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
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