Operations

  • 04/25/16
    Sixty-seven metropolitan areas in the United States became subject to bundled payment rules for Comprehensive Care for Joint Replacement (CJR) on April 1, 2016. Although the concept seems simple and straightforward – all hospitals involved are held financially accountable for quality of care, utilization and outcomes over a 90-day episode for major joint replacements – how it impacts clinical and operational processes is something with which many providers wrestle.more...
  • 03/31/16
    Hospitals experienced the first financial impact of the Centers for Medicare & Medicaid Services (CMS) Value-based Purchasing (VBP) Program in Fiscal Year 2013. Since then, it has evolved in complexity and financial risk and continues to be a key strategy in the U.S. Department of Health & Human Services’ goal of tying 90 percent of Medicare traditional payments to quality or value by 2018.more...
  • 03/16/16
    Jugglers always amaze and impress me. Someone who can juggle mismatched items is even more impressive—balls, fruit, bowling pins, for example. In order to keep everything in the air, their focus must be keen. As a hospital accreditation professional, I see jugglers every day. They are the clinicians who attend to the needs of patients while simultaneously adhering to clinical protocols and remaining mindful of hospital policy. They are amazing, but if they lose focus and something drops...more...
  • 02/18/16
    I recently came across a study from Chilmark Research that highlighted an important, ongoing challenge in the world of improvement – incorporating analytics into existing workflows. Essentially, the study suggests that a health care organization’s needs have gone beyond the analytic products on the market.more...
  • Sg2, a Vizient company
    02/02/16
    Two intertwined Big Ideas—the Affordable Care Act (ACA) and the shift from volume to value—have driven much of the conversation in health care over the past five years. To be sure, these Big Ideas have significant and still-unfolding impacts across the health care arena.more...
  • 01/27/16
    The Centers for Medicare & Medicaid Services (CMS) has changed the value-based purchasing metrics for inpatient care. In 2015, there was increased emphasis on outcomes and efficiency and a smaller focus on clinical and patient experience outcomes. For 2016 emphasis on clinical outcomes has increased to 40 percent and the efficiency measure now makes up 25 percent of the score. Proposed future changes will keep the efficiency metric at 25 percent and continue an ever-evolving focus on...more...
  • Sg2, a Vizient company
    01/19/16
    Providers face a wave of consumerism that is radically reshaping industry purchasing patterns. Historically, individuals have functioned as passive participants in their health care. That is changing due to new benefit designs, public and private exchanges, generational preference, and tools that have democratized information and increased transparency. These trends are shifting health care’s balance of power, spurring “retailization” and challenging provider systems to meet...more...
  • 01/14/16
    In today’s health care world, words like quality, efficiency and better outcomes are becoming attached to virtually every aspect of the clinical delivery of health care. I think we should also begin applying them to the clinician’s approach to documentation which is the foundation for medical coding.more...