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Essential Insights

Association member UVA Health System is one of seven finalists in the CMS Artificial Intelligence Health Outcomes Challenge, which encourages applicants to use artificial intelligence to predict and prevent unplanned admissions and adverse events.

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policy

Policies finalized for the 2021 Medicare Inpatient Prospective Payment System call for increasing inpatient payment rates by 2.9 percent, reducing Medicare disproportionate share hospital payments, and collecting median Medicare Advantage charge data.

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policy

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.

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policy

The rule increases inpatient operating payment rates by 3.1 percent, makes other payment and quality reporting policy changes, and estimates a $140 million increase in Medicare disproportionate share hospital payments.

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policy

America’s Essential Hospitals encouraged the Centers for Medicare & Medicaid Services to consider the disproportionately negative financial effect on essential hospitals of certain quality reporting requirements and administrative burden in the Promoting Interoperability Programs.

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policy

A new proposed rule would increase inpatient operating payment rates by 3.2 percent and make other changes to Medicare payment and quality reporting policies. CMS is accepting comments on the proposed rule until June 24.

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Essential Insights

Reducing preventable readmissions, which often are related to behavioral health conditions, with appropriate and timely care is of paramount concern to the members of Premier and America’s Essential Hospitals.

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policy

Hospitals with the greatest proportion of Medicare patients dually eligible for Medicaid had decreased readmissions penalties, according to a study in JAMA Internal Medicine.

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policy

The report includes recommendations on several issues of importance to essential hospitals, including hospital inpatient and outpatient services, hospital quality incentive programs, and alternatives to opioids.

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policy

Adjusting for social risk factors in Medicare's Hospital Readmissions Reduction Program results in decreased penalties for hospitals serving a safety-net role.

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policy

The agency seeks stakeholder feedback on two disparity methods measuring patient outcomes based on social risk factors; comments are due Dec. 14.

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webinar

Hear results from the first phase of a collaborative research project to study transitional care strategies for hospital patients.

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policy

The hospital-specific reports, available for download through Sept. 24, use dual eligibility as the social risk factor for stratification of readmission rates within a hospital and enable comparison of differences across hospitals.

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quality

The resources include a 12-step guide for reducing readmissions and a bilingual guide to aid patients and caregivers following discharge from the hospital.

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policy

The confidential reports, available Aug. 24, will allow hospitals to review two disparity methods that assess performance for patients with social risk factors.

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policy

The final rule increases Medicare inpatient payment rates to acute care hospitals by 1.85 percent, revises electronic health record requirements, and changes the payment adjustment methodology for the Hospital Readmissions Reduction Program.

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policy

A new proposed rule for Medicare’s Inpatient Prospective Payment System for fiscal year 2019 would increase inpatient operating payment rates by 1.75 percent.

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policy

The April 18 webinar will explain the benefits of voluntary submission in calendar year 2018, share reporting resources, and answer attendee questions.

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policy

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.

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quality

Shifting from condition-specific to hospitalwide measures in the Hospital Readmissions Reduction Program would significantly increase penalties for hospitals with many vulnerable patients.

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policy

The final rule updates Medicare inpatient rates to acute care hospitals by 1.21 percent, provides flexibility in reporting of electronic clinical quality measures, and changes the payment adjustment methodology for the Hospital Readmissions Reduction Program.

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institute

A study finds hospitals penalized more often in the Hospital Readmissions Reduction Program's first years — including safety-net hospitals — were more likely to be penalized all five years.

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policy

America’s Essential Hospitals encourages CMS to improve transparency, risk adjust, and reduce regulatory burden for essential hospitals.

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policy

The study found that the penalty burden was greater in hospitals treating a high share of patients with socioeconomic disadvantages.

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policy

The rule would raise inpatient operating payment rates, revise Medicare DSH payment methodology, and apply a transitional methodology for HRRP penalties.

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policy

The rule contains provisions on the Hospital Readmissions Reduction Program, Medicare DSH, the Inpatient Quality Reporting program, and more.

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policy

Hospital participation in Medicare value-based programs in 2015, including ACOs and bundled payments, was associated with 2,377 fewer readmissions and $32.7 million in savings.

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policy

CMS on Dec. 19 refreshed its Hospital Compare site, including data on the Ambulatory Surgical Center Program, Hospital Readmission Reduction Program & more.

