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Assignment:
Scenario
King Medical Hospital ended the fiscal year with a 3% reduction in reimbursement for its Medicare patients. The medical board is not pleased with the reduction and is planning to cut down on hospital expenses to recoup the lost revenue. However, the medical board would also like to determine a plan of action to increase the next fiscal year's reimbursement rate. The board has called a committee meeting to discuss a plan of action and invited you, the Quality Improvement Manager, as they know Medicare reimbursement is tied to quality. To prepare for the meeting, you decide to create a report to distribute to the meeting's attendees.
The report aims to provide helpful information regarding quality measures and reimbursement models to assist the committee members in developing a proper plan of action. The report will include information on performance metrics used in performance-based payment models, data used for benchmarking and trending, and medical error reporting. You inform the CFO, Dr. Marsha Morton, of your plan of the report. Dr. Morton is also attending the committee meeting and has asked you to include information on the Hospital Value-Based Purchasing Program and the Hospital Readmission Reduction Program.
Instructions
In a professional report to distribute to the committee meeting attendees that:
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