Quality and Safety
Health systems as well as independent providers have an opportunity to drive best practices in specialty care and secure sustainable revenue with a new business and care model.
Is your hospital's case management model strictly focused on discharge planning and retroactive utilization reviews? If so, there's no better time to transition to an updated, outcomes-driven model, that focuses on the big picture, than right now.
Seismic changes altering the healthcare industry are creating an increasing number of compliance requirements for hospitals and health systems to meet. This means a larger role for an organization's chief compliance officer.
This week the Centers for Medicare & Medicaid Services expanded the agency's Five Star Quality Rating System for Nursing Homes, and proposed new conditions of participation for home health agencies.
With 25 million Americans set to be insured through exchange plans over the next decade, some health systems are finding a competitive advantage in branding their own health networks, improving on the concept that entered the market with the name "narrow networks."
Rural, critical access hospitals are being left out of some of the biggest shifts in American healthcare initiated by the ACA, leaving some rural healthcare leaders worried about being marginalized and that they could be left behind as reforms spread.
In this essay, Bill Pugh, CFO of PinnacleHealth, addresses the challenges and opportunities the Harrisburg, Pa.-based health system experienced moving towards the accountable care model. He offers some "lessons learned" for other health systems embarking on the ACO journey.
Home health agencies can help hospitals reduce readmissions and control overall healthcare costs, according to a new study, but how effective these agencies are in meeting such goals largely depends on the quality of organizational support given to healthcare field workers.
A program that combines a mobile app, analytics and direct intervention is showing promise in reducing the costs associated with hospitals' most expensive patients -- the so-called "super-utilizers."
New research by the Centers for Disease Control and Prevention and Premier, Inc., concludes that the inappropriate use of antibiotics in U.S. hospitals could result in an estimated $163 million in excessive costs.