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Sensing Savvy

Tips Hospital Leaders Can Use to Prepare for Disaster

Posted by Thomas Gole, DO, FAAFP on Jan 9, 2017 7:00:00 AM

Turn on the TV or open your internet browser and you’ll likely be confronted with a story or two about a local or national disaster. And while your hospital has likely prepared for disaster, it’s difficult to gauge how your staff will respond until it faces an adverse event.

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Topics: Hospital Administration

What to Know About CMS' Hospital Payments Final Rule

Posted by Roger DeLong, CP, PE, MBA on Jan 3, 2017 7:00:00 AM

Since October, growth in rural physician practices owned by hospitals has increased by 102 percent, and the number of urban physician practices owned by hospitals increased by 77 percent.

The Centers for Medicare & Medicaid Services (CMS) wants to slow the trend of hospitals purchasing physician practices and highlight the broader health care reform changes that were adopted by President Obama and Congress.

In early November, CMS released its finalized updated payment rates and policy changes for the 2017 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System.

Here is what hospital leaders should know about CMS’s hospital payments final rule:

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Topics: Hospital Administration

Documentary ‘Who Shall Live’ Sets Healthcare Reform in Motion

Posted by Susan Eymann, MS on Nov 14, 2016 7:00:00 AM

A 1965 NBC documentary, "Who Shall Live?", narrated by Edwin Newman, created a stir. The documentary portrayed the highly controversial decision-making process that occurred during the early days of dialysis when only a few patients could be treated, and even then at great cost. The documentary showed faceless black silhouettes of the anonymous committee of community members against a stark white background as they deliberated over cases and selected which patients would receive dialysis treatment. Their decision meant life or death for the end-stage renal disease patients they were reviewing. The committee's authority was final and irrevocable. Ultimately, the serious ethical dilemma of a committee's choosing who would and wouldn't receive medical treatment to extend their lives set in motion a transformation of the healthcare system in this country.

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Topics: Hospital Administration

Executives Speak Out About Preparing for Value-Based Care

Posted by Roger DeLong, CP, PE, MBA on Oct 24, 2016 7:00:00 AM

Providers are anxiously awaiting the Medicare Access and CHIP Reauthorization Act (MACRA) final rule that will be handed down this fall. Starting in January, data on the quality and efficacy of a physician’s care will be collected.

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Topics: Hospital Administration

3 Interesting Facts About How Patients Review Doctors

Posted by Anna Mueller, MS on Oct 19, 2016 6:30:00 AM

Thanks to rising deductibles and premiums, potential patients are starting to take a more active role in choosing their healthcare providers. And like any other major purchase, research is finding that most consumers are turning to reviews to help them pick the right doctor or hospital.

Here are some interesting facts about how patients review doctors.

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Topics: Hospital Administration

What Hospital Administrators Should Know About Medical Tourism

Posted by Roger DeLong, CP, PE, MBA on Oct 17, 2016 7:00:00 AM

When David Dupray faced a $35,000 bill for a recommended stent placement for a left iliac artery stenosis, he was forced to consider his options. Instead of comparing procedures at hospitals in his area or even state, he left the country.

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Topics: Hospital Administration

What Physicians and Hospital Administrators Should Know About MACRA

Posted by Thomas Gole, DO, FAAFP on Oct 3, 2016 7:00:00 AM

Healthcare payment reform is coming. As healthcare delivery is shifting from a fee-for-service model to a value-based model, Medicare is changing the way it will reimburse physicians.

The result is the Medicare Access and CHIP Reauthorization Act (MACRA) and it’s slated to go into effect on January 1, 2017.

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Topics: Hospital Administration

How the CMS Cardiac Bundle Could Affect Your Hospital

Posted by Roger DeLong, CP, PE, MBA on Sep 28, 2016 6:30:00 AM

In late July, the Centers for Medicare and Medicaid Services (CMS) proposed a bundled payment program for cardiac procedures involving heart attacks and bypass surgeries.

This is part of the agency’s initiative to shift payment from quantity to quality incentives, which means hospitals will be accountable for the quality of care a patient received during their stay and for 90 days after their discharge.

Hospitals will be paid a fixed price for each round of care they provide. If a hospital hits higher quality targets while providing that care, it will be qualify for a higher payment.

Here is how the proposed CMS cardiac bundle could affect your hospital.

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Topics: Hospital Administration

How Do You Rate the Affordable Care Act (ACA)? These Docs Gave it an F

Posted by Thomas Gole, DO, FAAFP on Sep 26, 2016 7:00:00 AM

Since its inception six years ago, the Affordable Care Act (ACA) has received lots of feedback. Regardless of political opinions, physicians have voiced their thoughts on the law, praising it for improving access to healthcare but saying it has negatively affected their practices.

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Topics: Hospital Administration, Clinical Trends

CMS Star Ratings: 3 Things to Know

Posted by Thomas Gole, DO, FAAFP on Sep 21, 2016 6:30:00 AM

The Centers for Medicare & Medicaid Services (CMS) recently released its Overall Hospital Quality Star Ratings and with it came a slew of questions and comments.

CMS says its ratings system is designed to help individuals, their family members and caregivers compare hospitals “in an easily understandable way.”

Here are three things you should know about the latest CMS Star Ratings.

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Topics: Hospital Administration