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  • James H. Landman, JD, PhD
    the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in

    Original URL path: http://www.hfma.org/Content.aspx?id=28816 (2016-02-10)
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  • Chad Mulvany, FHFMA
    Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of

    Original URL path: http://www.hfma.org/Content.aspx?id=28817 (2016-02-10)
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  • Charles R. Alsdurf, CPA
    to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White

    Original URL path: http://www.hfma.org/Content.aspx?id=44169 (2016-02-10)
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  • Karen Thomas
    at Stanford Patient Education Resource Center s Chronic Disease Self Management Program Additional areas of focus include charity care and financial counseling consumer directed health care and healthcare reform Back to the Healthcare Financial Practices Staff BACK TO PAGINATION As HFMA s Director of Communications Karen is responsible for coordinating and communicating HFMA s perspective on critical forward looking healthcare finance issues She also takes the lead on media relations In addition Karen is Director Healthcare Finance Policy Consumer Engagement Prior to joining HFMA in 2009 Karen was manager of medical communications at Walgreens Health Services In that role she developed educational materials for people living with chronic conditions and continuing professional education materials for clinicians Karen previously served as associate director of the Society for Healthcare Strategy and Market Development at the American Hospital Association AHA and managing editor of AHA s series on health technology assessment which sought to make healthcare technology issues relevant and accessible to nonclinical healthcare leaders Karen began her career as director of administrative services for maternal and child health at a community hospital in Chicago Karen served as managing editor of Understanding Healthcare Prices A Consumer Guide HFMA 2015 She is co author of Consumer Health Resource Centers A Guide to Successful Planning and Implementation and Crisis Communications in Health Care Karen completed training at Stanford Patient Education Resource Center s Chronic Disease Self Management Program Additional areas of focus include charity care and financial counseling consumer directed health care and healthcare reform Back to the Healthcare Financial Practices Staff Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in their organization HFMA RESOURCE LIBRARY Payment Portals Can Improve Self Pay Collections and Support Meaningful Use Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs This article written by Apex Founder and CEO Brian Kueppers explores a number of strategies to create synergy between patient billing online payment portals and electronic health record EHR software to realize a high ROI in speed to payment patient satisfaction and portal adoption for meaningful use HFMA Business Profiles Somnia Bending the Healthcare Cost Curve Toward Improved Anesthesia Value Somnia President and CEO Marc Koch MD MBA explains how hospitals can drive transformative change in the perioperative experience for outstanding clinical and financial outcomes HFMA RESOURCE LIBRARY Large Health System Drives 10 UP Patient Payments and 10 DOWN Billing related Costs Faced with a rising tide of bad debt a large Southeastern healthcare system was seeing a sharp decline in net patient

    Original URL path: http://www.hfma.org/Content.aspx?id=28815 (2016-02-10)
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  • Sandra J. Wolfskill, FHFMA
    Force the HIMSS Revenue Cycle of the Future Task Force and the ICD 10 Coalition Additional areas of focus include coding billings and collection operations and other technology and staff development Back to the Healthcare Financial Practices Staff BACK TO PAGINATION Sandy joined HFMA in 2013 as Director of Healthcare Finance Policy Revenue Cycle MAP She was previously President of Wolfskill Associates Inc a firm dedicated to quality health care receivables consulting Prior to founding the consulting firm in 1996 Sandy spent 15 years in healthcare financial management and consulting including positions as Director of Patient Financial Services and CFO of a small community hospital She also served six years in county government where she held a variety of management positions Sandy is a fellow of HFMA and an Advanced Member of the Northeast Ohio Chapter where she received the Follmer Bronze Reeves Silver Muncie Gold and Medal of Honor Awards Prior to joining HFMA Sandra worked closely with the association to develop the Certified Revenue Cycle Representative CRCR study guide and certification process Sandy currently serves on the National Uniform Billing Committee as HFMA s voting representative and represents HFMA on the AHIMA Information Governance Task Force the HIMSS Revenue Cycle of the Future Task Force and the ICD 10 Coalition Additional areas of focus include coding billings and collection operations and other technology and staff development Back to the Healthcare Financial Practices Staff Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in their organization HFMA RESOURCE LIBRARY Payment Portals Can Improve Self Pay Collections and Support Meaningful Use Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs This article written by Apex Founder and CEO Brian Kueppers explores a number of strategies to create synergy between patient billing online payment portals and electronic health record EHR software to realize a high ROI in speed to payment patient satisfaction and portal adoption for meaningful use HFMA Business Profiles Somnia Bending the Healthcare Cost Curve Toward Improved Anesthesia Value Somnia President and CEO Marc Koch MD MBA explains how hospitals can drive transformative change in the perioperative experience for outstanding clinical and financial outcomes HFMA RESOURCE LIBRARY Large Health System Drives 10 UP Patient Payments and 10 DOWN Billing related Costs Faced with a rising tide of bad debt a large Southeastern healthcare system was seeing a sharp decline in net patient revenues The need to improve collections was dire By integrating critical tools and processes the health system was able to increase online

