Two-Midnight Rule Creates Financial Hurdles, Perverse Incentives
However the numbers shake out after Baton Rouge General completes its modeling, the hospital is taking steps now to prepare for the new rule, Johnson says. "The first [step] was to meet with our physician leadership to educate them on this change and to work collaboratively to amend our processes…[W]e will also work with our physician leadership to educate the other admitting physicians."
Additionally, the hospital is tightening up its intake processes. "We also have increased our staffing in care management to provide for 24/7 intake nurses to make sure that we correctly input the status of the patient on the front end of the process," Johnson says.
Choosing Between Right and Revenue
In the end, says Gundersen Lutheran's Arndt, healthcare leaders know they have to come down on the side of doing what is right for the patient, regardless of the potential financial implications for the organization.
"The balance is between doing what is right versus maximizing revenue, but you have to live with your conscience every single minute," he says.
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