Tag Archives: Outcomes

Transparency or Pay for Performance – Which Concept Will Hurt Less?

For some time now, several of my colleagues and I have been discussing the transformation of healthcare and how transparency, pay for performance, quality initiatives and the like will impact the way we provide healthcare for ever more.  Just this week, CMS made headway toward pushing operational information into the hands of anyone wishing to find it! The CMS News Release…
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Goals Drive Performance – It’s Hidden in the Expectation

We started the MediServe Blog Feb. 1, 2011. We developed lists for needed content, discussion points and various items we should discuss within content.  Then we created the dreaded ‘quota.’  By all other definitions quota is the established number one must perform to meet the specified objective! OK, too technical; it was the minimum number we should complete so there…
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Early Returns on Pay for Performance

Pay for performance has become a central strategy in the drive to improve health care. In fact, it was  a key component of a law that went before the Supreme Court earlier this year. The New England Journal of Medicine study published in April 2012, (http://www.nejm.org/doi/full/10.1056/NEJMsa1112351), found little evidence that pay for performance programs actually helped keep patients alive longer. Comparing outcome data…
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Bull’s-eye Toward Outcomes – Now a Requirement for Outpatient Documentation More Than Ever!

Outcomes have been an established requirement in the outpatient evaluation and plan of care since 2008.  The Medicare Benefit Policy Manual; Chapter 15,  220.3.C. (updated 08/2011), outlines required outcomes for therapy documentation: “Results of one of the following four measurement instruments are recommended, but not required: – National Outcomes Measurement System (NOMS) by the American Speech-Language Hearing Association – Patient…
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Value-Based Purchasing Incentives – Quality and Outcomes Demand Real-time Management

If you’re not planning on retiring in the foreseeable near future, then it’s definitely time to embrace “real-time management.”   In order to embrace real-time management, you’ll need real-time data to steer expected outcomes. Why is it so critical now?  Because Value-Based Purchasing, will be rewarded at the acute level of care. This does not mean simply just purchasing in large quantities for…
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Routing the Outpatient Plan of Care

The road map to patient care is the plan.  Not one treatment session can be rendered unless the route and endpoint has been established.  What specific functional issue has compelled the patient to seek professional help in solving their unique issue and what is the straightest point to achieving resolution to that problem? As skilled professionals, our unique training and…
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Checks and Balances Create Vigilant Leaders

A little work up front in creating reports, dashboards, benchmarks and feed-forward operational information can save extensive re-work, disappointment and possibly risk mitigation for take backs. Unfortunately, managers rarely take the time to answer core questions on what they need to manage effectively for the various responsibilities they have day-to-day. To make a list of the entire checks and balances…
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