    Original URL path: http://www.hfma.org/Content.aspx?id=28812 (2016-02-10)
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  • a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in their organization HFMA RESOURCE LIBRARY Payment Portals Can Improve Self Pay Collections and Support Meaningful Use Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs This article written by Apex Founder and CEO Brian Kueppers explores a number of strategies to create synergy between patient billing online payment portals and electronic health record EHR software to realize a high

    Original URL path: https://www.hfma.org/Leadership/Archives/2015/Winter/Getting_Physicians_to_Follow_the_Metrics/ (2016-02-10)
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  • CMS to Overhaul Meaningful Use
    do that in a way that still reaches those strategic planning goals Anderson said Rich Daly is a senior writer editor in HFMA s Washington D C office Follow Rich on Twitter rdalyhealthcare Publication Date Wednesday January 13 2016 BACK TO PAGINATION The new approach is expected to focus on reporting more closely tied to quality and stimulating interoperability Jan 13 In a sharp departure the Centers for Medicare Medicaid Services CMS is altering the focus of the federal electronic health record EHR incentive program The program launched as part of the HITECH Act included in the 2009 stimulus law was structured to provide bonus payments and then to phase in potential payment cuts based on providers meaningful use MU of EHRs But the existing MU structure is about to change The meaningful use program as it has existed will now be effectively over and replaced with something better said Andy Slavitt acting administrator of CMS in an address this week during the J P Morgan Healthcare Conference in San Francisco The announcement represented a big change for an agency that was signaling as recently as the fall that it was staying the course in the MU program It did surprise people in a good way but it surprised people Kristine Martin Anderson an executive vice president for Booz Allen Hamilton said in an interview It was an important moment because he acknowledged the industry consternation about the meaningful use program Many providers have had difficulty complying with Stage 2 and Stage 3 raises the bar Just this week an agency report revealed 209 000 eligible providers face Medicare payment cuts in 2016 under meaningful use Slavitt said that since late 2015 CMS has worked with physician organizations including the American Medical Association to understand the needs and concerns of many The MU changes which will be released over the next few months will move away from rewarding providers for the use of technology and toward rewarding patient outcomes Slavitt said The changes also aim to allow providers to customize their goals so technology companies can build around individual practice needs Technology must be user centered and support physicians not distract them Slavitt said A third objective of the changes will be to level the technology playing field for start ups and new entrants Slavitt said CMS is deadly serious about interoperability and will launch initiatives with physicians and consumers to move technology toward closing referral loops and engaging a patient in their care He warned technology companies engaging in data blocking in opposition to new regulations that such a practice won t be tolerated The MU changes come as CMS moves to implement the Medicare Access and CHIP Reauthorization Act of 2015 MACRA which designated a new Medicare physician reimbursement system one quarter of which would be based on MU compliance However the MU changes do not appear solely tied to MACRA in part because regulations implementing that law are not expected until the summer according to industry observers Possible Changes The original HITECH legislative language defining MU lacked detail and simply required EHRs to have three functions computerized physician order entry CPOE health information exchange and quality reporting My understanding is that as long as certified EHRs do those three things and you pay physicians for using those systems that would be consistent with HITECH Julia Adler Milstein an assistant professor at the University of Michigan who has testified before Congress on health IT said in an interview And you could effectively get rid of all the detailed criteria and staging and structure of MU and that would be allowed Adler Milstein expected the MU changes to focus on interoperability and quality reporting which most fit with the core objectives of MACRA On interoperability CMS may choose between coming down hard on vendors that limit interoperability or pushing providers to send and recieve information There s just no question that they are going to be a lot more flexible in meeting that MU component and try to allow providers to qualify for it by doing activities that are much more closely tied to value Adler Milstein said Very prescriptive criteria will likely be more clearly tied to value than are existing requirements such as patient visit summaries It s just much less obvious how you draw a direct line from that to better care Adler Milstein said She expected CMS to simplify MU and focus on just a few steps that will make care better As opposed to all of these other criteria that may be helpful in certain situations but you could also imagine in a lot of other situations it is not helpful at all she added Why the Change The impetus for the CMS course change was likely the large and growing provider pushback on the MU program according to industry experts But MU concerns also were drawing increasing attention from Congress which cleared legislation late in 2015 giving CMS authority to grant large numbers of hardship exemptions from 2015 Stage 2 MU requirements The College of Healthcare Information Management Executives CHIME issued a statement after Slavitt s announcement urging CMS to better align clinical quality measures and adopt enforceable standards We also believe that we need a laser like focus on interoperability to improve health information exchange across the continuum of care Russell Branzell president and CEO of CHIME said in a written statement Central to that is finding a safe accurate and private methodology for patient identification Interoperable systems a bigger focus on outcomes and less prescriptive use of how technology is used will better position providers for success in new payment and delivery models of care and ultimately benefit patient care Only 12 percent of physicians and 40 percent of hospitals have met Stage 2 reporting requirements according to a letter from the GOP Doctors Caucus which had urged action on the issue There s just indications in general that Congress the industry and CMS all agree that they need to go

