LeadingAge INsights. Market Intelligence Suite. flourish
|
|
- Hannah Roberta Lang
- 7 years ago
- Views:
Transcription
1 LeadingAge INsights Market Intelligence Suite Tools designed to help your organization flourish
2 Introductions JASON GOTTSCHALK EXECUTIVE DIRECTOR THE VILLAGE AT ROCKVILLE A NATIONAL LUTHERAN COMMUNITY ANN PATTERSON HEALTH CARE ADMINISTRATOR BROADMEAD, INC. CO-CHAIR EDUCATION COMMITTEE LEADINGAGE MARYLAND
3 First things first login information
4
5
6
7
8
9
10
11
12
13
14
15 CMS Changes 5-Star Rating Methodology (Feb 2015) Staffing A facility now needs to achieve a 4 star rating in either the RN or total nursing rating in order to achieve a 4 star overall staffing rating Quality Measures Added the two antipsychotic measures (long-stay and short-stay) Re-scaled the cut points for each star level so it now takes more total points to achieve a 5-star QM rating (from 616 to 760) Results A decline in the percentage of overall 5-star nursing homes nationally from 28.9% to 21.9% An increase in the percentage of overall 1-star nursing homes nationally from 8.5% to 16.2%
16 CMS New Quality Measures (April 2016) 1-5 will impact five-star rating (July 2016) 1. Percentage of short-stay residents who were successfully discharged to the community (Claims-based) 2. Percentage of short-stay residents who have had an outpatient emergency department visit (Claims-based) 3. Percentage of short-stay residents who were re-hospitalized after a nursing home admission (Claims-based) 4. Percentage of short-stay residents who made improvements in function (MDS-based) 5. Percentage of long-stay residents whose ability to move independently worsened (MDS-based) 6. Percentage of long-stay residents who received an antianxiety or hypnotic medication (MDS-based) (Not affecting five-star)
17 5 Star Analysis SEE SAMPLE REPORT HANDOUT
18
19
20 Ask the Avalere Expert frequently asked questions: 1. I cannot access my facility s report? What does this mean? - Low volume of data in The community was a Medicaid only provider Avalere reports are based on Medicare FFS (fee for service) claims data - The community was not in operation in What is the difference between these reports? Q1 Readmission report Q2 Market Share Report Q3 Length of stay report 3. What is the data year? All reports are populated from data analytics available in Avalere s Vantage Care Positioning System (Vantage CPS). To create episodes of care, Vantage CPS used 2013 CMS standard analytic files in combination with other CMS data. The files include claims data from January 1, 2013 December 31, The reports are based on Medicare Part A claims data and provider information by CMA. The data from 2014 should be available in March, My readmission report lacks data why? HIPAA constraints say that any data with a value less than 11 cannot be displayed and is listed as not reportable.
21 LeadingAge Survey and Certification Reports
22 Survey and Certification reports
23 What will the report tell you? The reports are prepared using data from the Online Survey Certification and Reporting (OSCAR) network. These reports offer members and state affiliates a comprehensive overview of survey deficiency metrics on regional, state, and national levels, and they include information on staffing levels, inspection results, and other statistics by state and type of ownership. Nursing Homes can also download a 1-page summary statement of their individualized report, with specific data on staffing levels, inspection results, and other statistics compared to that of their state, region and the country. With this additional facilityspecific benchmarking report, Nursing Homes will have a more comprehensive overview of their survey deficiency metrics.
24
25
26
27
28
29 Ask the Housing Expert
30 Ask the Housing Expert Real-time responses to your biggest preservation and finance-related housing questions from Gates Dunaway, a national expert on affordable housing preservation. She can also be a resource for members who may have targeted questions on existing guidance related to preservation opportunities being considered or processes under way.
