Hospital Readmission Reduction
In October 2012 Medicare began levying financial penalties against hospitals having readmission rates that exceed CMS standards. Over 63% (2,217) of hospitals nation-wide have already been hit with penalties, 307 of those facing this year’s maximum penalty of 1% reduction in Medicare payments. Was your hospital one of those hospitals penalized? What will that mean to your bottom line? Can you afford to continue being hit with these penalties up to the 3% as outlined in the Affordable Care Act? Or, are you ready to take action to eliminate those penalties through a readmission reduction strategy? You can read about our success in The Case Manager’s Guide to Readmissions, a Case in Point special report published by Dorland Health . We follow a proven performance improvement methodology:
Errors often occur because we work in a very complex system, where one component interacts with multiple other components such that if that component fails, interacting components fail. The way in which we set up our processes is critical to the success of our function and employees. Through workflow analysis, QIG can help you:
Have you had a recent sentinel event or other adverse event in your hospital? If the answer is yes, you’re not alone. The IOM report showing that between 44,000 and 98,000 people die each year due to medical errors is well known in the health care industry. But what’s even more alarming is to learn that we haven’t improved as we thought. A report presented to Congress in 2010 showed that 13.5% of all Medicare beneficiaries experienced adverse events during their hospital stay (2008 discharges), 1.5% experienced an event that lead to their death. That’s 15,000 deaths in a single month, or 180,000 per year!
Using the process outlined in the book, Cultivating a Culture of Safety in Healthcare: A Systematic Approach to Root Cause Analysis, our staff will guide you through:
Our infection control professional has many years of experience working in large and small hospitals. Whether you have new staff that needs training and mentoring, you need a complete assessment and revision of manuals, or you need an overall assessment of your current program with recommendations for improvement, our team can address your needs. We can also provide ongoing oversight of your program to assure your staff members are meeting CMS, The Joint Commission, or other regulatory requirements. Call us to:
Issues often arise that require physician intervention. Many hospitals don’t have an opportunity to employ a Chief Medical Officer (CMO) and may not have a medical staff leader who has the skills necessary to effectively deal with the situation at hand. Or, maybe internal conflict of interest requires intervention by an outside physician. We can help you with:
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