    Original URL path: http://www.hfma.org/Content.aspx?id=45803&utm_source=Real%20Magnet&utm_medium=Email&utm_campaign=88337171 (2016-02-10)
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  • Improvements in Hospital-Acquired Conditions Stall
    off the grid when it comes to how we measure our performance in health care Rich Daly is a senior writer editor in HFMA s Washington D C office Follow Rich on Twitter rdalyhealthcare Publication Date Tuesday December 01 2015 BACK TO PAGINATION Further HAC reductions may require identifying ways to reduce harms that have shown relatively little improvement Dec 1 Following several years of improvements the rate of hospital acquired conditions HACs did not improve in 2014 according to new federal data The rate of HACs which had fallen 17 percent from 2010 through 2013 was unchanged in 2014 according to preliminary results of a report released Dec 1 by the U S Department of Health and Human Services Federal officials underscored the progress to date which included an estimated 87 000 fewer patient deaths and nearly 20 billion in savings going back to 2010 but acknowledged they do not know why the decline stopped at 121 HACs per 100 000 discharges We don t have a full answer to that question Richard Kronick PhD director of the Agency for Healthcare Research and Quality said in a call with reporters Part of the answer is likely that the dramatic improvements that we saw in earlier years were likely the relatively lower hanging fruit Hospitals are now working on the more difficult problems Kronick said he expects further reductions from the widespread adoption of the National Action Plan for Adverse Drug Events which was launched in 2014 and would not have had a measurable impact in the latest available data Patrick Conway MD principal deputy administrator and chief medical officer at the Centers for Medicare Medicaid Services CMS said the agency is focused on identifying ways to reduce patient harms in more complex areas such as patient falls and adverse drug events Industry experts had mixed views on whether the HAC rates would resume improving without additional policy or research developments Katharine Luther vice president at the Institute for Healthcare Improvement IHI said that as hospital engagement networks part of a federal initiative to identify and share best practices ramp up over the next few months they ll build on the good work they ve already done and we ll see the numbers drop even further Effect of Penalties Medicare cut payments by 1 percent for hospitals with the highest frequency of HACs as part of the latest in a series of CMS programs aimed at reducing the frequency of HACs The Hospital Acquired Condition Reduction Program which took effect Oct 1 2014 penalized 721 hospitals in FY15 for excess rates of certain patient injuries such as central line associated bloodstream infections catheter associated urinary tract infections and pressure ulcers according to published reports Researchers have questioned the effectiveness of the penalties at driving improvements For instance a July study published in JAMA found that the hospitals penalized most frequently had more quality accreditations offered advanced services were major teaching institutions and had better performance on other process and outcome measures The findings suggested to the researchers that the HAC penalties may not reflect poor quality of care but rather problems around measurement and the validity of the component measures Additionally some have questioned whether the penalty is sufficient to change hospital policies Specifically some organizations have concluded that the penalties are less than the cost of the additional supports necessary to avoid the penalty according to quality care experts It s clear that financial incentives have an impact but the financial incentives are definitely mixed Michael Millenson president of Health Quality Advisors who has written extensively on HACs said in an interview There s a psychological impact of having some financial incentives which helps but I m not sure how much they can turn up those financial incentives in the current political environment Other Steps Some disputed the need for further study of ways to reduce patient harms from falls and adverse drug events It s difficult but it s not as if there s no one who has been successful and published in the literature Millenson said about fall reduction programs He expects additional benefit will come from the Partnership for Patients initiative which can help hospitals identify the more difficult steps needed to further reduce HACs We have also seen a change in culture over the past few years where hospitals because of the Partnership for Patients see that this is possible they are getting peer support Millenson said about the program which he describes as Weight Watchers for patient safety Some people have lost the easy pounds but it doesn t mean that everyone has lost the easy pounds and more can t be done Martin Adel Makary MD associate professor of surgery and health policy at Johns Hopkins University said further improvements in HAC rates may require widespread adoption of systems that allow measurement of data that are clinically valid and specific to the clinician patient and incidence instead of the hospital wide measures used in the HAC program For instance IHI s Global Trigger Tool measures patient safety automatically using electronic health records We can claim successes with small slivers of care Makary said in an interview but the truth is the vast majority of care in the United States still has endemic variations in quality it s costly and it results in a lot of harm that is off the grid when it comes to how we measure our performance in health care Rich Daly is a senior writer editor in HFMA s Washington D C office Follow Rich on Twitter rdalyhealthcare Publication Date Tuesday December 01 2015 Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement

    Original URL path: http://www.hfma.org/Content.aspx?id=44309 (2016-02-10)
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