What does value-based purchasing have to do with accreditation? Turns out, a lot.
According to the Centers for Medicare and Medicaid Services, “Hospital Value-Based Purchasing (VBP) is part of the Centers for Medicare & Medicaid Services’ (CMS’) long-standing effort to link Medicare’s payment system to a value-based system to improve healthcare quality, including the quality of care provided in the inpatient hospital setting.
The organizational challenges and demands generated by planned or unexpected turnover in key leadership positions can create significant opportunities for rapid change …
Dr. Cary Gutbezahl, CEO of Compass Clinical Consulting, was the featured guest on Health Professional Radio Network, the #1 global online radio station for health professionals ED & ER Mock Surveys Neal Howard: Dr. Gutbezahl, You have also served as a mock surveyor in preparing hospitals for regulatory surveys. Have you ever done anything similar to prepare ED or […]
In healthcare today, it is a reality that staff members who provide care in our health systems will encounter patients who have a psychiatric diagnosis. Hospitals across the nation are being challenged by rising volumes of behavioral health patients being treated in their facilities, and this is exacerbated by the increase in the numbers of patients with mental disorders, substance abuse problems, or both.
Kate Fenner, Phd, RN, and Managing Director of Compass Clinical Consulting, will present “Surprising Times Ahead for Hospitals, Health Systems, Physicians, and Patients: Key Elements to Watch as Healthcare Transforms,” on May 6th at the 20th Annual Executive War College Conference on Laboratory and Pathology Management at the Sheraton New Orleans, located at 500 Canal Street, New Orleans, Louisiana, 70130 .
The ED Psychiatric Patient Management System was developed by experts at Compass Clincial Consulting as a comprehensive approach to consistently deliver best practices in the care of psychiatric patients in the emergency department. This new system provides adaptable tools to ensure the ED staff is well prepared to address psychiatric patient needs and consistently use these tools to achieve patient treatment goals. It ensures a safe environment that protects both patients and staff from harm.
Did you know that, almost hidden away in the Conditions of Participation, there is an oft-overlooked requirement that is ideal for increasing medical staff involvement and improving practice evaluation?
Dr. Cary Gutbezahl, CEO of Compass Clinical Consulting, was the featured guest on Health Professional Radio Network, the #1 global online radio station for health professionals. Health Professional Radio host, Neal Howard, interviewed Dr. Gutbezahl on the complex and multitude issues of caring for mental health patients in the Emergency Room. This segment is about the desire of Mental Health patients to able to talk with providers about their problems without stigma, and without being “written off as a psych patient.” Mental Health patients want their right to give input on their care, to be acknowledged, especially when they are competent to make decisions.
What is the Healthcare Facilities Accreditation Progam (HFAP)?
The HFAP is the accreditation process that has grown out of the former hospital approval process of the American Osteopathic Association. Founded in 1945, this accreditation program has experienced growth well beyond its traditional base of osteopathic hospitals to encompass over 200 acute-care hospitals, plus 200 other accredited entities. HFAP also provides accreditation services for critical access hospitals, ambulatory surgical centers, ambulatory care/office-based surgery, behavioral/mental health facilities and clinical laboratories. HFAP provides certification in the disease management program/centers of excellence for comprehensive, primary and Stroke Ready Center certification. And…
Compass Clinical Consulting announced the launch of the Journey to High Reliability Healthcare website and the new Clinical Compliance Monitoring System℠. The Clinical Compliance Monitoring System, or CCMS, is a unique business strategy built for clinicians and hospital leaders to support more effective performance measurement and adoption of change.
A huge risk point for hospitals is management of behavioral health in the emergency department (ED). Behavioral health patient management in the ED, though not a currently measured indicator, is a source of frequent complaints and potential Immediate Jeopardy findings, as many hospitals have experienced over the last year or two.
Behavioral health patients present to the emergency room with two types of problems. One is they have a medical problem such as injury as you’ve described on top of their existing mental health problems. But the other times, they have acute psychiatric issues. They may have tried attempted suicide. They maybe acutely psychotic and threatening to harm themselves or others and the emergency department’s got to be prepared to deal with both of those situations.
With the advent of value-based purchasing (VBP), healthcare organizations are already finding themselves excluded from certain Medicare and Medicaid reimbursements and bonus funds based on existing Immediate Jeopardy findings which, for some organizations, can be dollar amounts in the multi-million dollar range.
Items like 30-day readmissions and hospital-acquired infections eat away at the bottom line, and Immediate Jeopardy incidents can cause problems in terms of public relations. But with Value-Based Purchasing, there are now bonus dollars available for organizations who do well, and fines for hospitals who do poorly in these areas, which makes quality and compliance even more important for hospitals trying to maintain their bottom line
Hospital ER’s have to deal with behavioral health and substance abuse issues even though they tend not to be particularly well prepared to deal with the acutely ill behavioral health patient. The entire ER staff needs to have a better preparation and education and skills development to care for and address the needs of behavioral health patients.