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policy

President Obama signs the 21st Century Cures Act, which includes the historic risk adjustment provision and also provides partial relief to hospitals from cuts to off-campus outpatient department payments.

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policy

The legislation, expected to quickly receive the president's signature, includes two key advocacy goals for the association: risk adjustment of the Hospital Readmissions Reduction Program and partial relief from hospital outpatient department payment cuts.

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webinar

In this webinar we looked back at the 2016 advocacy landscape, discussed the progress we have made on key issues affecting essential hospitals, reviewed our interaction with the Trump transition team, and looked forward to 2017. Webinar Recording

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Essential hospitals thank House lawmakers for voting to protect access to health care services for vulnerable patients and underserved communities by accounting for patients' social and economic status in the Hospital Readmissions Reduction Program (HRRP).

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policy

The campaign of online and print advertisements and media outreach calls on Congress to pass legislation to risk adjust the Hospital Readmissions Reduction Program.

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quality

CMS has awarded $347 million to the 16 organizations — including Premier Inc. — to support the next phase of a patient safety initiative.

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policy

Association president and CEO argues that hospitals serving disadvantaged communities are penalized by federal quality initiatives that do not account for socioeconomic obstacles.

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quality

The webinar will introduce AHRQ's updated hospital guide for delivering transitional care to reduce readmissions among adult Medicaid patients.

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quality

Flavor Harvest @ Home, a medical nutrition therapy program, provides meals to Lee Memorial Health System patients who are at risk for being malnourished.

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Association supports bill, which would add needed risk adjustment to the Medicare Hospital Readmissions Reduction Program and provide some relief for recent cuts to off-campus hospital outpatient department payments.

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quality

Tool, developed by association member University of Chicago, shows geographic disparities in health outcomes, health care use, and health care spending.

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policy

State hospital association says risk adjusting CMS readmissions methodology results in significantly less variation in measured quality differences among hospitals.

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quality

The guide focuses on reducing readmissions for racial and ethnic minority groups and is part of the CMS Equity Plan for Improving Quality in Medicare.

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policy

First of five consensus reports from National Academy of Medicine (NAM) ad hoc committee identifies social risk factors for Medicare payment and quality programs, and the measures they can impact.

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institute

Essential hospitals 2.67 times more likely than other hospitals to receive penalties under Medicare readmissions program in FY 2016

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policy

Rule includes a net increase in IPPS payment rates of 0.9 percent, Medicare DSH cuts of $1.2 billion in FY 2016, and updates to the HAC Reduction, Hospital VBP, IQR, and EHR Incentive programs.

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policy

Comments caution CMS about Medicare DSH payment cuts and urge CMS to ensure measures and methodologies used in quality reporting programs are adjusted for sociodemographic factors.

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quality

AHRQ-funded study shows heart disease drives readmissions overall, while orthopedic conditions drive readmissions to the same hospital. Original admission from the ED also drives same-hospital readmissions.

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policy

May 29 webinar will focus on quality reporting program proposals, impact of changes to HAC Reduction Program and Hospital Readmissions Reduction Program.

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quality

The national provider call will cover alignment and goals for a number of Medicare pay-for-performance programs, including the Inpatient Quality Reporting Program and the Value-Based Purchasing Program.

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policy

The rule includes provisions on several topics, including a payment update, Medicare disproportionate share hospital cuts, Medicare payment for short inpatient hospital stays, and the Readmissions Reduction Program.

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policy

America's Essential Hospitals supports legislation, which seeks to ensure hospitals are not unfairly penalized for patients' sociodemographic challenges

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institute

Recent journal articles explore socioeconomic status, accountable care organizations, and other issues relevant to essential hospitals.

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institute

Recent journal articles explore interventions to reduce readmissions, uncover barriers to recovery for vulnerable adults, decrease emergency department utilization, and more.

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policy

The interactive toolkit and guide aim to address the unique clinical and socioeconomic characteristics of Medicaid patients that can lead to readmissions.

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Essential Insights

An examination of a recent study highlighting the challenge of providing financial incentives fairly based on outcomes and hospital characteristics.

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policy

A recent study published in Health Affairs found that California essential hospitals were more likely to be penalized than other California hospitals under the Hospital Readmissions Reduction Program, despite lower 30-day risk-adjusted mortality rates.

