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
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.
© 2016 Local Boutique, LLC.
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.