The 2010 Government Supported Benefits 'Virtual' Summit
A unique web-based conference and series of accredited on-line self-learning programs focused on the impact of Heathcare reform on providers and patient care.
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The 2010 Government Supported Benefits 'Virtual' Summit |
A unique web-based conference and series of accredited on-line self-learning programs focused on the impact of Heathcare reform on providers and patient care. |
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Patient Quality Improvement Initiatives Applied to Medicare and Medicaid
Needs Assessment:
Patient quality improvement continues to be at the forefront of discussions regarding healthcare reform, both from the perspective of improving the effectiveness of treatment, minimizing harm, improving administrative efficiency and through these efforts possibly lowering overall costs. Recent literature has begun to observe common characteristics among organization that are achieving these objectives. A recent article by Schulke and colleagues has compared quality improvement initiatives across Medicare. More recently there has been a report on a bold step taken by Medicare in this regard through the initiation of a program where nosocomial infections may no longer be reimbursed. The benefits, or potential risks, or this approach have yet to be evaluated.
Pay for performance has also been looked at in the areas of acute myocardial infarction and pediatrics. Along similar lines of transparency in treatment and outcomes, public reporting of quality outcomes and costs has been reported. Achieving quality improvement in Medicaid is often complicated by the ongoing workforce crisis in treating the underserved, and providing education to primary care providers. Thus both medication management and the patient centered medical home have received attending in both Medicare and Medicaid populations. The goal of patient quality improvement in these populations is clear. An open discussion that reviews the success and failure of historical initiative towards improving future approaches is warranted.
Learning Objectives:
Following completion of this program, participants will be able to:
Be able to list the commonalities of organizations that have demonstrated patient quality improvement initiatives both within and outside of Medicaid and Medicare.
Describe demonstrated approaches, such a pay for performance or restricted reimbursement, taken by Medicaid and Medicare to improve quality in these populations.
Describe public reporting as a technique to improve quality through transparency for Medicaid.
Understand the dynamics of primary care provider shortages, education and quality in managing the underserved.
Describe the opportunities and challenges in applying the principles of medication therapy management and the patient centered medical home to the Medicaid and Medicare populations.
Agenda
Disclosures and Introduction (2 minutes)
The commonalities of organizations that have demonstrated patient quality improvement initiatives both within and outside of Medicaid and Medicare (10 minutes)
Demonstrated approaches, such a pay for performance or restricted reimbursement, taken by Medicaid and Medicare to improve quality in these populations (10 minutes)
Public reporting as a technique to improve quality through transparency for Medicaid (10 minutes)
The dynamics of primary care provider shortages, education and quality in managing the underserved (10 minutes)
The opportunities and challenges in applying the principles of medication therapy management and the patient centered medical home to the Medicaid and Medicare populations (15 minutes)
References, Summary and Conclusions (3 min)