C162: Application of Healthcare Business and Financial Management Principles: A1. VBP Degree of Implementatio: Nursing Department (Patient Experience Domain: Nurse Communication)

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The Hospital Value-Based Purchasing (VBP) Program is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards acute-care hospitals with incentive payments for the quality care provided... to Medicare beneficiaries. Section 1886 of the Social Security Act established the Hospital VBP Program, affecting payment for inpatient stays in more than 3,000 hospitals across the country. The initiative is a part of CMS’s larger quality strategy to reform how health care is delivered and paid (Centers for Medicare & Medicaid Services, 2017). Florida Hospital is a hospital located in Orlando, Florida and has an overall rating of three out of five stars. The overall rating shows how well each hospital performs, on average, compared to other hospitals in the United States. The more stars, the better a hospital performed on the available quality measures (U.S. Center for Medicare and Medicaid Services Hospital Compare, n.d.). B3. Attaining Quality Outcomes in patient care over the next 3 years: Attaining Quality Outcomes in reimbursement over the next 3 years. B4. Key Points: • Intentional bedside reporting will be implemented in efforts to improve nurse communications. B4A. Marketing Techniques for those Key Points: B6 Coordinating Informational Events: B6 Coordinating Educational Events: B3. Attaining Quality Outcomes in patient care over the next 3 years. Attaining Quality Outcomes in reimbursement over the next 3 years. B4. Key Points • Administrating of prophylactic antibiotics and chlorhexidine cleanser will be implemented pre-op in efforts to prevent MRSA infections post-op. • Benefits of administrating pre-op prophylactic antibiotics and chlorhexidine cleanser. • Quality outcomes will be improved as a result of prophylactic antibiotics and chlorhexidine B4A. Marketing Techniques for those Key Points B6 Coordinating Educational Events B6 Coordinating Informational Events B2. Goals: • By the end of year 1, the physicians will review the evidence-based literature to determine a plan for decreasing mortality rate in pneumonia patients. • By the end of year 2, a new follow-up strategy will be completed and implemented into practice for patients after hospitalization for pneumonia. • By the end of year 3, there will be a 20% decrease in pneumonia mortality rates 30 days after hospitalization. B3. Attaining Quality Outcomes in patient care over the next 3 years. Attaining Quality Outcomes in reimbursement over the next 3 years. B4A. Marketing Techniques for those Key Points B6 Coordinating Informational Events B6 Coordinating Educational Events B5. Ethical Clinical and Ethical Business Practices References Centers for Medicare & Medicaid Services. (2017). Retrieved July 19, 2018, from https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Hospital_VBPurchasing_Fact_Sheet_ICN907664.pdf. Swenson, B. R., Hedrick, T. L., Metzger, R., Bonatti, H., Pruett, T. L., & Sawyer, R. G. (2009). Effects of Preoperative Skin Preparation on Postoperative Wound Infection Rates A Prospective Study of 3 Skin Preparation Protocols. Infection Control & Hospital Epidemiology, 30(10), 964. U.S. Center for Medicare and Medicaid Services Hospital Compare. (n.d.). Hospital Compare. Retrieved July 19, 2018, from https://www.medicare.gov/hospitalcompare/profile.html#profTab=6&ID=100007&cmprID=100007&dist=50&lat=28.6659654&lng=-81.3729372&loc=32701&cmprDist=7.9&Distn=7.9. [Show More]

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