For Healthcare Providers
How
we can help Tennessee’s Healthcare Providers:
Measure
and Report Performance
Measure performance to identify opportunities for
improvement and to track progress. Report results to create comparative
data for use in quality improvement, public reporting, pay-for-performance,
and accreditation with appropriate provider consents. Click here for
the HPMP Workbook.
Redesign
Processes
Implement changes to processes including care management,
patient self-management, flow, and scheduling using a variety of
methods such as lean and human factors design. Redesign processes
to result in fundamental, rather than additive, changes.
Adopt
Health Information Technology
Adopt health information technology to
include effectively implementing electronic health records,
e-prescribing, computerized physician order entry, or
other technology that supports individuals in their processes
and decision-making.
Transform
Organizational Culture
Create a patient-centered
organizational structure, workforce, and environment
that strive for perfection. Empower leaders
and staff to create transformational change
through open communication and teamwork.
Hospital
Payment Monitoring Program (HPMP)
HPMP is a continuation of the Payment Error Prevention Program (PEPP).
Because of an audit of CMSs 1996 and 1997 financial statements, which
estimated Medicare made more than $4 billion in incorrect payments
in each of these years for inpatient hospital services, CMS directed
Quality Improvement Organizations to develop programs that would reduce
the occurrence of these payment errors. Under the HPMP, QSource monitors
hospital admission and coding patterns by ongoing analysis of Medicare
discharge data. For tools and resources, click here.
Inform your patients of
their beneficiary rights
QSource has developed postcards and envelope stuffers to help your
patients better understand their rights. Click here to
place an order.
Hospital
Discharge Appeals
Improving Acute Care Documentation
Medicare
Observation
Tip Sheet:
Physician
Guidelines
Utilization
of the Observation
Setting
“What Physicians Need to Know”