31 Ask the MDS Expert
32
33 Market SnapShots Reports
34
35
36
37
38
39 Questions? Comments? THOUGHTS?
40 Thank you! For more information visit
HCANJ. 44 th Annual 20-Hour Symposium March 16, 2016 FIVE-STAR RATING SYSTEM & QUALITY MEASURES
HCANJ 44 th Annual 20-Hour Symposium March 16, 2016 FIVE-STAR RATING SYSTEM & QUALITY MEASURES NELIA ADACI RNC, BSN, CDONA, C-NE, RAC-CT VICE PRESIDENT, The CHARTS Group LEARNING OBJECTIVES: CURRENT 5-STAR
More informationLearning Objectives 4/19/2016. The Five-Star Ratings Have Changed IMPROVING YOUR CMS FIVE-STAR QUALITY RATING KAY HASHAGEN, PT, MBA, RAC-CT
IMPROVING YOUR CMS FIVE-STAR QUALITY RATING KAY HASHAGEN, PT, MBA, RAC-CT Learning Objectives How to analyze the current Star Rating in each area Evaluate current operations to determine the most critical
More informationObjectives. Objectives. The Facility Compliance Program Handbook 3/11/2016. Training 1
Understanding the Five Star Quality Rating System Design For Nursing Home Compare Nathan Shaw RN, BSN, MBA, LHRM, RAC CT 3.0 Director of Clinical Reimbursement March 23rd, 2015 Objectives Objectives Provide
More informationSUMMARY OF THE CHANGES TO FIVE STAR ANNOUNCED BY CMS. Mark Parkinson AHCA/NCAL President & CEO All member call February 13 th, 2015
SUMMARY OF THE CHANGES TO FIVE STAR ANNOUNCED BY CMS Mark Parkinson AHCA/NCAL President & CEO All member call February 13 th, 2015 AHCA Requests to CMS Do not go back to a curve Phase in any changes Rebasing
More informationFive Star Rating System Tip Sheet
Five Star Rating System Tip Sheet In December 2008, The Centers for Medicare & Medicaid Services (CMS) enhanced its Nursing Home Compare public reporting site to include a set of quality ratings for each
More informationUnderstanding CMS 5-Star Rating System
Understanding CMS 5-Star Rating System Michelle M. Pandolfi, LMSW, MBA, LNHA, PMP Director, Consulting Services Qualidigm This material was prepared by the New England Quality Innovation Network-Quality
More informationUnderstanding the 5-Star Ratings and Quality Measures
Understanding the 5-Star Ratings and Quality Measures Erica Holman, LMSW, LNHA, CDP Evolucent Risk Management Consultant Learner Objectives Describe the CMS 5-Star Rating system Define the relationship
More informationGAO NURSING HOMES. CMS Needs Milestones and Timelines to Ensure Goals for the Five-Star Quality Rating System Are Met
GAO United States Government Accountability Office Report to Congressional Committees March 2012 NURSING HOMES CMS Needs Milestones and Timelines to Ensure Goals for the Five-Star Quality Rating System
More informationNursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version]
Nursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version] Final Report June 16, 2014 Prepared for Centers for Medicare & Medicaid Services (CMS) AGG/Research Contracts & Grants
More informationOutcomes & Beyond: Maximizing Benefits of Short Term Rehab
Outcomes & Beyond: Maximizing Benefits of Short Term Rehab March 16, 2015 Speakers Todd Boslau ParenteBeard, Partner Cara D. Todhunter MA, CCC/SLP-L, NHA, MPM Asbury Heights, Administrative Director of
More informationDesign for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide. March 2009
Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide March 2009 (Revised April 1) Introduction The Centers for Medicare & Medicaid Services (CMS) has enhanced its Nursing
More informationThe Role of Telehealth in an Integrated Health Delivery System
The Role of Telehealth in an Integrated Health Delivery System How Telehealth Can Provide the Bridge Between Patients and Healthcare Providers Against the changing landscape of healthcare reform, healthcare
More informationValue-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 informationThank You for Joining!
