Health Reform and Physicians
The 2010 Patient Protection and Affordable Care Act (ACA) contains several provisions aimed at reducing health-care acquired infections, including financial penalties for hospitals with high-risk adjusted rates of HAIs and increased measurement and reporting of HAIs for all hospitals. Beginning in the 2015 fiscal year, hospitals in the top quartile of national HAI condition rates will receive 99 percent of their otherwise applicable Medicare payments for all discharges. For more information on the HAI-related provisions of the ACA, visit the AHA's Health Reform: Moving Forward web site (members-only access).
Resources
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A Guide to Strategic Cost Transformation in Hospitals and Health Systems
This guide proposes three pathways to strategic cost transformation: current operations, business and service line restructure, and clinical transformation, providing specific strategies and case studies from hospitals and health systems that have implemented them. read more -
Accountable Care Organizations: An AHA Synthesis Report
This report presents an overview of accountable care organizations (ACOs) and their possible impact. It offers key questions to consider in developing an ACO and it reviews the key competencies... read more -
At Hospitals, New Methods With a Focus on Diversity :: New York Times - September 06, 2010
This article explores efforts U.S. hospitals are making to better serve diverse patient populations, with initiatives ranging from lactation consultants... read more -
Bundled Payment: An AHA Research Synthesis Report
This report presents an overview of bundled payment, including evidence of its impact in the public and private sector, as well as questions that must be considered... read more -
Clinical Integration: Promoting Care Coordination
Clinical integration is needed to facilitate the coordination of patient care across conditions, providers, settings, and time in order to achieve care that is safe, timely, effective... read more -
Colorado Children's Healthcare Access Program: Helping Pediatric Practices Become Medical Homes for Low-Income Children :: The Commonwealth Fund - June 01, 2010
This report explores an effort in Colorado to develop medical homes by connecting families with pediatric practices, community organizations, government... read more -
Improving Quality and Achieving Equity, A Guide for Hospital Leaders :: Robert Wood Johnson Foundation - February 03, 2009
The report's main goals are to present the evidence for racial and ethnic disparities in health care and provide the rationale for addressing them;... read more -
Hospital Readiness for Population-Based Accountable Care
This report provides hospital leaders with a snapshot of hospitals' current readiness to participate in an ACO, as well as a tool to gauge their own organizations' relative preparedness for ACO participation. read more -
Hospital Value-based Purchasing Program: Impact Calculator
The calculator is designed so that you can enter your hospital's baseline and performance period scores, as well as case counts and number of HCAHPS surveys, in the relevant worksheets.... read more
Case Studies
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Blue Cross of California State Sponsored Business Improving Asthma Care through Effective Pharmacy Education
Blue Cross set a goal of increasing the rate of pharmacy consultations among eligible African American members with asthma from 45 percent to 52 percent... read more -
Care Oregon: Transforming the Role of a Medicaid Health Plan from Payer to Partner
This case study explores efforts by the Care Oregon Medicaid health plan to partner with health care providers to create a patient-centered medical home... read more -
Integrated Care Delivery for Vulnerable Populations
This patient-centered system of hospitals, community clinics, and school-based clinics uses innovative practices for managing chronic disease, provides... read more -
Nationwide Survey of Patient-Centered Medical Home Demonstration Projects
This paper explores 26 demonstration projects testing the patient-centered medical home concept, in the interests of developing comparative research... read more -
Standardizing Data Collection to Capture Patient Demographics
New York City-based Montefiore Medical Center set out to improve data collection among diverse patient populations. The system now has accurate... read more -
Work Design--Perry County Memorial Hospital
In 2006, the hospital purchased the largest clinic in the community and changed its affiliation with this group of primary care physicians. Through this arrangement, the hospital purchased the assets of the clinic (including staff) and now contracts with the physicians for services... read more
Featured Resources
AHA Research Synthesis Report: Patient-Centered Medical Home (PCMH)
September 2010This synthesis report presents an overview of the Patient-Centered Medical Home (PCMH), including key features, discussion of federal, state, and private sector medical home models, and considerations for hospitals interested in developing a PCMH.
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Early Learnings from the Bundled Payment Acute Care Episode Demonstration Project
July 2010An overview and summary of lessons learned from the current CMS pilot project, the CMS Acute Care Episode Demonstration Project, that is testing the effect of bundling Part A and B payments for episodes of care improve coordination, quality and efficiency of care.
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A Health Care Leader Action Guide: Understanding and Managing Variation
February 2011The guide includes practical steps to understanding and managing variation and a list of best practices and case studies as examples and resources for hospital leaders to use for implementing key interventions.
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