Creating a successful patient experience strategy is a long-term investment in planning, surveying, training, and technology. Healthcare organizations hope these efforts will pay off at the very least with a growing base of loyal patients, better care quality, and stable reimbursement. And then there are those organizations that are turning patient experience into a movement. What’s their endgame? They intend to build state-of-the-art service-oriented cultures that rival other industries, and they are doing it through data analytics, unique communication programs, radical cultural shifts, and consumer-centric technologies.
The Centers for Medicare & Medicaid Services, the nation’s largest payer, has set a clear direction with its publication of targets: By 2018, 50% of fee-for-service payments will be through alternative payment models, such as ACOs and bundled payments, and 90% of FFS payments will be tied to quality or value. And CMS has begun to introduce mandatory bundles. This suggests that all providers will
need to develop population health competencies, including the ability to manage risk for both cost and quality.
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Nearly six years after passage of the Patient Protection and Affordable Care Act, the healthcare industry is in the midst of a massive retooling that is dramatically altering the way we think about cost management, strategic partnerships, and customer service.
Fee-for-service reimbursement is giving way to new models of care delivery and payment to support a system based on pay-for-value. With financial risk or payments tied to value measures (such as patient satisfaction, clinical performance, and population health), compensation and reimbursement will increasingly be tied to value-based incentives.
With the inception of Value-Based Purchasing, the measurement of successful patient care delivery has been redefined. The move from fee-for-service to pay-for-performance means that reimbursements are tied to the quality of care that is delivered.
Discover how the Saint Joseph Mercy Health System used the ReptraxTM vendor credentialing service to improve the compliance of commercial visitors, resulting in a safer and more secure environment for patients.
Spending on supplies and pharmaceutical services varies among U.S. hospitals. It is not uncommon for hospitals with similar types of patients, including case mix and severity, to have significant differences in purchasing intensity for certain clinical services. Even small changes in efficiency can make a difference for hospitals and health systems, because supply-chain spending typically accounts for hospitals’ biggest spend after labor costs. Costs totaled about $74 billion in 2012, according to the Healthcare Supply Chain Association.
Medicare spend per beneficiary (MSPB) information is a Centers for Medicare & Medicaid Services metric that reflects the average cost of an episode of care for Medicare patients. This measure is important to consider as part of a hospital’s national balanced scorecard, as it reflects executives’ efforts to transform the healthcare delivery system and manage the full continuum of care, including the prominent shift from inpatient to outpatient utilization.
The shift from inpatient to outpatient care is increasing as hospitals transition from volume to value. A specific shift is seen in interventional cardiology treatment (cardiac catheterization, intracoronary stents, and percutaneous transluminal coronary angioplasties [PTCA]), which is moving from an inpatient hospital to outpatient hospital setting. Preliminary data show that most interventional cardiology procedures will soon be performed in the hospital outpatient setting. It will be important for hospitals to consider future demand and volume for interventional cardiology services; capacity for an increase in hospital outpatient volume; and staffing and operational implications.
What do standard best practices for radiology look like? Without them, it is impossible for a hospital to identify the strengths and weaknesses of its current radiology services and strive for improvements.
In late August 2014, the Centers for Medicare and Medicaid Services (CMS) announced plans to reinstate the Recovery Audit program on a limited basis. CMS reports the delay in restarting the Recovery Audit program was to enable the various RAC regions to restructure, allowing time for the appeals to catch up. Soon, however, the hiatus will end and RACs in all regions will resume automated reviews; these will be in addition to select complex reviews based on topics chosen by CMS.
Healthcare billing and claims handling has become increasingly complex. With the transition to Version 5010 of the HIPAA electronic transaction standards, the expansion of billing codes under ICD-10, and the ever-changing requirements of insurance companies and the Centers for Medicare and Medicaid Services (CMS), it can be nearly impossible for providers to keep up.
The current is changing. And as healthcare organizations switch from fee-for-service to fee-for-value, leaders will face new challenges. This downloadable presentation provides critical information for leaders managing the volume to value transition.