Thank You for Joining! New England Nursing Home Quality Care Collaborative Massachusetts Learning & Sharing Webinar: QAPI Data Techniques August 25, 2015 Call-In Number: 855-309-6568 Access Code: 7523186
More informationClimate Change. What Does this Mean? The Fault is in Our Stars. Leading Age Regulatory Day April 2, 2015. Michele Conroy Rolf Goffman Martin Lang LLP
The Fault is in Our Stars Leading Age Regulatory Day April 2, 2015 Michele Conroy Rolf Goffman Martin Lang LLP Climate Change HHS set explicit goals to shift payments from Volume to Value Affordable Care
More informationQuarterly Quality Report
Quarterly Quality Report Calendar Year st Quarter (January-March ) Click here to read the previous quarterly report. Health & Rehab is a not-for-profit organization that operates three facilities in the
More informationHCAHPS and Hospital Value-Based Purchasing (Hospital VBP)
Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov HCAHPS and Hospital Value-Based Purchasing (Hospital VBP) Agency for Healthcare Research and Quality Centers
More informationQuarterly Quality Report
Quarterly Quality Report Calendar Year th Quarter (October-December ) Click here to read the previous quarterly report. Health & Rehab is a not-for-profit organization that operates three facilities in
More informationMeasuring and Benchmarking Hospital Re-Admission Rates for Quality Improvement. Second National Medicare Readmissions Summit Cary Sennett, MD, PhD
Measuring and Benchmarking Hospital Re-Admission Rates for Quality Improvement Second National Medicare Readmissions Summit Cary Sennett, MD, PhD Presentation Outline & Goals The Problem of Readmission
More informationBradley N. Shiverick. Senior Vice President Healthcare Analytics. bshiverick@teamtsi.com Office 256.279.6802 cell 256.677.8546
Bradley N. Shiverick Senior Vice President Healthcare Analytics bshiverick@teamtsi.com Office 256.279.6802 cell 256.677.8546 Need Help? [Toll Free] 800.765.8998 support@teamtsi.com Agenda Five Star Rating
More informationUpdates 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 information9/28/2015. Nursing Home Quality Measures - Achieving 5 Stars. Nursing Home Quality Measures Achieving 5 Stars
Welcome the webinar will begin shortly! Nursing Home Quality Measures - Achieving 5 Stars Audio for this presentation is being broadcast, so if you have not already done so, please enable the sound on
More informationPEPPER, CASPER/ OSCAR, QM and 5 Star Reports. Lisa Thomson Vice President www.pathwayhealth.com
PEPPER, CASPER/ OSCAR, QM and 5 Star Reports Lisa Thomson Vice President www.pathwayhealth.com Objectives Identify the purpose of the PEPPER and CASPER (OSCAR) report Identify the purpose of the Quality
More informationNational Trends in Medicare Alternative Payment Models. James Michel Senior Director, Medicare Reimbursement & Policy AHCA
National Trends in Medicare Alternative Payment Models James Michel Senior Director, Medicare Reimbursement & Policy AHCA Discussion Review of CMS priorities and goals related to shifting Medicare spending
More informationDeveloping Successful Hospital Partnerships
Developing Successful Hospital Partnerships Michael Logan, MHA Director of Operations Services Publication Date: May 2013 2013 Sawgrass Partners, LLC DEVELOPING SUCCESSFUL HOSPITAL PARTNERSHIPS Those aging
More information2014 Performance Implications for Payment Programs
2014 Performance Implications for Payment Programs 2014 Assumptions Relative Readmission Rates 2 2014 Readmission Reduction Incentive Program Established April 2014 Readmission reduction target of 6.76%
More informationThe Strategic Way to Manage Healthcare Performance Data analytics and benchmarking
The Strategic Way to Manage Healthcare Performance Data analytics and benchmarking Value Based Purchasing Begins in 2016 Will You Be Ready? Chris Attaya VP of Business Intelligence, Strategic Healthcare
More informationOptum s Role in Mycare Ohio
Optum s Role in Mycare Ohio What is MyCare Ohio? New opportunities generated by the Affordable Care Act have allowed Ohio to implement the MyCare Ohio program. MyCare Ohio is a demonstration project that
More informationA predictive analytics platform powered by non-medical staff reduces cost of care among high-utilizing Medicare fee-for-service beneficiaries
A predictive analytics platform powered by non-medical staff reduces cost of care among high-utilizing Medicare fee-for-service beneficiaries Munevar D 1, Drozd E 1, & Ostrovsky A 2 1 Avalere Health, Inc.
