MEMORANDUM - Adena



Week of April 25th, 2016RecognitionAdena receives second, consecutive “A” rating from Leapfrog for safety/quality.For its latest scores (Spring 2016), the Leapfrog Group assigned "A" to "F" letter grades to 2,571 hospitals, based on their performance in 15 process/structural measures, and 15 outcome measures. The group used data from the Agency for Healthcare Research and Quality, the American Hospital Association's Annual Survey, CDC, CMS, and the Leapfrog Hospital Survey.? The group releases the scores twice a year. Since its last report in October 2015, Leapfrog has added:1.)??? How hand hygiene audits have helped to reduce Clostridium Difficile (C. Diff) rates. Several patient experience measures the group says are linked to improved patient outcomes, include: communication about medication, communication from doctors and RNs, and staff responsiveness; and new measures for MRSA Bacteremia and C. Diff infections.2.)??? Leapfrog also removed five Surgical Care Improvement Project measures that will no longer be reported on Medicare's Hospital Compare website.Report findings in the latest report showed the following:798 U.S. hospitals received an "A" (Adena was among 44 Ohio hospitals to be A-rated)639 received a "B"957 received a "C"162 received a "D" 15 received an "F"Compared to the October 2015 report, 25 additional hospitals received an "A," and 19 fewer hospitals received an "F." However, 101 more hospitals received a "C," "D," or "F." While hospital grades can fluctuate from update-to-update, Leapfrog says 153 hospitals have consistently earned an "A" grade in all of the group's updates for the past three years.??In the latest report, Vermont had the highest percentage of hospitals (83.3 percent) to receive an "A" grade, followed by Maine (62.5 percent), Rhode Island (62.5 percent), Massachusetts (62.1 percent), and Minnesota (55.3 percent). No hospitals in Alaska, Wyoming, or Washington, D.C. received an "A" rating.Analysis: 'A'-grade hospitals save livesAccording to an analysis of the Leapfrog data, conducted by John Hopkins University School of Medicine's Armstrong Institute for Patient Safety and Quality, patients at hospitals receiving an "A" grade faced a lower risk of avoidable death than those at other hospitals. Specifically, patients at: "B"-grade hospitals had an 8.5 percent higher relative risk of avoidable death; "C"-grade hospitals had a 35.2 percent higher relative risk; and "D"- and "F"-grade hospitals had a 49.8 percent higher relative risk. The analysis also showed that nearly 33,500 patients' lives could be saved annually if all hospitals performed like "A"-grade hospitals on patient safety (Powderly, Healthcare Finance News, 4/25; Punke, Becker's Infection Control & Clinical Quality, 4/25; Leapfrog methodology, Spring 2016;? Leapfrog methodology changes, accessed 4/25; Leapfrog release, 4/25; Austin/Derk analysis, April 2016; Leapfrog state rankings, accessed 4/25).Population HealthCMS has announced that six new quality measures will be added to the Nursing Home Compare website. Nursing Home Compare is a public information website that provides information of how well Medicare and Medicaid certified nursing homes provide care to their residents. Three of the six new quality measures are based on Medicare claims data submitted by hospitals, which is the first time CMS is including quality measures that are not based solely on data that are self-reported by nursing homes. These three quality measures will rate re-hospitalization, emergency room use and discharge among nursing home residents. These new additions broaden the set of quality measures already available on the website, providing patients, family members and caregivers with more meaningful discharge information when they consider total star ratings and nursing home facilities. This will become effective July 2016, and will be used to calculate the Nursing Home Five-Star Ratings.Inpatient Clinical Documentation Integrity (CDI)?advice regarding Heart FailureBased on information received from the American College of Cardiology (ACC), the Editorial Advisory Board for Coding Clinic for ICD-10-CM/PCS has reconsidered previously published advice about coding heart failure with preserved ejection fraction (HFpEF), and heart failure with reduced ejection fraction (HFrEF). HFpEF may also be referred to as heart failure with preserved systolic function. This condition may also be referred to as diastolic heart failure. HFrEF may also be called heart failure with low ejection fraction, or heart failure with reduced systolic function, or other similar terms meaning systolic heart failure. These terms HFpEF and HFrEF are more contemporary terms that are being used more frequently, and can be further described as acute or chronic. Therefore, when the provider has documented HFpEF, HFrEF, or other similar terms noted above, the coder may interpret these as “diastolic heart failure” or “systolic heart failure,” respectively; or a combination of both if indicated. The coder should then assign the appropriate ICD-10-CM codes.? Brundage, Dr. Timothy.? Heart Failure: Q1 2016 Coding Clinic Update. Retrieved April 20, 2016, from .Reminder - Conflict of InterestThe 2016 Conflict of Interest form, which was sent to Adena caregivers several weeks ago, is due back to Corporate Compliance by Sunday, May 1.? It is important to complete this electronic form, which is a required element of Adena’s Compliance Program. All employees should have received a link to the e-form from Paula Benner, by email on or about March 29. If you did not receive the form, or are having difficulty locating it, contact Paula at pbenner@ or Pat Roam at proam@ to have it resent to you. Again, the deadline is this weekend.Reminder - Provider PortalAs a way to further communication between providers, we are happy to announce that a new webpage is available for Adena providers on . The page is intended to help our providers stay up-to-date with the latest news and events going on at Adena. The portal will also be a source for important links and documents. You can access the Provider Portal page at physicianportal.? This portal will soon hold provider events, news, and these CMO weekly updates under the “Resource” section.? Provider Spouse Book Club – RescheduledOn behalf of Dr. Reggina Yandila, D.O.:? Please note the Provider Spouse Book Club meeting scheduled for Thursday, Apr. 21 was postponed due to unexpected circumstances. The next Provider Spouse Book Club meeting will be held Thursday, May 19. It will be an evening meeting. Once we have the confirmed the time and place, ?we will send out more information.? This should give those who are interested a little more time to finish the book. ?Thank you, and we hope to see you there! Dr. CoatsDr. FreemanDr. Kittaka ................
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