The Hospital Executive Leadership is dedicated to the mission that patients expect and deserve the excellent care from their

health care providers.  The Centers for Medicare & Medicaid Services (CMS) is the driving force behind the delivery of quality

care, and ensuring that healthcare insurance remains accessible and affordable to the public.  For the In order for leadership

to advance CMS’s mission; they may need look outside the organization for real solutions in reducing their hospital-acquired

conditions and improve their quality scores.

Nursing leadership manages the largest and most expensive labor force in the hospital.  When there is reduction in the hospitals

reimbursement the finance department looks to nursing leadership to eliminate positions.  When you downsize your nursing staff

you place your staff at risk for making errors and in turn potentially harming your patients. Eliminating nursing positions isn’t the

long term answer.  HQM Consulting's strategy includes Nursing because they have a major role in patient care and in the

quality metrics. 

The Affordable Care Act (ACA) brought about aggressive changes in the healthcare delivery system.  Those changes include

moving from fee for service to a Value-Based Purchasing Program, Hospital Acquired Condition Reduction Program (HAC),

Hospital Readmission Reduction Program (HRRP), and the adoption of Electronic Medical Records. The providers have been 

burdened with adopting these new programs and still maintain their robust patient load.  Furthermore they are confused why

their patient was assigned a HAC when in fact they treated the patient aggressively and made them better.  





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Health Information Management (HIM) has been challenged since the Affordable Care Act, the implementation of ICD 10,

Value Based Purchasing initiatives (VBP), and MACRA, and it is imperative that hospital’s leadership invests in a robust

revenue cycle team.

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HQM Consulting

Building an atmosphere of trust and collaboration

to achieve optimal clinical quality outcomes.