More informationThe Financial Impact of Readmissions. Agenda
The Financial Impact of Readmissions A STAAR Initiative Webinar Amy Boutwell, MD, MPP Barbara Balik, RN, EdD May 12, 2010 Agenda Discuss: Why do this analysis? Describe the approach of the roadmap Present
More informationCompliance Audit Tool
CMS FY 2011 Top 10 Hospice Survey Deficiencies Compliance Audit Tool National Hospice and Palliative Care Organization www.nhpco.org/regulatory This audit tool is based on CMS s national aggregated analysis
More informationPatient Centered Medical Home: An Approach for the Health Plan
: An Approach for the Health Plan By Marissa A. Harper and JoAnn E. Balara Excellence in healthcare consulting The Medical Home Concept Works Recent Medicare demonstration projects on Patient Centered
More informationLinking Quality to Payment
Linking Quality to Payment Background Our nation s health care delivery system is undergoing a major transformation as reimbursement moves from a volume-based methodology to one based on value and quality.
More informationFive-Star Nursing Home Quality Rating System
Five-Star Nursing Home Quality Rating System This is a summary of the information contained in the CMS Technical User s Guide July 2012. The guide in its entirety can be found at CMS.gov. Since the launch
More informationUSE OF HOME HEALTH SERVICES AMONG HIGH-RISK RURAL MEDICARE BENEFICIARIES AND OUTCOMES OF CARE
USE OF HOME HEALTH SERVICES AMONG HIGH-RISK RURAL MEDICARE BENEFICIARIES AND OUTCOMES OF CARE AOTA/AOTF PRE-CONFERENCE INSTITUTE TRACY MROZ, PHD, OTR/L APRIL 6, 2016 BACKGROUND Home health playing increasing
More informationTelemedicine and Nursing Home Hospitalizations
Telemedicine and Nursing Home Hospitalizations David Grabowski, PhD A. James O Malley, PhD Harvard Medical School Supported by Commonwealth Fund NH Hospitalizations are Frequent (and increasing over time)
More informationPL 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 informationData Entry for the Advancing Excellence Campaign What You Need To Know
Data Entry for the Advancing Excellence Campaign What You Need To Know An important step in quality improvement is to regularly review your facility s progress toward meeting its goals. In fact, this is
More informationPIONEER ACO A REVIEW OF THE GRAND EXPERIMENT. Norris Vivatrat, MD Associate Medical Director Monarch HealthCare
PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT Norris Vivatrat, MD Associate Medical Director Monarch HealthCare 2 Agenda Pioneer ACO basics, performance and challenges Monarch HealthCare Post-acute network
More informationPIONEER ACO A REVIEW OF THE GRAND EXPERIMENT
PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT Norris Vivatrat, MD Associate Medical Director Monarch HealthCare 2 Agenda Pioneer ACO basics, performance and challenges Monarch HealthCare Post-acute network
More informationCare Transformation and the Journey to Population Health Management
Care Transformation and the Journey to Population Health Management Richard A Bankowitz, MD MBA FACP Chief Medical Officer, Premier healthcare alliance AMGA Institute for Quality September 26, 2013 Premier:
More informationFive-Star Rating System: How to Prepare Your Pharmacy. Donna K. Thiel Partner King & Spalding, LLP Washington, DC
Five-Star Rating System: How to Prepare Your Pharmacy Donna K. Thiel Partner King & Spalding, LLP Washington, DC Star Rating: Active Purchasing The Centers for Medicare and Medicaid Services (CMS) put
More information4/27/2015. LeadingAge Michigan 2015 Annual Conference Dearborn, MI Monday May 18th, 2015. Jon Golm, President
LeadingAge Michigan 2015 Annual Conference Dearborn, MI Monday May 18th, 2015 Jon Golm, President Aging Improving Enriched Post Discharge Services, LLC Outcomes Mike Logan, SVP/COO Wellspring Lutheran
More informationImproving Dementia Care and Reducing Unnecessary Use of Antipsychotic Medications in Nursing Homes
Improving Dementia Care and Reducing Unnecessary Use of Antipsychotic Medications in Nursing Homes Alice Bonner, PhD, RN Division of Nursing Homes Center for Clinical Standards and Quality Centers for
More information2015 Medicare CAHPS At-A-Glance Report
2015 Medicare CAHPS At-A-Glance Report Advantage by Bridgeway Health Solutions CMS MA PD Contract: H5590 Project Number(s): 30103743 Current data as of: 07/01/2015 1965 Evergreen Boulevard Suite 100, Duluth,
More informationJennifer Leatherbarrow, RN, BSN, RAC-CT Carolyn Lookabill RISKY BUSINESS: A TEAM APPROACH TO CLINICAL AND BILLING COMPLIANCE
