Question

your hospital has learned that patients with a diagnosis of congestive heart failure are being re admitted 28 percent others the time. You have received notification that CMS is no longer going to reimburse hospitals of readmissions within thirty days. one out a strategy to tackle this quality program.

Answer 1

In Medicare there is a 30 day readmission rule

Some of the quality programs which could have been done to tackle this quality program are

• Can enroll in Maryland all-payer model which are not included in this
• Payment adjustment factor section can be reviewed and corrected
• Regular or periodic internal assessment for readmission rate and ways to avoid it
• Review the Hospital Specific Report sent by CMS annually and do the necessary corrections
• Periodic training for the hospital staff to improve quality care