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IPPS Proposed Rules Clarify Readmissions Penalties
Proposed Changes to the Hospital Inpatient Quality Reporting Program
The number of measures for reporting from 72 to 59 for the FY 2015 payment determination, and 60 for the FY 2016 payment determination would be reduced.
Hospital-Acquired Conditions
CMS proposed to add surgical site infection following cardiac implantable electronic device and iatrogenic pneumothorax with venous catheterization as conditions subject to the HAC payment provisions for FY 2013.
Future Hospital Value Based Purchasing Incentive Program
Starting with payments on Oct. 1, 2014, or FY 2015, CMS intends to add a provision for risk-adjusted efficiency or spending per beneficiary. The period for which costs will be assessed will be from three days prior to the inpatient admission to 30 days after discharge.
A new outcome measure would reward hospitals for avoiding central line-associated bloodstream infections or CLABSI.
CMS proposes to add perinatal care measures and readmission measures, including readmissions related to hip and knee replacement procedures as well as a measure to reward surgical teams that use checklists to reduce surgical errors.
- $6.4B Henry Ford, Beaumont Merger Failed on Cultural Hurdles
- Don't Let Nurses Sink Your Bottom Line
- Hospitals Profit On Bloodstream Infections
- Fortunately, Angelina Jolie Isn't On Medicare
- Less Blood Testing for Some Surgeries Safe, Cost Effective
- Lower ED Margins Demand a Better Strategy
- How Chargemaster Data May Affect Hospital Revenue
- Primary Care Docs Average More Hospital Revenue Than Specialists
- ED Physicians Key to Half of Hospital Admissions
- House Lawmakers Grill CMS Over Health Exchange Navigators
Comments are moderated. Please be patient.
Kelly (4/27/2012 at 10:19 AM)
This keeps getting ludicrous. This boils down to not wanting to pay ANYTHING for patients being admitted to the hospital. They keep finding ways to withhold more and more money from hospitals. I work at a community hospital (that is one of the best) and receives award after award. We are still penalized. I can't imagine how other hospitals that are not as good are faring. Hospitals are going to start closing because of all the things being put in place. It's impossible. Then, where are people going to go.