Hospitals are slowly progressing toward The Center for Medicare and Medicaid Services (CMS) goal of transitioning payments to value-based care models.
CMS covers 100 million people through Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace.
The value-based care model moves away from the old model of fee-for-service clinicians who charge for each service provided by the physician towards a system that rewards physicians for coordinating their patient’s care and improving the quality of care delivered. Value-Based Purchasing (VBP) program is a CMS initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to Medicare beneficiaries.
The Health Catalyst survey of healthcare executives revealed that fewer than a quarter of U.S. hospitals are on track to hit Medicare’s 2018 goal of transitioning to value-based care models. Only 3 percent of health systems today meet the target set by CMS.
Future projects reveal that only 23 percent of health systems expect to meet Medicare’s target by 2019, a year after CMS had hoped that half of all Medicare reimbursements would be value-based. Participating hospitals are paid for inpatient acute care services based on the quality of care, not just quantity of the services they provide.
How does CMS track the quality of care provided by hospitals and physicians? The Hospital Inpatient Quality Reporting program offers financial incentives for hospitals to report the quality of their services and the hospital reporting program provides CMS with data to help consumers make more informed decisions about their health care.
The Hospital Inpatient Quality Reporting Program outlines different sampling requirements, reporting methods, and data submission guidelines. Each step in the patient care process must be documented in compliance forms issued by the CDC and the National Healthcare Safety Network.
Acute care facilities have medical staff and all necessary personnel to provide diagnosis, care and treatment of a wide range of short-term conditions, including injuries. For accountable care organizations, doctors, hospitals, and other health care providers must come together to give coordinated high-quality care to their Medicare patients. Communication between all parties involved must happen swiftly and in the most efficient manner. All patient care providers in an accountable care organization must have patient information and data at their fingertips at all times.
If a patient is visiting their primary care physician, a specialist, and picking up their prescription from the pharmacist, how can the accountable care organization collaborate together in submitting a unified report to the Hospital Inpatient Quality Reporting Program? How can each care provider in the system analyze patient data in the most cost-efficient manner?
Zerion Health Sciences centralized accountable care organizations data collection, dataflow automation, and delivers custom reports in a HIPAA-compliant, ultra-secure environment.
Zerion Data Collection
Nurses and immediate care providers can the CDC and the National Healthcare Safety Network’s forms that need to be completed and fed into the Hospital Inpatient Quality Reporting Program for evaluation on the quality of care the patient received. The nurse no longer fills out the paper form, completes data entry, and submits the document, a process prone to errors in reporting.
Zerion Dataflow Automation
Once data has been collected, hospitals and clinical teams can streamline management of devices, instruments, machines, and medicines used throughout the patient care documentation process. Devices and machines deployed in clinical trials, research, and throughout the hospital can be tracked and located in real time using the built-in barcode scanner on the Zerion platform. Collected data is refined to alert care providers of low inventory levels and preventative maintenance on any device in the hospital, saving thousands of dollars in device replacements and repairs. Zerion Dataflow Automation aggregates, filters, and shapes data, making your reporting platform more powerful.
Zerion Custom Reports
Hospital management and leadership can access real-time dashboards displaying the most vital information to patient care and the efficiency in which the care was provided. Real-time reporting and tracking allows healthcare executives to maximize the quality of care delivered to patients and ultimately leads to higher payouts in government incentives supported by the Affordable Care Act.
HIPAA Level Security
Utmost security is at the core of all of Zerion’s work, allowing healthcare providers, hospitals, doctors and insurance companies to trust us with their most sensitive data. Zerion provides users the ability to configure deployments to meet and exceed the HIPAA Privacy and Security stated requirements. Data is secure on the mobile device, in transit, and at rest. Additional element-level encryption selectively secures sensitive information on the device and in the cloud.
For healthcare providers transitioning to value-based models, drastically improving data collection, dataflow automation, and reporting will avoid heavy government penalties under the Affordable Care Act. Accountable care organizations understand the importance of efficiency in improving patient care while improving the bottom line.