Question

Review the CMS.gov 30-Day Mortality and Readmission Data website. Review at least two local hospitals and see how they compare to state and national benchmarks. How and why may a consumer or a health care professional use this data to make decision about their next hospitalization? Will reporting this data have an impact on hospitals bottom line in addition to financial penalties from CMS? Give at least two examples of how this data may be used and what type of impact if may have if at all on the hospitals.

Answer 1

CMS _gov 30day:

The readmission measures in acute care hospitals in the 30days after discharge from a hospitalization.. Readmission for the reason for any specific condition or having CABG surgery deaths can be any reason can occur in the hospital or after discharge using claims and eligibility data makes it possible to calculate Readmission and death rates without having review medical charts or requiring hospitals to report additional information..

Two local hospitals:

_Department of defense(DOD) hospitals.

_American college of surgeons National surgical quality improvement program..

In 2009,cms added data on hospital outpatient facilities,which included oitpoutpat imaging efficiency data as well as emergency department and surgical process of care measures..

In 2010 30 day readmission measures for heart attack,heart failure and pneumonia patients..

In 2011 cms posting data on hospital associated infection(HAIs) received from the Centers for Disease Control and Prevention(CDC) National Health care safety Network(NHNS)

In 2012 CMS Readmission reduction program and measures that were voluntary submitted by hospitals participating the American college of surgeons National surgical quality improvement program.The 3 measures use 1, lower extremity bypass surgical outcomes 2,outcomes in surgeons for patient''s 65 years or older 3,colon sugery outcomes..

National quality forum's made measures for admissAdm and readmission support the national quality strategy(NQS)..NQS serves in public and private efforts across all level(state,local and National)to improve the quality of healthcare in the U.S..main aim for this forum is safety,person and family centered care,communication and care coordination,effective prevention and treatment of illness,best practices for health living and Affordable Care..NQF measures currently used by multiple federal programs..

Reducing unnecessary hospitals admission is important for health care quality.. portfolio measures expanded to continue to grow..This measures help patient to have their care in the community and can avoid stress and disruption of a hospital stay..NQF H3188 30_day unplanned readmission for cancer patients,committee member raised the concerns..it provides social risk factors Assessment to promote quality outcomes from patient..

Health care stakeholders support for readmission coukd be considered preventable..Many factors to readmission rates may be out side of hospitals control in the communitycy readmission rates and penalities.. General improvement over 2,500 hospitals focused readmission penalities,in 2016 for higher_than_expected number of readmission..in 2015_2016 penalities increased by 108 million dollars total 528 million dollars with reimbursement in 2016..