Slavitt:

June 16, Dear Mr. Slavitt: Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, DC 20201 RE: CMS-1622-P, Medicare Program;

More information

Overview of MU Stage 2 Joel White, Health IT Now

Overview of MU Stage 2 Joel White, Health IT Now Overview of MU Stage 2 Joel White, Health IT Now 1 Agenda 1. Introduction 2. Context 3. Adoption Rates of HIT 4. Overview of Stage 2 Rules 5. Overview of Issues 6. Trend in Standards: Recommendations v.

More information

Of EHRs and Meaningful Use. Pat Wise, RN, MA, MS FHIMSS COL (USA ret d) VP, Healthcare Information Systems, HIMSS

Of EHRs and Meaningful Use. Pat Wise, RN, MA, MS FHIMSS COL (USA ret d) VP, Healthcare Information Systems, HIMSS Of EHRs and Meaningful Use Pat Wise, RN, MA, MS FHIMSS COL (USA ret d) VP, Healthcare Information Systems, HIMSS 1 MU: Where We are Today From www.cms.gov As of the end of January 31, 2013: >210,000 EPs

More information

Office of Medical Assistance Programs. Health Information Technology Initiative. Health Information Exchange Support

Office of Medical Assistance Programs. Health Information Technology Initiative. Health Information Exchange Support Office of Medical Assistance Programs Health Information Technology Initiative Health Information Exchange Support State Medicaid Health Information Technology Plan (SMHP) State Medicaid Director Letters

More information

Meaningful Use: Terms & Timelines, Changes to Stage 1, and Stage 2 Overview

Meaningful Use: Terms & Timelines, Changes to Stage 1, and Stage 2 Overview Meaningful Use: Terms & Timelines, Changes to Stage 1, and Stage 2 Overview NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Agenda Terms & Timelines of Meaningful

More information

Agenda. Overview of Stage 2 Final Rule Impact to Program

Agenda. Overview of Stage 2 Final Rule Impact to Program Electronic Health Record (EHR) Incentive Payment Program Review of Meaningful Use Stage 2 Regulation Changes and Other Impacts to the Medicaid EHR Incentive Program for 2014 that combines the effective

More information

Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use

Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use June 23, 2011 Avalere Health LLC Avalere Health LLC The intersection of business strategy and public policy Table of

More information

WOUND CARE POLICY UPDATE

WOUND CARE POLICY UPDATE WOUND CARE POLICY UPDATE Marcia Nusgart R.Ph. Executive Director Alliance of Wound Care Stakeholders Coalition of Wound Care Manufacturers www.woundcarestakeholders.org Presented at The Business of Wound

More information

Creating Strategic Alliances for Post-Acute Coordination of Care

Creating Strategic Alliances for Post-Acute Coordination of Care Creating Strategic Alliances for Post-Acute Coordination of Care Kathleen Yosko, PhD President/CEO Wheaton Franciscan Health Care Sole Illinois property Free-standing facility 101 IRF beds 27 SNF beds

More information

Comparison of Discharge Functional Status Rehabilitation: Hip Fracture Repair. Trudy Mallinson, PhD, OTR/L

Comparison of Discharge Functional Status Rehabilitation: Hip Fracture Repair. Trudy Mallinson, PhD, OTR/L Comparison of Discharge Functional Status Rehabilitation: Hip Fracture Repair Trudy Mallinson, PhD, OTR/L Acknowledgements Co-authors Anne Deutsch, PhD, CRRN Jillian Bateman, OTD, OTR/L Hsiang-Yi Tseng,

More information