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policy

NQF board adopts recommendation to assess sociodemographic risk adjustment of certain quality measures during a trial period.

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institute

Recent articles from Health Affairs, the Joint Commission Journal on Quality and Patient Safety, the Journal for Healthcare Quality, and The New England Journal of Medicine explore efforts to reduce readmissions and infection rates, improve patient safety, and more.

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institute

Zuckerberg San Francisco General Hospital recognized an opportunity to lead the way by developing a comprehensive, systems-based care transitions program to give patients proper care and the tools they need to stay out of the hospital.

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institute

Recent journal articles curated from Health Affairs and the New England Journal of Medicine highlight payment reform programs and strategies and the impact of socioeconomic status on readmissions.

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policy

CMS is inviting interested stakeholders to review and comment on a hospitalwide all-cause unplanned readmission hybrid electronic clinical quality measure.

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policy

Comments cover topics such as Medicare disproportionate share hospital payment cuts and risk adjustment for socioeconomic status.

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policy

The bill would require the Centers for Medicare & Medicaid Services to consider socioeconomic status of hospital patient populations in its calculation of penalties under the Hospital Readmissions Reduction Program.

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policy

The letter addresses the unintended consequences for essential hospitals of the current readmissions penalty methodology and asks federal agencies to work with Congress.

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policy

Boston Medical Center has released an update to Project RED, their toolkit focused on discharge safety and reducing hospital readmissions. Included is a new chapter that provides guidance to hospitals on how to best integrate family caregivers into the discharge plan.

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America's Essential Hospitals joins the U.S. Department of Health and Human Services in recognizing the recent accomplishments of hospital engagement networks and other safety and quality initiatives. Federal officials announced May 7 that the initiatives have decreased patient harm by 9 percent and readmissions by 8 percent.

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policy

Legislation expected next week from Rep. Jim Renacci (R-OH) would help ensure Medicare's Hospital Readmissions Reduction Program does not unfairly penalize hospitals that care for vulnerable patients. The association offered support for the bill, which would protect hospitals whose patients might experience higher readmission rates due to socioeconomic conditions.

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Essential Insights

The Los Angeles County Department of Health Services launched a pilot program that aims to prevent avoidable rescue-care visits by automatically notifying patient-centered medical homes when a patient enters the health care system and better engaging discharged patients in their follow-up care.

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The federal Partnership for Patients initiative will support for a third year the association's Essential Hospitals Engagement Network (EHEN), one of 26 such networks nationally working to reduce nine hospital-acquired conditions by 40 percent and 30-day readmissions by 20 percent by the end of 2014.

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policy

Penalties will disproportionately fall on hospitals serving a high number of dual eligibles

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webinar

Learn innovative ways to guide patients across the care continuum safely and efficiently.

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policy

Hospitals that treat a large share of low-income patients receive add-on payments to the amount designated by IPPS

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webinar
webinar

Innovative, team-based programs to keep patients from coming back to the hospital

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policy

Rule finalizes several inpatient prospective payment system provisions

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quality

An electronic medical record–based model helped Parkland reduce readmissions and costs

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quality

SFGH's Care Management Program offers focused care coordination and health coaching

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webinar

Highlights from the America's Essential Hospitals 2013 Annual Conference

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policy

Rule includes proposed formula to make Medicare DSH reductions under ACA

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policy

Rule proposes several inpatient prospective payment system provisions

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webinar

Learn how to redesign internal processes to improve medication reconciliation

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institute

UT Health Northeast sharply reduces readmissions by analyzing possible causes and identifying specific areas in need of attention and resources, including staff follow-up efforts and patient discharge instructions.

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webinar

A look at the Transitions Care Program at St. Luke's Treasure Valley

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webinar

Harbor-UCLA shared successes and challenges with cutting readmissions using BOOST tools

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webinar

This session reviewed key driver diagrams and highlighted an electronic risk assessment model – derived from clinical and nonclinical factors – that helps predict which patients are at risk for 30-day readmission within 24 hours of admission.

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institute

Truman Medical Centers employed a strategy that integrated diabetes care across all inpatient and outpatient departments, designated physician champions, and used data to identify high-risk patients.

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