Accredited - The Accredited Family of Home Care Services

Phone (800) 974-1234

Blog

Home » 2011 » July

Archive for July, 2011

Accountable Care Organizations – The Role of Post-Acute Providers

Posted on: July 26th, 2011 by accreditednursing 3 Comments

Reprinted with permission of; 

Elizabeth E. Hogue, Esq.

Office:  877-871-4062

Fax:  877-871-9739

E-mail: ElizabethHogueatElizabethHoguedotnet  (ElizabethHogueatElizabethHoguedotnet)  

Section 302 of the Affordable Care Act (ACA) includes provisions related to Medicare payments to providers of services and suppliers that participate in Accountable Care Organizations (ACO’s).  Providers of services and suppliers who participate in ACO’s will continue to receive payments under Parts A and B of the Medicare Program, but will also be eligible for additional payments if they meet certain requirements related to quality of care and cost savings.  The Secretary of the U.S. Department of Health and Human Services is required to establish ACO’s no later then January 1, 2012.

Proposed regulations to implement these provisions were published in the Federal Register on April 7, 2011.  Comments regarding the proposed regulations must be received by the Centers for Medicare and Medicaid Services (CMS) no later than sixty days after the date of publication.

This is the second in a series of articles about ACO’s.  The purpose of this article is to address the issue of the role of post-acute providers in ACO’s.

As indicated above, ACO’s will share in cost savings if they meet performance standards for both quality of care and cost savings.  Post-acute providers may assist ACO’s to meet standards related to quality of care.

The Centers for Medicare and Medicaid Services (CMS) proposes to establish five “domains” related to quality of care.  These domains are:

-       Better care for individuals, including patient/caregiver experiences, care coordination and patient safety.

-       Better health for populations, including preventive health and at-risk population/frail elderly health.

Post-acute providers have specialized expertise with regard to care coordination, patient safety and at risk populations/frail elderly health.

Specifically, there are sixty-five proposed measures for use in establishing quality performance standard that ACO’s must meet in order to share in savings.  Post acute providers may be especially helpful to ACO’s regarding the following performance measures:

Care Coordination/Transitions

The rate of readmissions within 30 days of discharge from acute care hospitals for assigned or aligned ACO beneficiary populations.

Post-discharge visits to physicians within 30 days.

Ambulatory Sensitive Conditions Admissions: Diabetes, Short-term Complications (AHRQ Prevention Quality Indicator #1).  All discharges of age 18 years and older with ICD-9-CM principal diagnosis code for short-term complications (ketoacidosis, hyper- osmolarity, coma) per 100,000 population.

Ambulatory Sensitive Conditions: Congestive Heart Failure (AHRQ Prevention Quality Indicator #8).  All discharges of age 18 years and older with ICD-9-CM principal diagnosis code for CHF, per 100,000 population.

Ambulatory Sensitive Conditions Admissions: Urinary Infections (AHRQ Prevention Quality Indicator #12).  All discharges of age 18 years and older with ICD-9CM principal diagnosis code of urinary trace infection, per 100,000 population.

Preventive Health

Influenza Immunization: Percentage of patients aged 50 years and older who received an influenza immunization during the flu season (September through February).

At Risk Population/Frail Elderly Health

Falls: Screening for All Risk: Percentage of patients aged 65 years and older who were screened for fall risk at least once within 12 months.

Monthly INR for Beneficiaries on Warfarin: Average percentage of monthly intervals in which Part D beneficiaries with claims for warfarin do not receive an INR test during the measurement period.

Post-acute providers can certainly assist participants in ACO’s to meet the performance measures described above.  The crucial role of post-acute providers in meeting the above goals should be recognized and acknowledged by other types of providers. 

© 2011 Elizabeth E. Hogue, Esq.  All rights reserved.

Two Accredited Employees Help Raise Money for the Avon Breast Cancer Walk

Posted on: July 25th, 2011 by accreditednursing No Comments

Babs Kleiman, Marketing Representative, and Patti Howard, RN, are teaming up again this year to complete the Avon Breast Cancer Walk.  On July 30th, they are hosting ‘Tacos for Tatas’ to add to their contribution totals.  For more information, visit http://m.vcstar.com/news/2011/jul/22/fundraiser-to-help-effort-against-breast-cancer/

Accredited is a ‘winner’ for Medicare’s Home Health Pay for Performance Demonstration Project

Posted on: July 21st, 2011 by accreditednursing 2 Comments

In 2009, Medicare initiated its Home Health Pay-for-Performance Demonstration Project.  Medicare is looking to all medical providers to increase their clinical outcomes as a key function for lower Medicare costs.  The Home Health Demonstration Project measures improvement in Acute Hospitalization Rate, Need for Emergent Care, Bathing, Surgical Wound Care, Oral Medication Compliance, and Ambulation.  Accredited was recognized as a ‘winner’ as it ranked among the top 20% of performers in this Demonstration Project.  To learn more about Home Health Outcomes, visit www.medicare.gov and click on ‘Home Health Compare’

Accredited Nursing Care – San Diego Office Celebrates its 10th Anniversary

Posted on: July 21st, 2011 by accreditednursing No Comments

In 2001, Accredited Nursing Care opened its San Diego Office in Mission Valley.  At the time, this was Accredited’s fifth location.  Located at 591 Camino de la Reina #533 San Diego, CA 92108,Accredited services stretch from Camp Pendleton to the Mexican Border and east to El Cajon.

Accredited Nursing Care – Los Angeles Office Celebrates its 10 Year Anniversary

Posted on: July 21st, 2011 by accreditednursing No Comments

In 2001, Accredited Nursing Care opened its Los Angeles Office.  At the time, this was Accredited’s fourth location.  Located at 10801 National Blvd #330 Los Angeles, CA 90064, Accredited services stretch from Malibu to West Hollywood and south to Torrance.

Accredited Patient Outcomes - Among the Best in the Nation

Learn about our Home Care Elite status, our Medicare Outcome Scores and more.

The Accredited Family of Home Care Services Video

Click the thumbnail to view a video that covers the home health care services provided by The Accredited Family of Home Care Services.

Since 1980, The Accredited Family of Home Care Services has built a solid reputation for providing quality home care services in Southern California.

©2014 Accredited Nursing All Rights Reserved. Check out our Privacy Policy and Terms of Use. Website by corecubed. RSS Feed