Jennifer Leatherbarrow, RN, BSN, RAC-CT Carolyn Lookabill 1 RISKY BUSINESS: A TEAM APPROACH TO CLINICAL AND BILLING COMPLIANCE Notice of Disclosure 2 Richter Healthcare Consultants has produced this material
More informationSPECIFIC STRATEGIES TO AUDIT REHAB DELIVERY PRESENTED BY LEAH KLUSCH EXECUTIVE DIRECTOR THE ALLIANCE TRAINING CENTER
SPECIFIC STRATEGIES TO AUDIT REHAB DELIVERY PRESENTED BY LEAH KLUSCH EXECUTIVE DIRECTOR THE ALLIANCE TRAINING CENTER THIS PROGRAM IS DESIGNED TO: 1. Identify the compliance definitions and structure of
More informationStaffing and Quality in California s Nursing Homes
s n a p s h o t in California s s 2006 Introduction Staffing levels in California s nursing homes are a key indicator of the quality of care. A study from the U.S. Centers for Medicare and Medicaid Services
More informationHome Health Care Today: Higher Acuity Level of Patients Highly skilled Professionals Costeffective Uses of Technology Innovative Care Techniques
Comprehensive EHR Infrastructure Across the Health Care System The goal of the Administration and the Department of Health and Human Services to achieve an infrastructure for interoperable electronic health
More informationHospital Value-Based Purchasing (VBP) Program
Medicare Spending per Beneficiary (MSPB) Measure Presentation Question & Answer Transcript Moderator: Bethany Wheeler, BS Hospital VBP Program Support Contract Lead Hospital Inpatient Value, Incentives,
More informationCrowe Healthcare Webinar Series
New Payment Models Crowe Healthcare Webinar Series Audit Tax Advisory Risk Performance 2014 Crowe Horwath LLP Agenda Bundled Care for Payment Improvements Payment Models Accountable Care Organizations
More informationHigh Rehospitalization Rates: Evaluation and Impact
High Rehospitalization Rates: Evaluation and Impact May 29, 2009 Denise Remus, PhD, RN Chief Quality Officer, BayCare Health System BayCare Health System BayCare is the largest full-service, community-based
More informationComprehensive Cost and Margin Improvement
Comprehensive Cost and Margin Identify your organization s most challenging areas and find the biggest opportunities for savings and process improvement. From labor resource and compensation optimization
More informationTHE MYERS GROUP MEDICARE CAHPS RESEARCH SERIES
THE MYERS GROUP MEDICARE CAHPS RESEARCH SERIES Background Each year, CMS rates each Medicare Advantage plan using a five star rating system. While originally developed to provide members with the ability
More informationTHE EVOLUTION OF CMS PAYMENT MODELS
THE EVOLUTION OF CMS PAYMENT MODELS December 3, 2015 Dayton Benway, Principal AGENDA Legislative Background Payment Model Categories Life Cycle The Models LEGISLATIVE BACKGROUND Medicare Modernization
More informationPerson-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment
Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Donna Zazworsky, RN, MS, CCM, FAAN Vice President: Community Health and Continuum Care Carondelet Health
More informationMedia Packet 10-2009. NPAM@npedu.com 888-405-NPAM. PO Box 540 Ellicott City, MD 21041
Media Packet What is a Nurse Practitioner NP Facts Who are the Nurse Practitioners in Maryland State of the State Quality of NP Practice NP Cost Effectiveness 10-2009 NPAM@npedu.com 888-405-NPAM PO Box
More informationQUALITY COMMITMENT INNOVATION
2013 QUALITY REPORT QUALITY COMMITMENT INNOVATION TABLE OF CONTENTS 3 LETTER FROM THE PRESIDENT AND CEO 4 EXECUTIVE SUMMARY 6 THE LONG TERM AND POST-ACUTE CARE COMMUNITY The dependence level of individuals
More informationHow to Prepare for CMS Bundled Payments
How to Prepare for CMS Bundled Payments Mandatory bundled payments for joint replacement will serve as many hospitals first pilot program for value-based reimbursement in 2016. Combined with the five-star
More informationRAC Auditing Reform is Essential to Fix Urgent, Critical Problems
RAC Auditing Reform is Essential to Fix Urgent, Critical Problems Recovery Audit Contractors (RACs) audit Medicare claims submitted by hospitals and other health care providers. They are one of many different
More informationObjectives. What is the Star Rating 5/3/2016 QUALITY STAR RATINGS: HOW TO OBTAIN THE RATING YOU DESERVE
QUALITY STAR RATINGS: HOW TO OBTAIN THE RATING YOU DESERVE MHCA Clinical Quality Team Objectives Increase awareness of Five-Star. Offer tools to educate and enhance quality of care for Minnesota on the
More informationCMS 5-Star Quality Rating. Reviewing How, Why and What are OUR Stars!
