Pharmacy OneSource Blog

Infection Prevention Measures Included in CMS Hospital Value-Based Purchasing

Posted on 09/21/16 | Comments

The Centers for Medicare and Medicaid Services (CMS) Hospital Value-Based Purchasing (VBP) Program has increased focus on infection prevention over the last several years by tying a rising percentage of payments to outcome measures that include infection rates.

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Topics: Infection Prevention, Value-Based Purchasing

How Clinical Decision Support Helps Improve Value Based Purchasing Measures

Posted on 09/01/16 | Comments

In the pay-for-performance environment in which hospitals now operate, meeting specific outcome goals and quality metrics directly affects hospital reimbursements. The Centers for Medicare and Medicaid (CMS) has led this movement through its value-based purchasing program by rewarding improved clinical outcomes with incentive payments for reducing the incidence of central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), surgical site infections (SSIs), and C. difficile infection (CDI).

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Topics: Value-Based Purchasing

New Metrics Released for Value Based Purchasing Measures

Posted on 08/17/16 | Comments

The specific guidelines for reaching the value-based care benchmarks can be difficult to manage correctly. This puts healthcare providers in a difficult position – the structure or processes that are needed to reach these benchmarks may be unclear. The lack of standardized terminology within healthcare has been burdensome to administrators who have to put additional resources into figuring out how to correctly represent caregiver-patient interactions, and patients who likewise have trouble interpreting what their own healthcare data is meant to indicate.

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Topics: Value-Based Purchasing

Understanding the Efficiency Domain in Value-Based Purchasing

Posted on 07/21/16 | Comments

Hospitals have certainly felt the effects of the addition of value-based purchasing since its implementation as a part of the Affordable Care Act (ACA) in 2011. The attempt to shift from a fee-for-service model that rewards the quantity of care to evaluating and rewarding the quality of care will take some effort and time from providers.

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Topics: Value-Based Purchasing

Four Ways Hospital Value-Based Purchasing is Changing the Way We Think about Quality

Posted on 07/06/16 | Comments

Hospitals, federal agencies, and industry organizations have promoted and used quality measures for more than two decades, but value-based purchasing agreements have increased their impact dramatically. No longer just reporting requirements, quality metrics now drive a significant and growing share of hospital reimbursements via pay-for-performance models, making them a high priority for healthcare organizations.

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Topics: Value-Based Purchasing

Clinical Corner: Should You Care Less? Addressing Overuse in Healthcare

Posted on 01/14/16 | Comments

You’ve no doubt recently returned to work after a nice holiday break and whatever peace and tranquility you may have achieved was shattered by the cacophony of emails, voicemails, urgent meetings and new projects. Such is the crazy pace and turmoil that we all exist in in 2016. Happy New Year!

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Topics: Value-Based Purchasing

Clinical Corner: Time to Catch the P4P Train - New Clarity around Timelines to Value-Based Payment Models

Posted on 09/16/15 | Comments

The Patient Protection and Affordable Care Act (PPACA), commonly called the Affordable Care Act (ACA) or “Obamacare,” was signed into law on March 23, 2010. While the individual and employer mandates received a lot of attention, key provisions addressed reforms to the Medicare payment system meant to promote greater efficiency in the healthcare delivery system by restructuring Medicare reimbursements away from the fee-for-service model that has dominated the healthcare environment for many years.

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Topics: Value-Based Purchasing