HealthLeaders' survey on workforce management queried leaders from a cross-section of U.S. healthcare organizations, including hospitals, health systems, physician organizations, and long-term care/skilled nursing facilities. The 150 respondents represent executives across all disciplines — administration, clinical, operations, finance, marketing, and information. In the next three to five years, hospitals, health systems, and other patient service providers expect to augment their time-and-attendance and payroll systems with integrated applications that enable more sophisticated data crunching around labor analytics, acuity management, and staffing assignments. The goal? To convert the workforce from overhead to asset — a flexible, agile asset that will help organizations succeed in an increasingly demanding regulatory and competitive environment.
As Managed Service Organizations (MSOs) have grown, so have myths surrounding their methods. Somnia offers a fresh perspective, exposing truths, dispelling myths and helping you objectively evaluate options for improving your anesthesia management.
Cisco is committed to leading the collaboration revolution— both today and tomorrow. The role of technology in themarket place is to support and inspire big ideas and innovation. Digital transformation is going to continue to drive new ways of working, and Cisco will remain a driving force, with a vision that extends beyond in-house innovations—because the best ideas can come from anywhere.
Cisco designs and sells broad lines of products, provides services, and delivers integrated solutions to develop and connect networks around the world, building the internet.
As a global market leader in our industry, we help our customers connect, digitize, and thrive. Together, we change the way the world works, lives, plays and learns.
A new Harvard Business Review Analytic Services global study of more than 300 midsize to large enterprises finds that many executives believe current collaboration tools fall short on supporting the depth, pace, and style of teamwork now required to keep up with today’s most important business imperatives.
To better understand how companies are finding the unique, hybrid cloud architectures that best meet their needs, we interviewed executives at companies that had reduced or changed their use of managed or cloud IaaS or that chose to avoid the public cloud in the first place.
These companies include retail, social media, healthcare, financial services, and public sector companies. Some of these companies were born in the cloud while others transitioned from traditional IT infrastructures. Company sizes ranged from 300 employees to more than 300,000.
The Cloud, once a radical idea in IT, is now mainstream. Whether it’s email, backup or file sharing, most consumers probably use a cloud service or two. Similarly, most IT professionals are familiar with cloud service providers such as Amazon, Google and Microsoft Azure, and many companies have moved at least some of their information technology processes into the cloud. In fact, the cloud has become so popular it’s easy to assume that running IT applications on-premises is not cost competitive with a cloud based service. In this report Evaluator Group will test the validity of that assumption with a TCO (Total Cost of Ownership) model analyzing a hyperconverged appliance solution from HPE and a comparable cloud service from Amazon Web Services (AWS).
If not, you are increasing the risk for costly, unplanned downtime. However, despite the importance of having a reliable flow of electricity, over half of building owners rely on reactive maintenance programs to care for their equipment. This means they wait until equipment fails completely before initiating corrective action, which is typically 3-4 times more costly than taking preventive measures.
A good first step to go from being reactive to proactive is having a power system assessment performed. While often deemed expensive or unnecessary, the truth is power system assessments reveal opportunities to modernize, imiprove performance and help protect employees. To learn more, download our checklist, ""Ten Ways a Power System Assessment Can Save You Money"
La tecnologia IaaS, un tempo vista con scetticismo da molti responsabili IT, viene oggi adottata da molte aziende, che trasferiscono sul cloud i workload e accantonano l’architettura locale che prima ritenevano indispensabile.
Nonostante i vantaggi in termini di prestazioni, flessibilità e opportunità di innovazione sperimentati dagli utenti che già hanno adottato questa tecnologia, alcune aziende ritardano la migrazione per paura del cambiamento.
IT departments are under constant pressure to do more with less. Now, as well as keeping the lights on, they are expected to deliver projects that create real business value. As more businesses use digital technologies to disrupt their markets, this pressure is intensifying.
Infrastructure as a service (IaaS) is evolving against this background. Initially, it caught CIOs’ attention because it helped them cut costs. Today, IaaS underpins organizations’ agility in the face of disruption and drives innovation-led growth.