The leading voices in healthcare are talking about the next big thing on the horizon. That would be CHR (Comprehensive Health Record). But what about the unfinished business that still exists for healthcare records? How do you incorporate the data from incoming external documents that bog down clinics and hospitals? This data comes from faxes, paper, and scanning workflows.
Meaningful use was developed to ensure compliance to result in improved population health outcomes, increased medical transparency, promote patient care efficiency, empower healthcare staff and patients, provide better clinical outcomes and more robust research data on health organizations. Meaningful use obtains clear objectives that healthcare organizations must meet in order to qualify for Centers for Medicare & Medicaid Services (CMS) Incentive Programs. To some healthcare professionals, meaningful use stages cause confusion—let’s go over meaningful use stage two.
How do your objective measures and process improvement plans fit together in your Quality Assessment and Process Improvement Program (QAPI)? Are they all individual efforts, kept in binders and not communicated to the various stakeholders? Or is your QAPI program a vibrant living entity in which all stakeholders are actively engaged? One of the key items that the Centers for Medicare and Medicaid Services looks for is a clear, cohesive and implemented plan that is reflected in your QAPI policy and it is a lack of this that is frequently cited as a deficiency during a CMS audit.
Once again I had the pleasure of attending the 24th Annual UNOS Transplant Management Forum for my 4th time earlier this year. As always, it was a flurry of learning, knowledge-sharing, networking, and well-deserved awards for leaders in the industry.
It was as apparent this time as it was every time before, that the transplant community is a close-knit group who all struggle with similar things regardless of their geographical location. These struggles span across many areas, including financial, staffing, regulatory requirements, lack of organs, information technology, reporting, managing the constant deluge of paper, and many more. While I can't claim that Extract can help with all of these, there are two specific struggles that we excel at fixing: extracting discrete results from faxed external lab results and intelligently splitting, classifying, and filing large documents (such as referral packets) into patients' charts.
Previously we have discussed in general what happens when your center comes under regulatory scrutiny and what you can expect. Today, we will begin to look in greater detail at what a System Improvement Agreement (SIA) entails, the items that the hospital commits to fulfill and some strategies for addressing them.
The System Improvement Agreement (SIA)
In our previous post, we discussed what happens when your program receives a letter from either the United Network for Organ Sharing (UNOS) or the Center for Medicare and Medicaid Services (CMS) and your program's initial response. Today we will focus on what happens if CMS does not accept your mitigating factors application.