CMS 5-Star Quality Rating Reviewing How, Why and What are OUR Stars! FIVE - STAR Fact, Fiction & Strategies Discussion for OCAHF June 25, 2014 By Chris Jung, ehealth Data Solutions What is 5-Star Quality
More informationPhysician Discovery Services Provide a Full Range of Physician Practice Solutions
Physician Discovery Services OUR SOLUTION Truven Health Physician Discovery Services experts provide insights into a hospital or health system s physician enterprise. With experience in physician assessment,
More informationCMS Perspectives on Transparency and The Use of Data to Drive Patient Centered Care
CMS Perspectives on Transparency and The Use of Data to Drive Patient Centered Care Niall Brennan Chief Data Officer Centers for Medicare & Medicaid Services @N_Brennan Introduction CMS is the largest
More information2016 Quality Assurance & Performance Improvement Plan
HEALTH CARE COMMUNITIES POLICY STATEMENT 2016 Quality Assurance & Performance Improvement Plan DEPARTMENT(S): Quality Management/Compliance Org.: 01/01/16 Rev: 05/18/16 Vision: Where the Spirit creates
More informationNURSING HOME QUALITY. CMS Should Continue to Improve Data and Oversight
United States Government Accountability Office Report to Congressional Requesters October 2015 NURSING HOME QUALITY CMS Should Continue to Improve Data and Oversight GAO-16-33 October 2015 NURSING HOME
More informationVHA COMMUNITY NURSING HOME PROVIDER AGREEMENT
VHA COMMUNITY NURSING HOME PROVIDER AGREEMENT A Community Nursing Home (CNH) Provider Agreement is formed when VA agrees to place a patient in the nursing home that meets all terms and conditions described
More informationStaffing To Acuity: 5 Reasons To Make It Your Top Priority A Whitepaper from OnShift
Staffing To Acuity: 5 Reasons To Make It Your Top Priority A Whitepaper from OnShift Contents Staffing To Acuity: 5 Reasons To Make It Your Top Priority 1. Gain A Fast-Track To Better Care... 2 2. Get
More informationReducing Resident Readmissions: The Pierce County Medicaid Nursing Home Collaborative
Reducing Resident Readmissions: The Pierce County Medicaid Nursing Home Collaborative April 2015 Overview The Washington State Department of Social & Health Services (DSHS) and Qualis Health engaged 14
More informationThe Evolving Comparative Analytics Market:
The Evolving Comparative Analytics Market: Benchmarking Key Business Metrics Against Peers to Reduce Risk, Pinpoint Areas for Improvement, and Optimize Performance March 2013 UNDERSTANDING THE OPPORTUNITY
More informationUTILIZING ADT NOTIFICATIONS TO SUPPORT POPULATION HEALTH MANAGEMENT 2015 Michigan Rural Health Conference, April 20, 2015
UTILIZING ADT NOTIFICATIONS TO SUPPORT POPULATION HEALTH MANAGEMENT 05 Michigan Rural Health Conference, April 0, 05 Paula Hedlund, Chief Innovation Officer Anne Levandoski, Chief Quality Officer The Overriding
More informationSutter Health, based in Sacramento, California and
FACES of HOME HEALTH Caring for Frail Elderly Patients in the Home Sutter Health, based in Sacramento, California and serving Northern California, partners with its home care affiliate Sutter Care at Home,
More informationBACKGROUND. While CMS has not released the precise rating methodology, the following information has been made available on each rating component:
As we have previously reported, the Centers for Medicare & Medicaid Services (CMS) will launch its 5 Star Quality Rating System, which will be posted to Nursing Home Compare as of December 18, 2008. This
More information$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ HEALTHCARE REVENUE CYCLE MANAGEMENT TRENDS IN ALTERNATIVE PAYMENT MODEL ADOPTION
