Quality and Safety
At the behest of affected patients and providers, Intermountain Healthcare decided to build what it calls a Personalized Care Clinic, an initiative that has the look of a patient-centered medical home, but offers services for a specific patient demographic facing complex, ongoing medical issues.
Improving the health of at-risk, vulnerable and chronically sick populations remains a massive challenge for healthcare organizations' financial administrators. In order to properly manage complex populations, comprehensive and reliable data on patient health and demographics are required.
An article published last week in the New England Journal of Medicine casts doubt that malpractice reform would reduce the use of supposed "defensive medicine."
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.