Friday, February 26, 2016

Quality Measures 02/26/2016




Quality measures

Quality measures are tools that help us measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care.

Failing to understand or comply with the various Quality Measures, can cost you.

Quality measures can take many forms, and these measures evaluate care across the full range of health care settings, from doctors’ offices to imaging facilities to hospital systems.

Currently, the most common uses of quality measurements include public reporting, provider

incentive programs, and accreditation and/or certification of providers and health plans. 

One key step in this effort is the creation of the National Quality Strategy, the first comprehensive federal undertaking aimed at improving the quality of care in this country. The Affordable Care Act required the secretary of Health and Human Services (HHS) to establish this national strategy for improving health care that set priorities and that provided a plan for achieving its goals: better care, affordable care, and healthier people and communities. 

HPP Management Group, Corp., provides training and interactive workshops to groups and organizations in a professional and solution-focused atmosphere. The consultants and trainers are proven experts in their field utilizing the latest learning success strategies and are certified professionals. Our selected team also provides condensed versions of each of the interactive full-day or half-day workshops as one-hour seminar.

·         Assessment Planning & Tool Development

·         Principles

·         Potential Shareable Savings Based on Quality Measurement

·         Measure Categories and Weighting

·         Data

·         Measures

·         Scoring
 

Call HPP Management Group, Corp for more details: 786-231-7585  or  305-227-2383

Tuesday, February 16, 2016

Understanding The Quality Measures


The Institute of Medicine defines health care quality as "the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge."

Quality Domains
The Institute of Medicine further defines quality as having the following properties or domains:

Institute of Medicine (IOM) Domains

·         Effectiveness. Relates to providing care processes and achieving outcomes as supported by scientific evidence.

·         Efficiency. Relates to maximizing the quality of a comparable unit of health care delivered or unit of health benefit achieved for a given unit of health care resources used.

·         Equity. Relates to providing health care of equal quality to those who may differ in personal characteristics other than their clinical condition or preferences for care.

·         Patient centeredness. Relates to meeting patients' needs and preferences and providing education and support.

·         Safety. Relates to actual or potential bodily harm.

·         Timeliness. Relates to obtaining needed care while minimizing delays.
 

Penalties for Failure to Report:  For fiscal year 2014, and each subsequent  year, failure to submit required quality data shall result in a 2 percentage point reduction to the market basket percentage increase for that fiscal year.

·        Is your practice and/or organization prepared to the meet  the quality measures that are in effect?
·         Are you prepared to satisfy an audit in the event  CMS decides to review your charts ?
·         Have you satisfactorily code/billed for the various measures?
 

For more information contact HPP Management Group, Corp.

305-227-2383  or 1-877-938-9311

psilben@hppcorp.com