Higher Readmission Penalties Linked to Low HCAHPS Scores
On the other hand, hospital readmission rate scores vary from the very low end, with some hospitals receiving 0-19 points, some receiving 20 to 39 points, some 40-59, some 60-79 and some 80-100.
"What we see from the metrics that make up the various quality performance initiatives is the expectation that hospitals will extend their sphere of influence," Buhlman says.
She says there's a strong probability that the hospitals' focus on readmission rates also affects its relationship with the patient through communication, and that's why these patients give hospitals higher marks in patient experience.
"One of the things we coach hospitals on is communication, of course, directly reflected in HCAHPS around discharge planning is that it's not one conversation that occurs the day the patient is being discharged," Buhlman explains.
"You begin that conversation when the patient is admitted, and that conversation can be, 'Okay, Mrs. Jones, you're here to have your hip replaced. Typically that's a two-night stay in the hospital. So we're gunning for you to be discharged on Wednesday.' And literally, periodically throughout the stay, renewing that conversation," about who will be there to pick up the patient, about medication instructions, and other elements of care after the patient gets home.
- As Medicare Advantage Cuts Loom, Disagreement Over Program's Stability
- Medicare Advantage Carriers See 'No Choice' But to Accept Cuts
- 3 Management Lessons from a Supermarket Debacle
- Physicians to Appeal 'Docs v. Glocks' Ruling in FL
- Centralizing the Revenue Cycle Protects the Bottom Line
- CA Fines 8 Hospitals for Medical Errors
- Revenue Cycles Get a Boost from Simple JPEG Files
- IOM Identifies GME Problems, Calls for Finance Changes
- Employers Weigh Risks, Benefits of Private Exchanges
- Doctors Feel Pressure to Accept Risk-based Reimbursement