Post-Acute Care

Feds looking to QAPI, not penalties, for help

Feds looking to QAPI, not penalties, for help

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Centers for Medicare & Medicaid Services officials said they consider the upcoming Quality Assurance and Performance Improvement guidelines, not harsher penalties, as the better way to reduce adverse events in post-acute care.

AMDA to allow NPs, physician assistants as full members

AMDA to allow NPs, physician assistants as full members

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The American Medical Director's Association has a new name and will now allow nurse practitioners and physician's assistants full membership.

LTC must pursue collaboration to reduce readmissions

LTC must pursue collaboration to reduce readmissions

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Acute and post-acute providers are increasingly uniting around a shared goal - to lower hospital readmission rates for elderly and other vulnerable patients. Many caregivers and payers agree that readmission rates are unacceptably high.

Standardized tool for assessing post-acute care is floated in House and Senate

Standardized tool for assessing post-acute care is floated in House and Senate

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Lawmakers in both houses of Congress have unveiled a draft bill calling for post-acute care providers to furnish standard assessment data, with the goals of enabling better quality oversight and driving Medicare payment reform. The Senate Finance and House Ways and Means committees on Tuesday introduced companion versions of the "Improving Medicare Post-Acute Care Transformation Act of 2014" (IMPACT Act).

Government report: 1 in 5 Medicare patients suffers an adverse event while receiving post-acute SNF care

Government report: 1 in 5 Medicare patients suffers an adverse event while receiving post-acute SNF care

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About 22% of Medicare beneficiaries experienced an adverse event during a post-hospitalization skilled nursing facility stay in fiscal year 2011, and the majority of these events were preventable, according to a newly released government report. Post-acute provider groups said many initiatives to lower this percentage already are underway.

Care coordination is a part of performance measurement, MAP asserts

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There's a continuing need to align performance measurement across long-term care with other settings, and to increase care coordination, according to a new report from the Measure Applications Partnership.

Post-acute Medicare spending varies by location and how an episode of care is defined, CMS report shows

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A Medicare expenditure for an episode of post-hospital care in 2008 ranged from about $5,700 to $14,500, depending on how the episode was defined, according to a new report from the Centers for Medicare & Medicaid Services.

Learn how to use scorecards at Feb. 6 webinar

Learn how to use scorecards at Feb. 6 webinar

Speakers from Avalere Health will demonstrate how post-acute care providers can reduce costs and improve quality.

Physician relationships hold key to SNF success

Physician relationships hold key to SNF success

In the rapidly changing healthcare delivery system, SNFs will need to implement strategies to integrate physicians to retain their market share and be competitive. The incentives inherent in value-based reimbursement necessitate a transformation on the part of SNFs.

Ask the nursing expert ... about time management

Ask the nursing expert ... about time management

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We are so very busy in our post-acute care jobs. How are we supposed to get it all done?

Lack of data causes doctors to steer patients to unnecessary post-acute care, experts say

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Without solid research about how discharged hospital patients fare in various post-acute settings, cautious doctors are ordering more intensive and expensive care than is needed, according to medical experts writing in the Harvard Business Review.

Learn how to use data for therapy services at Nov. 13 webinar

Learn how to use data for therapy services at Nov. 13 webinar

Post-acute providers have to learn how to demonstrate the outcomes of therapy. By understanding and using specific data components, providers can learn how to provide the best rehabilitation services through the continuum of care.

Provider groups respond to Congressional request with detailed recommendations on post-acute reforms

Provider groups respond to Congressional request with detailed recommendations on post-acute reforms

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Major long-term care provider groups have offered detailed policy recommendations on reforms to the post-acute care delivery and payment systems, as requested by Congressional lawmakers. In addition to offering recommendations on a host of topics, the groups stressed that Congress should evaluate information coming out of current demonstration projects and models before enacting any radical changes.

Post-acute care largely explains geographic differences in Medicare spending, report affirms

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Geographic variances in post-acute care largely account for differences in Medicare spending patterns, supporting healthcare reform measures that encourage better acute and post-acute coordination, according to a report from the Institute of Medicine.

