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Sensing Savvy

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

How a Mother’s Grief Sparked Medical Safety Improvements

Posted by Susan Eymann, MS on Sep 5, 2016 7:00:00 AM

In January 2001, 18-month-old Josie King was rushed to the Johns Hopkins Children’s Center with second-degree burns. She had inadvertently stepped into scalding bath water. The child’s mother, Sorrel King, stayed at her child’s bedside as doctors and nurses valiantly administered to the child. A couple of weeks later Josie seemed well enough to be sent home. A celebration was planned, but then everything went downhill. The toddler became acutely sick. Her mother suspected dehydration, but nobody seemed to listen. When they did, it was too late. Josie was battling two infections—one was from a central venous line that led to sepsis. It ultimately took her life.

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Topics: Hospital Administration, Clinical Trends

How Medicare’s Outpatient Prospective Payment System Rule Could Affect Hospitals

Posted by Thomas Gole, DO, FAAFP on Aug 17, 2016 6:30:00 AM

The Centers for Medicare and Medicaid (CMS) recently released its 2017 Hospital Outpatient Prospective Payment System Rule (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule.

Beginning in FY 2017, the proposed rule will result in a 1.6 percent increase — of approximately $5.1 billion compared to FY 2016 — in payment for hospitals paid under OPPS.

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Topics: Hospital Administration

How Design Thinking Can Improve Patient Experience

Posted by Roger DeLong, CP, PE, MBA on Aug 8, 2016 6:30:00 AM

An electronic mannequin is splayed on a stretcher in a fictional emergency department, shouting in pain. Nearby, an actor portraying that mannequin’s brother is frantic with worry. This isn’t a scene from a play. Rather, it’s a scene playing out in many top hospitals—an exercise in design thinking.

Exercises in design thinking put actual doctors and nurses at the bedside of fictitious patients where they interact with fictitious family members, all in an effort to improve patient experience.

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Topics: Hospital Administration

The Latest on Obamacare Funding and Healthcare Policies

Posted by Thomas Gole, DO, FAAFP on Jul 25, 2016 7:00:00 AM

Many low-income Affordable Care Act patients will be seeing higher co-pays and deductibles at hospitals and doctor’s offices if the May 2016 decision by federal Judge Rosemary Collyer stands.

But the ruling doesn’t just affect the finances of patients: Your hospital could take a hit, too. Here’s what you need to know about the latest happenings with Obamacare funding and other healthcare policies:

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Topics: Hospital Administration

How to Increase Efficiency in the Operating Room

Posted by Thomas Gole, DO, FAAFP on Jul 18, 2016 7:00:00 AM

One of the costliest areas in a hospital is the operating room. Despite its high costs, the OR is also one of the top revenue generators, bringing in between $15 - $20 per minute, and that’s just for a basic surgical procedure.

But as budgets become tighter and patients and insurance companies seek a greater value for their money, hospitals are examining ways to increase efficiency in the operating room. Imagine the money and time wasted each time a case is delayed by a search for a piece of missing equipment.

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Topics: Hospital Administration, Cardiothoracic, CABG Surgery

How Medicaid's Final Rule Changes Affect Hospitals

Posted by Thomas Gole, DO, FAAFP on Jun 6, 2016 7:00:00 AM

The Centers for Medicare and Medicaid Services (CMS) recently announced an update to Medicaid and the Children’s Health Insurance Program (CHIP). Medicaid's final rule is an attempt to modernize and strengthen the quality of care of its low-income healthcare program.

Thanks to the Affordable Care Act, Medicaid has seen substantial growth, and now 80 percent of enrollees are served through managed care delivery services.

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Topics: Hospital Administration

Patient Engagement and Experience Top Concerns for Hospital Executives

Posted by Thomas Gole, DO, FAAFP on May 31, 2016 7:00:00 AM

More than ever, patient engagement and experience are becoming a vital part of a hospital’s success. As the healthcare industry shifts its focus to more patient-centered, value-based outcomes, hospital leaders are looking for ways to improve patient engagement and experience.

With penalties mounting for hospital readmissions, and fines or payment reductions occurring for poor patient experience ratings, it’s no surprise that nearly half of hospital executives rate these things as top concerns.

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Topics: Hospital Administration

What Hospital Leaders Should Know About Yelp

Posted by Thomas Gole, DO, FAAFP on May 25, 2016 7:00:00 AM

If you have ever stayed at a hotel or gone out to a restaurant, chances are you have consulted online review site Yelp. But these days, the review site is being used for far more than where to find the tastiest tacos or most luxurious getaway—and it could affect your hospital.

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Topics: Hospital Administration

Healthcare Reform in America, Part II: Passage of Medicare and Medicaid

Posted by Thomas Gole, DO, FAAFP on May 13, 2016 6:30:00 AM

Despite the conservative political climate of the 1950s, disability insurance for workers over the age of 50 was passed in 1956. Once again, it served as an incremental achievement for healthcare reform.

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Topics: Hospital Administration

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