The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients

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ISBN 13 :
Total Pages : 32 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by : Rand Corporation

Download or read book The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by Rand Corporation and published by . This book was released on 1991 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: To control rising health care costs, the federal government, in 1983, established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. PPS changed the way Medicare reimbursed hospitals from a cost or charge basis to a prospectively determined fixed-price system in which hospitals are paid according to the diagnosis-related group (DRG) into which a patient is classified. This report constitutes the executive summary of an evaluation of the impact of the DRG-based PPS system. Six conditions were selected for the evaluation: congestive heart failure, acute myocardial infarction, hip fracture, pneumonia, cerebrovascular accident, and depression. The authors used both explicit and implicit measures to assess quality of care. Two key policy conclusions emerge from the findings: (1) at least through the middle of 1986, PPS did not interrupt a long-term trend toward better hospital care; and (2) PPS has had a detrimental effect on patients' stability at discharge. The authors recommend that physicians, hospitals, and professional review organizations undertake a more systematic assessment of a patient's readiness to leave the hospital, and that clinically detailed data on sickness at admission, processes, discharge status, and outcomes continue to be collected regularly as long as PPS is in place.

EFFECTS OF THE DRG-BASED PROSPECTIVE PAYMENT SYSTEM ON QUALITY OF CARE FOR HOSPITALIZED MEDICARE PATIENTS: EXECUTIVE SUMMARY.

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ISBN 13 :
Total Pages : 39 pages
Book Rating : 4.:/5 (131 download)

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Book Synopsis EFFECTS OF THE DRG-BASED PROSPECTIVE PAYMENT SYSTEM ON QUALITY OF CARE FOR HOSPITALIZED MEDICARE PATIENTS: EXECUTIVE SUMMARY. by : Rand Corporation

Download or read book EFFECTS OF THE DRG-BASED PROSPECTIVE PAYMENT SYSTEM ON QUALITY OF CARE FOR HOSPITALIZED MEDICARE PATIENTS: EXECUTIVE SUMMARY. written by Rand Corporation and published by . This book was released on with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Transition to Diagnosis-Related Group (DRG) Payments for Health

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Publisher : World Bank Publications
ISBN 13 : 1464815216
Total Pages : 69 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Transition to Diagnosis-Related Group (DRG) Payments for Health by : Caryn Bredenkamp

Download or read book Transition to Diagnosis-Related Group (DRG) Payments for Health written by Caryn Bredenkamp and published by World Bank Publications. This book was released on 2019-12-19 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.

Assessing Quality of Care for Hospitalized Medicare Patients with Hip Fracture Using Coded Diagnoses from the Medicare Provider Analysis and Review Files

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ISBN 13 :
Total Pages : 78 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Assessing Quality of Care for Hospitalized Medicare Patients with Hip Fracture Using Coded Diagnoses from the Medicare Provider Analysis and Review Files by : Emmett B. Keeler

Download or read book Assessing Quality of Care for Hospitalized Medicare Patients with Hip Fracture Using Coded Diagnoses from the Medicare Provider Analysis and Review Files written by Emmett B. Keeler and published by . This book was released on 1992 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Effects of PPS on Quality of Care for Medicare Patients

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Publisher :
ISBN 13 :
Total Pages : 172 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis The Effects of PPS on Quality of Care for Medicare Patients by : United States. Congress. Senate. Special Committee on Aging

Download or read book The Effects of PPS on Quality of Care for Medicare Patients written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1986 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Current Catalog

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Publisher :
ISBN 13 :
Total Pages : 824 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Current Catalog by : National Library of Medicine (U.S.)

Download or read book Current Catalog written by National Library of Medicine (U.S.) and published by . This book was released on 1993 with total page 824 pages. Available in PDF, EPUB and Kindle. Book excerpt: First multi-year cumulation covers six years: 1965-70.

New Medical Devices

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Publisher : National Academies Press
ISBN 13 : 0309038472
Total Pages : 203 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis New Medical Devices by : Institute of Medicine

Download or read book New Medical Devices written by Institute of Medicine and published by National Academies Press. This book was released on 1988-01-01 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past 50 years the development of a wide range of medical devices has improved the quality of people's lives and revolutionized the prevention and treatment of disease, but it also has contributed to the high cost of health care. Issues that shape the invention of new medical devices and affect their introduction and use are explored in this volume. The authors examine the role of federal support, the decision-making process behind private funding, the need for reforms in regulation and product liability, the effects of the medical payment system, and other critical topics relevant to the development of new devices.

Improving Diagnosis in Health Care

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Publisher : National Academies Press
ISBN 13 : 0309377722
Total Pages : 473 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Improving Diagnosis in Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Health Care Finance, Economics, and Policy for Nurses, Second Edition

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Publisher : Springer Publishing Company
ISBN 13 : 0826152546
Total Pages : 329 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Health Care Finance, Economics, and Policy for Nurses, Second Edition by : Betty Rambur, PhD, RN, FAAN

