#cahps

TGIF! A frequent reader sent me a note earlier in the week and asked if I would drop in more clinically oriented stuff from time to time. I asked for details, and she said stuff “that is germane to patient care and operational improvements – QA/QI stuff”. So, today’s post is by request, sort of. I ran across a little case study piece from Sound Physicians about their work in a North Texas…

Happy Hump Day! As I wrote in a post on Monday regarding CMS’ Proposed Rule for SNFs, ’tis the season. This time of year, is when CMS drops proposed changes to reimbursement and other programmatic elements for all provider types, save Home Health which comes a little later (Home Health rate year is calendar year whereas other PPS providers and Hospice follow the Federal Fiscal Year of October 1).…

90's CHAPS by R.L. madras patchwork cotton Shirt

The Patient Experience Overall Rating has not Improved

Since 2016, the Patient Experience overall rating has not improved (as measured by HCAHPS) even as more and more money was (is) being is invested in the change. Key takeaways … * Numbers over people does not work. * Tactics over caring does not work. * Financial incentives over love does not work. Build a foundation based on relationships (humanity), truly caring, and a love for all first……

In February of 2017, I had the opportunity to share the importance of Individualized Patient Care (IPC*) as part of a “10 Minutes that Count” session (think TED Talk) at the Studer Group Engagement conference in Dallas.

*From the Studer Group website:

IPC is about the patient — learning from the patient and aligning their care and their words accordingly. It is proven to:

Reduce patient anxiety

I…

Hospital Impact: Study illustrates the shortfalls of financial incentives to provide better care

A study published in the latest issue of Health Affairs found that certain Centers for Medicare & Medicaid Services initiatives play only a small role in improving patient care.

The CMS initiatives studied?

Tying value-based purchasing (VBP) payments to Consumer Assessment of Healthcare Providers and Systems (CAHPS). Or in other words, assessing the impact of financially incentivizing healthcare…

New Post has been published on http://www.beammed.com/6th-annual-star-ratings-master-class-summit/

6th Annual Star Ratings Master Class Summit

December 7-8, 2015 in Laguna Beach, CA. The Leading-Edge Strategies You Need to Optimize Quality Performance

Following a detailed outline from a top NCQA official of what the coming year will hold, leading quality experts will present their insights on how they improved their scores and how you can learn from their success.  The setting is interactive including roundtables and plenty of opportunities for answers to your specific questions.  You will come away with all the tools and strategies you need to boost your quality performance and increase your Star rating.

Here is what past attendees have said:

“The speakers are all willing to share what worked, what didn’t work, and why.” Margaret Cramer, Owner, Cramer Care Consulting

“Good mix of topics, vendors, member experience overview.” Ryan Cook, Data Analyst, Centene Corporation

“Great speakers, great information.” Kimberly Johnson, Assoc. Director, Clinical Quality, UnitedHealthcare

  KEY TOPICS

How do top-rated plans stay on top?

Understanding changing measures and staying ahead of future evolution

Preparing for the new quality ratings systems in Medicaid and on the exchanges

Leveraging the new possibilities CMS allows for incentivizing members

Establishing a member-centric culture to ensure optimal ratings

Moving the needle on the most difficult measures

How to work more effectively with your PBM

New strategies for improving CAHPS and HOS scores

Optimizing your Star rating in the move toward pay for performance