Assessing CAH Swing-Bed Quality and Growth Strategy
8/23/2019
Assessing CAH Swing-Bed Quality and Growth Strategy
Ira Moscovice, PhD mosco001@umn.edu
Jonathan Pantenburg, MHA, Principal jpantenburg@
August 22, 2019
Overview
Assessing CAH Swing-Bed Quality
? This section identifies measures that can be used to assess CAH swing bed patient outcomes and presents the results of a one-year field tests of these measures
Swing Bed Growth Strategies
? Although swing bed services provide an important care resource for rural patients and a volume growth opportunity for a hospital, most hospitals wait for referrals instead of actively pursuing swing bed patients. This section explores the concept of active solicitation and provides a streamlined process that reduces the admission process.
Questions
Overview
Swing Bed Volume Growth
Questions
2
1
8/23/2019
Assessing CAH Swing-Bed Quality
Ira Moscovice, PhD mosco001@umn.edu
Acknowledgements
? This research was supported by the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS) under PHS Grant #5U1CRH03717.
? The information, conclusions, and opinions expressed are those of the authors and no endorsement by FORHP, HRSA, or HHS is intended or should be inferred.
4
2
8/23/2019
Background
? Critical access hospital (CAH) swing-bed quality of care is an important Medicare policy issue that has received little attention
? Concern has been raised about the cost of swingbed care
? Swing beds have not been included in national efforts to address comparability of post-acute quality measures (e.g., IMPACT Act and NQF)
5
Background
? Swing bed programs in rural Prospective Payment System hospitals and Skilled Nursing Facilities must submit Minimum Data Set patient data to CMS. CAHs are exempt.
? CAHs are not uniformly demonstrating the quality of care provided to their swing bed patients
? Inability to demonstrate swing bed quality potentially limits CAHs' ability to participate in alternative payment models
6
3
Motivation to Assess CAH Swing-bed Quality
? Assess whether patients are getting appropriate care; help them return home as quickly as possible; prevent hospital readmissions
? CAH desire to increase patient volume in swingbed programs, compare swing bed care to SNFs
? Ensure compliance with CMS requirements/intent regarding swing bed care
8/23/2019
7
Purpose of Project
? To identify quality measures that can be used to assess the quality of care provided to CAH swing bed patients, and implement a field test of these measures
8
4
8/23/2019
Methods
? Review of literature and organizational websites ? Identify hospitals for interviews with input from
UMRHRC Expert Work Group members ? Identify state/network efforts to assess CAH
swing-bed quality of care ? Phone interviews to discuss efforts to assess
swing-bed quality of care, including measures being used/considered, data collection strategies, usefulness
9
CAH Swing-Bed Quality Measures
? Discharge disposition
? Functional status
? To home ? Transferred to a NH/LTC facility ? Transferred to a higher level of
care
? 30-day follow-up status
? Readmitted to CAH ? Readmitted to other hospital ? ED visit at CAH ? ED visit at other hospital
? Change in self-care score between swing-bed admission and discharge
? Change in mobility score between swing-bed admission and discharge
10
5
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- highlights mtp mpo patch cable with push pull tabs 12
- mtp sw6 extron
- highlights mtp mpo patch cable with push pull tab
- specification sheet 319 mtp allied electronics
- paper 12 company accounts audit
- matrix assisted laser desorption ionization maldi selma
- metropolitan transportation plan for clark county wa
- mplab c18 to xc8 migration overview microchip technology
- highlights 100g mtp mpo multimode om3 plenum rated fiber
- assessing cah swing bed quality and growth strategy
Related searches
- company growth strategy examples
- bed bath and beyond online
- bed bath and body works clearance sales
- bed bath and beyond track my order
- bed bath and beyond purchase history
- bed canes and bed rails
- bed bath and beyond my orders
- bed bath and beyond order
- bed bath and beyond tracking package
- bed bath and beyond online order
- bed bath and body stores
- bed bath and beyond company