America’s Essential Hospitals and its members are committed to improving quality by reducing hospital-acquired conditions (HACs) that create serious adverse outcomes for patients and lowering the number of preventable readmissions. Essential hospitals are at the forefront of using evidence-based guidelines to prevent HACs and improve the overall patient experience.
National efforts to track hospital quality include public reporting of quality rating information and use of performance measures to link quality to payment. In that context, it becomes critically important to measure outcomes and align measures across care settings.
Our Members’ Performance on Selected Process of Care Measures
But measures often fail to account for social and economic challenges vulnerable patients face and that a hospital has little or no ability to control. Without risk adjusting measures for these socioeconomic factors, quality incentive programs disproportionately penalize essential hospitals, which already operate with a zero margin, on average. This creates a vicious circle in which quality erodes further because hospitals lose the very funding they need for improvements.
America’s Essential Hospitals advocates for quality improvement program measures that are properly constructed, risk adjusted for factors beyond the control of the hospital, and that do not lead to unintended consequences for, and administrative burdens on, essential hospitals.
The report is based on feedback gathered during a September listening session, in which more than 300 stakeholders shared recommendations for improving predictability, stability, and relevance of star ratings.view more »
States are leveraging financial incentives, quality measures, waivers, and public-private partnerships to slow climbing rates of substance use disorder and overdose among pregnant women.view more »
The association expressed support for the Substance Abuse and Mental Health Services Administration’s proposed revisions to confidentiality of records for patients with substance use disorders, while outlining remaining barriers to care coordination.view more »
An NEJM Catalyst article assesses four public hospital quality reporting programs’ ability to classify hospital performance.view more »
The agency plans to update the Overall Hospital Quality Star Ratings methodology in 2021 and will host a Sept. 19 listening session to seek stakeholder feedback.view more »
An Aug. 2 final rule for Medicare’s Inpatient Prospective Payment System for fiscal year 2020 will increase inpatient operating payments and Medicare disproportionate share hospital funding and make changes to electronic health records use and quality reporting programs.view more »
America’s Essential Hospitals and other national hospital associations released a report, based on interviews with hospital patient experience leaders, on modernizing the Hospital Consumer Assessment of Healthcare Providers and Systems Survey.view more »
The agency requests feedback as part of its Patients Over Paperwork initiative to update or eliminate administratively burdensome regulations.view more »
The Senate last week passed a new version of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019. House and Senate panels continue work to address balance billing and drug pricing ahead of next week’s recess.view more »
A Commonwealth Fund report reviews 36 state Medicaid quality strategies for advancing primary care, a key factor in achieving a high-performing health system.view more »
Recent laws in Arizona, Colorado, Ohio, Rhode Island, Tennessee, and Virginia require paramedics to transport severe stroke patients directly to a hospital with a comprehensive stroke center licensed to perform thrombectomies.view more »
America’s Essential Hospitals encouraged the Centers for Medicare & Medicaid Services to suspend publication of the overall hospital quality star ratings until the agency addresses issues with the underlying methodology.view more »
The agency posted potential changes to the star ratings program for public comment, including potential hospital peer grouping.view more »
A final rule for the Medicare Shared Savings Program overhauls the program and creates a pathway for accountable care organizations to more rapidly transition to performance-based risk models with the potential for greater shared savings.view more »
The Department of Health and Human Services released a request for information on ways to modify the Health Insurance Portability and Accountability Act to improve care coordination, promote value-based care, and reduce regulatory burden on providers.view more »
Seven new requirements under the National Patient Safety Goals program require hospitals to screen for suicide risk and standardize treatment procedures.view more »
Hospitals have until Dec. 30 to preview their quality data before it is published on the Hospital Compare website in February 2019.view more »
The agency will hold educational webinars to help health care providers understand the new user interface for Hospital Compare preview reports.view more »
The proposed rule reflects the agency’s broader strategy to relieve regulatory burden, support state flexibility, and promote transparency and innovation in the delivery of care. We encourage all members to review the proposed rule, give us feedback, and submit your own comments to CMS.view more »
Essential hospital staff are invited to provide feedback on overall hospital quality star rating methodology during an Oct. 4 listening session; the Centers for Medicare & Medicaid Services will use the feedback to inform future methodology updates.view more »
The agency will not convene a proposed task force to reduce environmental risks associated with the care of psychiatric inpatients, opting instead to use findings from The Joint Commission special report on suicide prevention in health care settings.view more »
The confidential reports, available Aug. 24, will allow hospitals to review two disparity methods that assess performance for patients with social risk factors.view more »
Hospitals have until Aug. 25 to preview their quality data before publication on the Hospital Compare website in October.view more »
Clinicians eligible for the Merit-based Incentive Payment System can receive Improvement Activity credit for participating in a study on quality reporting burdens; applications are due April 30.view more »
Providers who submitted data through the Quality Payment Program website can review preliminary performance feedback. Final scores and feedback will be available July 1.view more »
The reports provide estimated hospital-level proportions of dual-eligible patients, peer group assignments, and payment adjustment information using the program’s new stratified methodology.view more »
A new analysis suggests specialty hospitals receive higher star ratings from the Centers for Medicare & Medicaid Services than major teaching hospitals by reporting fewer quality measures.view more »
House hearings will review legislation on enforcement measures to combat the opioid crisis; a new Senate bill would provide funding for prevention and treatment programs.view more »