Gulf Coast receives highest Medicare payouts for post-acute care, CMS national databank shows

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States around the Gulf of Mexico and in the Rust Belt face the highest post-acute care costs in the nation, according to Medicare data released Monday by the Centers for Medicare & Medicaid Services.

Case for bundled pay made

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Large-scale bundling of government reimbursements is needed, say researchers who have studied the topic. Post-acute care was the fastest growing major healthcare spending category for government programs between 1994-2009, according to Harvard University researcher Amitabh Chandra, Ph.D., and co-authors.

Simulation: A way to achieve proficiency in EMR adoption

Simulation: A way to achieve proficiency in EMR adoption

Meaningful use requirements state that physicians must be able to send and receive care summaries during transitions to all healthcare settings, including long-term and post-acute care facilities. So how can these facilities implement an EMR system and then help users achieve proficiency quickly and effectively? The answer lies in role-based simulation.

$1 billion available for projects to 'rapidly reduce' post-acute care costs, CMS announces

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The second round of the Health Care Innovation Awards is now underway, the Centers for Medicare & Medicaid Services announced Wednesday. CMS will distribute up to $1 billion to fund projects that aim to improve care while cutting costs for the Medicare and Medicaid programs.

Skyrocketing spending on post-acute care shows need for large bundled payment groups, researchers argue

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Post-acute care was the fastest growing major healthcare spending category for government programs between 1994-2009, according to recently released research. The results support large-scale bundled payments as a way to control costs, the researchers argued.

SNFs' role in end-of-life care is growing

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The number of people dying in hospitals decreased 8% from 2000 to 2010 even as overall hospitalizations rose, suggesting nursing homes, hospices and home health providers are playing larger roles in end-of-life care. These numbers appeared in a recent Centers for Disease Control and Prevention report.

Savvy post-acute care providers are seeking creative partnerships with hospitals, experts say

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Post-acute care providers should be considering creative joint ventures with hospitals to best take advantage of evolving healthcare delivery and payment systems, healthcare finance and legal experts said Wednesday in an Avalere Health webcast.

Proposed rules broaden opportunities for veterans needing post-acute care

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Newly proposed rules could impact veterans' nursing home care. One rule would provide more flexibility to veterans in terms of their healthcare benefits under the Department of Veterans Affairs. A separate rule would prioritize government funding for state homes that provide care to veterans.

Reducing readmissions with a scheduled presence in the post-acute care setting

Reducing readmissions with a scheduled presence in the post-acute care setting

When you have a physician or hospitalist in a facility, acute changes in condition are addressed. Moreover, acute changes in condition (once they're addressed) can lead to decreased re-hospitalizations and we've shown this quite convincingly. Scheduled presence improves nursing competency as oftentimes impromptu in-services contribute to the nursing staff's understanding of physician expectations.

Texas long-term care becomes big winner in receipt of federal innovation grants

Texas long-term care becomes big winner in receipt of federal innovation grants

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Texas has received a windfall of federal funding to test care coordination programs between acute and long-term care providers.

Common pay system for three post-acute care settings appears doable, new report says

Relief could be on the horizon for providers, regulators and other stakeholders who have struggled to find common evaluation and payment models for individuals who move between post-acute care settings, researchers say.

Home healthcare costs often lower than post-acute care after hospitalization, analysis finds

Medicare beneficiaries with chronic health problems are far less likely to be readmitted to the hospital when discharged to their homes than if they receive other post-acute care services, a new analysis finds.

Post-acute providers need electronic health records, too

Post-acute providers need electronic health records, too

The federal push to create electronic health records must include post-acute providers, such as skilled nursing facilities.

New law strives to keep older adults at home

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When you read between the lines of the healthcare reform law, its general intent becomes clear: The law is about increasing home- and community-based services (HCBS), and improving wellness and prevention.

Move toward certifying electronic health records must include long-term care

Move toward certifying electronic health records must include long-term care

Long-term care must have have certified electronic health records to keep pace with the rest of the healthcare industry.

Vote expected soon on Senate healthcare reform bill

A vote on Senate Finance Committee healthcare reform legislation could occur by the end of this week. The 262-page bill contains a number of amendments that could affect long-term care supports and services.

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