Download or read book Health Care Finance, Economics, and Policy for Nurses, Second Edition written by Betty Rambur, PhD, RN, FAAN and published by Springer Publishing Company. This book was released on 2021-03-25 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book] will change how you practice, how you think about health care and your contributions as a nurse, and it will better prepare you to thrive and advance in the future" -Peter I. Buerhaus, PhD, RN, FAAN, FAANP(h) Professor of Nursing Director, Center for Interdisciplinary Health Workforce Studies Montana State University From the Foreword This succinct, engaging text for graduate and undergraduate nursing programs distills the complexities of health care finance, economics, and policy into a highly accessible resource that can be applied to any practice setting. It presents economic and financial dynamics in healthcare as a precursor to policy and advocacy in nurses. The second edition adds graduate-level considerations and is updated to reflect our current political and legislative landscape. Real-life illustrations support foundational concepts and interactive quizzes reinforce information. Faculty resources include PowerPoint slides, a test bank, comprehensive review questions, and a sample syllabus. New to the Second Edition: New chapter on early lessons from COVID-19 Adds graduate-level considerations to content Updated to reflect current political and legislative landscape Expands payment section to include advanced practice roles Includes updated information on the Patient Protection and Affordable Care Act, The Tax Cuts and Jobs Act, and Supreme Court deliberations Key Features: Presents complex concepts in easy-to-understand language Addresses policy and payment competencies that align with nursing program accreditation criteria Breaks down complex financial principles to educate nurses with no prior understanding of health care finance Includes practical, accessible real-life examples to help make sense of complex health care systems Provides interactive quizzes so readers can test knowledge Includes a step-by-step, skill-building guide to enhancing professional influence through participation on governing boards Compatible with online teaching and coursework

EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335245587
Total Pages : 490 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals by : Reinhard Busse

Download or read book EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals written by Reinhard Busse and published by McGraw-Hill Education (UK). This book was released on 2011-11-16 with total page 490 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector

Nursing Staff in Hospitals and Nursing Homes

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Publisher : National Academies Press
ISBN 13 : 0309175704
Total Pages : 558 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Nursing Staff in Hospitals and Nursing Homes by : Institute of Medicine

Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.

National Library of Medicine Current Catalog

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Publisher :
ISBN 13 :
Total Pages : 1536 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis National Library of Medicine Current Catalog by : National Library of Medicine (U.S.)

Download or read book National Library of Medicine Current Catalog written by National Library of Medicine (U.S.) and published by . This book was released on 1993 with total page 1536 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Administration's 1994 Health Budget

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Publisher :
ISBN 13 :
Total Pages : 192 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Administration's 1994 Health Budget by : United States. Congress. Senate. Committee on Finance

Download or read book Administration's 1994 Health Budget written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 1993 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care Finance, Economics, and Policy for Nurses

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Publisher : Springer Publishing Company
ISBN 13 : 0826123236
Total Pages : 254 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Health Care Finance, Economics, and Policy for Nurses by : Betty Rambur, PhD, RN, FAAN

Download or read book Health Care Finance, Economics, and Policy for Nurses written by Betty Rambur, PhD, RN, FAAN and published by Springer Publishing Company. This book was released on 2015-04-16 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: The complexities of health care finance, economics, and policy today are inextricably intertwined with traditional nursing practice. This undergraduate nursing text distills these challenging topics into an engaging, easy-to-read format that facilitates ready application to any practice setting. Written specifically for RN to BSN and second-degree nursing programs, the book is the only such text grounded in nurses’ own understanding and experience. Concise and practical, it supports foundational concepts with real-life case studies and clinical applications and reinforces information with interactive quizzes and multimedia materials. The book’s content fulfills one of the AACN’s key Essentials of Baccalaureate Education. Written by a health economics and policy expert, former dean, and award-winning teacher, the text synthesizes the vast scope of health economics to create an easily understandable guide for nursing action from bedside to boardroom. The text describes the relationship between nursing and health care economics and traces the history of our health care system from the early 1900s through today. It contrasts the economics of health care with that of classic free markets and discusses the intersection of ethics and economics, providing nurses with the ethical tools to thoughtfully consider dilemmas arising from today’s focus on the bottom line. The book describes how to use economic principles to shape organizations and public policy and includes a step-by-step, skillbuilding guide to enhancing professional influence through participation on governing boards. Complex financial principles are broken down to facilitate understanding for nurses with no prior knowledge of this discipline. The book also includes relevant information on the Patient Protection and Affordable Care Act and is compatible with online teaching and coursework. Faculty resources include PowerPoint slides, a test bank, comprehensive review questions, and sample syllabi. KEY FEATURES: Fulfills one of the key Essentials of Baccalaureate Education Addresses the specific needs of RN to BSN courses with a concise, easy-to-read format Illuminates complex principles with specific, engaging case examples relevant to nursing practice Authored by a leading nurse expert, health policy leader, former dean, and award-winning teacher Guides readers in using economic principles to shape organizations and public policy

The CMS Hospital Conditions of Participation and Interpretive Guidelines

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Publisher :
ISBN 13 : 9781683086857
Total Pages : 546 pages
Book Rating : 4.0/5 (868 download)

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Book Synopsis The CMS Hospital Conditions of Participation and Interpretive Guidelines by :

Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.

Employment Cost Indexes, 1975-97

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Publisher : U.S. Government Printing Office
ISBN 13 :
Total Pages : 196 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Employment Cost Indexes, 1975-97 by :

Download or read book Employment Cost Indexes, 1975-97 written by and published by U.S. Government Printing Office. This book was released on 1998 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Compendium of HHS Evaluations and Relevant Other Studies

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Publisher :
ISBN 13 :
Total Pages : 1494 pages
Book Rating : 4.:/5 (3 download)

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Book Synopsis Compendium of HHS Evaluations and Relevant Other Studies by : HHS Policy Information Center (U.S.)

Download or read book Compendium of HHS Evaluations and Relevant Other Studies written by HHS Policy Information Center (U.S.) and published by . This book was released on 1990 with total page 1494 pages. Available in PDF, EPUB and Kindle. Book excerpt: