Value-Based Purchasing Model Waits for No One
The fact is that managing chronic care is becoming more important as the population ages, and investments in better coordination as well as seeking the most efficient use of expensive health resources will pay off through rewards or penalty avoidance.
Lose the Old Thinking
Part of the struggle is getting healthcare executives to let go of some of their old internalized attitudes about what's "good" for the hospital and getting back to focusing on what's best for the patient. That sounds simple, but it's far from it given how hospitals and physicians have historically been reimbursed. Personally, I've heard tales similar to the following:
A patient comes in with bronchial symptoms, and stays overnight on suspicion of pneumonia, but the hospital or physician doesn't get an antibiotic prescription to the patient for three to four days after discharge. Some organizations have even waited for six or seven days with hopes they could put that patient in a ventilator unit. It would mean more money, after all.
Except often, even now, it isn't. The hospital would not be reimbursed for the additional days in the ventilator unit, but the thinking among those who make such decisions at a patient care level had not changed.
Even disregarding the many other problems within such a scenario, why would you fill a bed at a loss?
- 'Kafkaesque' Value System Unfairly Penalizes Doctor Pay
- Proton Beam Therapy Poised for Growth in US
- mHealth Tackles Readmissions
- 4 Crucial Tactics for Reining in Healthcare Cost
- How Digital Strategy Shapes Patient Engagement at Boston Children's Hospital
- Some Cancer Hospitals' Quality Data Will Soon Be Public
- CNO Leads $1M Charge for New Scrubs, Uniforms
- How, and Why, to Recruit Male Nurses
- PA Ranks See 'Phenomenal Growth,' Lack of Diversity
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013