RESEARCH AND REPORT BY $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ HEALTHCARE REVENUE CYCLE MANAGEMENT TRENDS IN ALTERNATIVE PAYMENT
More informationTechnical Guide to the CalQualityCare.org Ratings: Nursing Facilities. May 2015
Technical Guide to the CalQualityCare.org Ratings: Nursing Facilities May 2015 Charlene Harrington, PhD, RN Janis O Meara, MPA Leslie Ross, PhD University of California San Francisco Department of Social
More informationLeadership Summit for Hospital and Post-Acute Long Term Care Providers May 12, 2015
Leveraging the Continuum to Avoid Unnecessary Utilization While Improving Quality Leadership Summit for Hospital and Post-Acute Long Term Care Providers May 12, 2015 Karim A. Habibi, FHFMA, MPH, MS Senior
More informationMDS Part 1: Section GG What You Need to Know about Coding the New Section GG
MDS Part 1: Section GG What You Need to Know about Coding the New Section GG Presented by: Amy Franklin, RN, RAC-MT, AHIMA approved ICD-10CM & PCS Trainer, Curriculum Development Specialist 1 Faculty Disclosure
More informationTime for an IT Check Up
Time for an IT Check Up Preventive IT Care Supports a Healthy Future for Medicare Advantage Plans ORACLE WHITE PAPER JULY 2014 Disclaimer The following is intended to outline our general product direction.
More informationQuality Assurance: Guide to Activity Professionals. Basics:
Quality Assurance: Guide to Activity Professionals Health Consultants Plus Tia Hovatter MPH, NHA, AC-BC, ACC, CDP Director of Education Basics: QA Quality Assurance QAA Quality Assessment & Assurance QAPI
More informationBig data. Better decisions.
Welcome! Big data. Better decisions. 1 How Analytics Shape the Future of Our Industry Mark Parkinson AHCA/NCAL President & CEO 2 The Good News Data has helped us tell the story of our profession. 3 Now
More informationOREGON PROPERLY VERIFIED CORRECTION OF DEFICIENCIES IDENTIFIED DURING SURVEYS OF NURSING HOMES PARTICIPATING IN MEDICARE AND MEDICAID
Department of Health and Human Services OFFICE OF INSPECTOR GENERAL OREGON PROPERLY VERIFIED CORRECTION OF DEFICIENCIES IDENTIFIED DURING SURVEYS OF NURSING HOMES PARTICIPATING IN MEDICARE AND MEDICAID
More informationIMPROVING INPATIENT DISCHARGE PROCESS TO REDUCE READMISSION
1 IMPROVING INPATIENT DISCHARGE PROCESS TO REDUCE READMISSION Vanda Ametlli; Industrial & Systems Engineering, Wayne State University, Detroit, Michigan Abstract The cost of a preventable readmission to
More informationLeadingAge Maryland. QAPI: Quality Assurance Performance Improvement
LeadingAge Maryland QAPI: Quality Assurance Performance Improvement NOT ALL CHANGE IS IMPROVEMENT, BUT ALL IMPROVEMENT IS CHANGE Donald Berwick, MD Former CMS Administrator 2 WHAT IS QAPI? Mandated as
More informationYearly Medicare Plan Review?
Have you done your Yearly Medicare Plan Review? Medicare Open Enrollment It s Earlier Now October 15 December 7 EACH YEAR, THERE ARE NEW HEALTH PLAN AND PRESCRIPTION DRUG COVERAGE CHOICES. You should review
More informationChanges for Calendar Year 2015 Physician Quality Programs and Other Programs in the Medicare Physician Fee Schedule
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE October 31, 2014 Contact: CMS
More informationHome Health Value-Based Purchasing. April 6, 2016 12:00-3:45 pm
Home Health Value-Based Purchasing April 6, 2016 12:00-3:45 pm Learning Objectives Understand the changing health care landscape, including various models of value-based purchasing Learn how the HHVBP
More informationEnterprise Analytics Strategic Planning
Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management
More informationMeeting of the Advisory Panel on Outreach and Education (APOE) Centers for Medicare and Medicaid Services March 27, 2013.
