QUALITY TODAY

A blog dedicated to advancing healthcare quality.

Kellyn Freeman

Kellyn Freeman is a former Marketing Representative for Primaris.

Recent Posts

Applying Evidence-Based Guidelines for Greater ACO Success

Posted by Kellyn Freeman on Nov 16, 2015 10:30:00 AM

The shift toward value-based payments has created a lot of interest in Accountable Care Organizations (ACOs). The number of ACO participants has grown steadily each year since the introduction of Accountable Care Organizations a few years ago. Many healthcare providers are now choosing to participate in ACOs because of the potential financial benefits they offer. In simple terms, ACOs can earn money if they meet certain care quality requirements and they generate cost savings for payers.

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Topics: value-based care

Comparing Episodic vs. Holistic Care

Posted by Kellyn Freeman on Nov 12, 2015 10:00:00 AM

Chronic diseases, by definition are long-lasting. They are lingering conditions. Even so, they are frequently treated with episodic care rather than long-term disease management. Considering how prevalent chronic diseases have become in the United States and how much our nation spends treating people with chronic diseases, it makes sense to look at patient care and ask what more we could be doing to manage and prevent chronic conditions. Here is a brief look at Episodic vs. Holistic healthcare and the impact of each on chronic diseases.

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Make Pre- and Post-Discharge Improvements to Reduce Hospital Readmissions

Posted by Kellyn Freeman on Nov 9, 2015 10:33:00 AM

Solving the problem of avoidable readmissions is a big job and an important one for hospitals as they attempt to thrive in an industry that is becoming more and more focused on value. There are a number of programs that use penalties and reimbursement incentives as motivation to push hospitals to reduce avoidable readmissions. One is the Hospital Readmission Reduction Program (HRRP) that was created under the Accountable Care Act. HRRP penalizes hospitals that have relatively high Medicare readmission rates. Another incentivizing model involves payers offering financial rewards to Accountable Care Organizations for lowering hospital readmission rates. While these and other programs have triggered a decline in readmissions (CMS reports the national readmission rate declined by approximately 2% during the first year of the HRRP) there is still work to be done.

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Topics: value-based care

How to Avoid PCMH Burnout and Motivate Staff during Certification

Posted by Kellyn Freeman on Nov 5, 2015 10:07:00 AM

Usually when a medical practice decides to become a Patient-Centered Medical Home (PCMH) it means big changes for the staff and their daily responsibilities. This type of shake-up can seem overwhelming and feel chaotic as team members work to get a handle on new routines. While learning new skills and taking on different responsibilities can be rewarding and even exciting, adopting new routines and stepping outside of a comfortable role can be difficult. If your staff is currently working toward PCMH status, or they will do so in the future, you can take measures to support them as they adjust to changes in their work environment.

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Value-Based Care Tips for Physicians

Posted by Kellyn Freeman on Nov 2, 2015 10:00:00 AM

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Topics: value-based care

ACOs:Is the Glass Half Full?

Posted by Kellyn Freeman on Oct 30, 2015 10:30:00 AM

In August the Centers for Medicare and Medicaid Services (CMS) shared performance results from 2014 for Medicare’s ACOs. Those financial and quality performance results, which some labeled disappointing, set off a line of criticism aimed at Medicare’s programs and questions about the sustainability of the entire ACO model. CMS maintains that ACOs will be the primary healthcare payment model of the future. Critics say ACOs performance standards are not attainable so providers have a hard time taking advantage of the intended benefits. So, which side is right? That depends, partly, on how you read the numbers.

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Topics: accountable care, ACO

19 Ways to Value-Based Payment Success

Posted by Kellyn Freeman on Oct 29, 2015 10:00:00 AM

Resistance is a natural human reaction to change. But in situations where change is inevitable, resisting it is futile. Learning to embrace new ways of doing things can lead to progress. Right now the healthcare industry is trying to adjust to major changes brought on by the movement to value-based payments. While the transition to value-based care brings challenges, there are also opportunities for the physicians, hospitals and other healthcare providers that are able to adapt to new payment models.

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Topics: value-based care

Featured Registry ACS NSQIP; Congratulations Susan Gonzales

Posted by Kellyn Freeman on Oct 28, 2015 12:30:00 PM

The American College of Surgeons National Surgical Quality Improvement Program® (ACS NSQIP®) is the leading nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of surgical care in the private sector. 

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Topics: registry abstraction

Meet Verna Gallagher, Quality Measures Senior Project Manager #HQW

Posted by Kellyn Freeman on Oct 27, 2015 2:46:44 PM


Verna Gallagher, RHIT

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Topics: quality improvement

Efficiency Improvement Misses that Kill Revenue Opportunities

Posted by Kellyn Freeman on Oct 26, 2015 10:00:00 AM

As a member of the healthcare industry, what have you done to adjust to rapidly changing payment models? Have you made small or large modifications in hopes of finding ways to maintain – and even possibly enhance – revenue? One thing NOT to do in the midst of major changes is to sit back and watch the parade go by while hoping you don’t see revenue drop.

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Topics: operational efficiency

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