Quality

Latest Issue of OR Manager
February 2018

CMS launches new data submission system for Quality Payment Program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced on January 2 that physicians and other eligible clinicians participating in the Quality Payment Program can begin submitting their 2017 performance data using a new system on the Quality Payment Program website (qpp.cms.gov). The new system is an improvement…

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By: Judy Mathias
January 3, 2018
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CMS updates Hospital Compare site

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced December 21 that it updated data on its Hospital Compare website and will update the Overall Hospital Quality Star Rating using a new methodology that will give more hospitals one or five stars. CMS had postponed the release of…

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By: Judy Mathias
January 2, 2018
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Where are you on the value-based care continuum?

Healthcare providers are straddling a variety of payment models while many regulatory changes remain in flux under the Trump Administration. Although the shift from fee-for-service to value-based payment began some years ago, not everyone is on board. Opinions about bundled payments also remain mixed, despite reports of improved outcomes and…

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By: Elizabeth Wood
December 14, 2017
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ASC quality reporting deadlines moved up in 2018

On November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) released its final rule for the 2018 Medicare Hospital Outpatient Prospective Payment System/ASC Payment System and Quality Reporting Programs. In summary, several ambulatory surgery center (ASC) measures (ASC-1 to ASC-14) are unaffected, except that three measures (ASC-5, -6,…

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By: Leslie Flowers
December 14, 2017
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Examining surgical outcomes to identify procedures needing additional QI efforts

Editor's Note This analysis of 10 surgical procedures accrued into the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) between 2008 and 2015, identified which procedures improved the most from QI efforts and which needed more. Hepatectomy demonstrated the greatest improvement across the greatest number of outcomes…

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By: Judy Mathias
November 29, 2017
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ASC Regulatory and Quality Measure Reporting Update: 2017 Edition

After this session you’ll be able to: 1. Discuss the revisions to the Medicare Conditions for Coverage. 2. Identify quality reporting for ambulatory surgery centers (ASCs) required by CMS. 3. Ascertain the current changes to the ASC quality reporting program. Why this is important: Ambulatory surgery centers are monitored by…

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Joint Commission chooses Apervita platform to ease eCQM submission

Editor's Note The Joint Commission has selected Chicago-based Apervita’s platform to enable thousands of hospitals with ORYX data reporting requirement to directly submit electronic clinical quality measure (eCQM) data in 2018, the November 14 Healthcare Informatics reports. Since the shift to eCQM data submission began 2 years ago, the Joint…

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By: Judy Mathias
November 15, 2017
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Joint Commission: More accredited hospitals submitting eCQM data

Editor's Note Despite the expansion of requirements for electronic clinical quality measure (eCQM) reporting to the Centers for Medicare & Medicaid Services, an increased number of Joint Commission accredited hospitals are adopting and reporting eCQMs to drive quality improvement, the Joint Commission reports.  In 2016, 470 accredited hospitals submitted eCQM…

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By: Judy Mathias
November 13, 2017
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Value of voluntary bundled-payment program unclear

Editor's Note For the third year in a row, researchers with the Lewin Group couldn’t determine whether Medicare’s voluntary Bundled Payment for Care Improvement initiative cuts costs and improves care, the October 31 Modern Healthcare reports. The Centers for Medicare & Medicaid Services (CMS) funded analysis found that although providers…

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By: Judy Mathias
November 1, 2017
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ACS NSQIP recognizes 66 hospitals for meritorious outcomes

  Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 18 recognized 66 of 680 hospitals participating in the adult program for achieving meritorious outcomes for surgical patient care in 2016. ACS NSQIP hospitals are required to track outcomes for inpatient and outpatient…

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By: Judy Mathias
October 19, 2017
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Effect of hospital-wide measure of readmissions for HRRP

Editor's Note Changing to a hospital-wide measure of readmissions for the Hospital Readmissions Reduction Program (HRRP) would result in only 76 more hospitals being eligible to receive penalties, but it would substantially increase the penalties for safety-net hospitals, this study finds. For the analysis, researchers used Medicare claims from 2011…

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By: Judy Mathias
October 19, 2017
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The New Normal: Regulatory and Quality Measure Reporting Update for Ambulatory Surgery Centers

The ambulatory surgery center (ASC) industry is accountable for quality measure reporting to the regulatory bodies. Specifically, there are federal legislation, regulatory initiatives, and quality measures that need to be incorporated into the day-to-day management of your ASC. Are you equipped to run a fully compliant facility? Attend this session…

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