701 Pennsylvania Avenue, Ste. 800 Washington, DC 20004 2654 Tel: 202 783 8700 Fax: 202 783 8750 www.advamed.org Meeting of the Advisory Panel on Outreach and Education (APOE) Centers for Medicare and Medicaid
More informationThe Colorado APCD: A Resource to Help Improve Health and Lower Costs. Citizens Health Advisory Summit September 25, 2014
The Colorado APCD: A Resource to Help Improve Health and Lower Costs Citizens Health Advisory Summit September 25, 2014 Today s Discussion Colorado APCD History and Progress Variation in Utilization and
More informationManaged Care Solutions for Long-Term Services and Supports A Sustainable Future
Managed Care Solutions for Long-Term Services and Supports A Sustainable Future March 2014 Executive Summary Implementing a Medicaid Managed Long-term Services and Supports (MLTSS) program represents a
More informationAdding Value to. Provider Compensation. June 13, 2016. Healthcare Strategy Group OHA Presentation 2016. Adding Value to. Physician Compensation
Provider Compensation June 13, 2016 1 Who are We? About (HSG) Hospital-physician integration specialists since 1999 Strategic, best practice approach to employed physician networks and independent physician
More informationAre Your Stars in Alignment? CMS 671 & 672: Data Accuracy and Their Role in the Five-Star Quality Rating System
Are Your Stars in Alignment? CMS 671 & 672: Data Accuracy and Their Role in the Five-Star Quality Rating System Today s Star Chart Introductions Overview of Today s Program Coding and auditing Forms 671/672
More information2013 MEDICARE FEE-FOR-SERVICE QUALITY AND RESOURCE USE REPORT
2013 MEDICARE FEE-FOR-SERVICE QUALITY AND RESOURCE USE REPORT Sample Medical Practice Last Four Digits of Your Taxpayer Identification Number (TIN): 1530 ABOUT THIS REPORT FROM MEDICARE WHAT This Quality
More information7/31/2014. Medicare Advantage: Time to Re-examine Your Engagement Strategy. Avalere Health. Eric Hammelman, CFA. Overview
Medicare Advantage: Time to Re-examine Your Engagement Strategy July 2014 avalerehealth.net Avalere Health Avalere Health delivers research, analysis, insight & strategy to leaders in healthcare policy
More informationManaging Your Five-Star Nursing Home Rating
Managing Your Five-Star Nursing Home Rating The new consumer rating system launched by CMS forces facilities to investigate and address highlighted problems W h i t e p a p e r How many stars do you have?
More informationA New Compact for Behavioral Health Care
A New Compact for Behavioral Health Care Optum is using the insight and power of data to help its network facilities improve their care and improve outcomes for individuals with mental health and substance
More informationPerfectServe Survey Results. Presented by: Nielsen Consumer Insights Public Relations Research April 2015
PerfectServe Survey Results Presented by: Nielsen Consumer Insights Public Relations Research April 2015 1 Table of Contents Research Method 3 Report Notes 5 Executive Summary 6 Detailed Findings 15 General
More informationKPIs and Improving Profitability with Business Intelligence SCOTT RANDALL ADVANCED LEGAL WWW.ADVANCEDLEGAL.COM
KPIs and Improving Profitability with Business Intelligence SCOTT RANDALL ADVANCED LEGAL WWW.ADVANCEDLEGAL.COM The Business of Law Has Changed Law Firm Growth is Flat Realized Rates are Declining Competition
More informationMembers respond to help identify what makes RNs unique and valuable to healthcare in Alberta.
CARNA - Uniquely RN Members respond to help identify what makes RNs unique and valuable to healthcare in Alberta. RNs have expressed that their role is not always understood by colleagues, employers and
More informationUsing Root Cause Analysis to Determine Why Readmissions are High. Presentation Objectives. Background Information 11/30/2011
Using Root Cause Analysis to Determine Why Readmissions are High Nancy Seck RBN, BSN, MPH, CPHQ Director, Quality Management Glendale Memorial Hospital and Health Center Presentation Objectives Identify
More information