Help me please. Review the CMS.gov 30-Day Mortality and Readmission Data website
ID: 246136 • Letter: H
Question
Help me please. Review the CMS.gov 30-Day Mortality and Readmission Data website. Review at least two local hospitals and see how they compare to state and national benchmarks. How and why may a consumer or a health care professional use this data to make decision about their next hospitalization? Will reporting this data have an impact on hospitals bottom line in addition to financial penalties from CMS? Give at least two examples of how this data may be used and what type of impact if may have if at all on the hospitals. Detailed, with citations. Thanks
Explanation / Answer
Mortality and readmission data:
The use of mortality and readmission data is important in measuring the performance quality. The data is also important in helping patients especially those with special care like surgeries find a skilled inpatient care. Upon comparison, a consumer or a healthcare professional will be able to evaluate the best hospital in the region. The process of comparison can be done by assessing each hospital's risk-adjusted outcomes and the variables that lead to higher quality of the hospitals. Ratings commonly given by STS can also be used to give a rationale of the best hospital (Carol, 2015).
Reporting the hospital performance data may have impacts to the hospitals’ bottom lines. Accountable minds can also be created to the internal and external customers as soon as the performance data is reported (Jha et al., 2009). There can also be an increased leadership and an awareness of performance measure data. Concerns about data and quality can also be raised upon reporting a hospital’s performance data. Besides, the organizational priorities become more focused than they were before the performance data was reported.
A hospital’s performance data may be used to identify influential and modifiable clinical practices in the target quality improvement areas. The data can also be used to compare strategies that use both quality and cost to come up with the most preferred hospital. The strategies may include data on quality of surgical care, average cost per admission of the surgical care, the overall quality and the minimal threshold for surgical quality. An impact made from the uses of hospital’s performance data is lack of agreement among the strategies provided for ranking hospitals. The latter may lead to a clearer prioritization by payers and the application of better methods to be used in the identification of the best hospital (Carol, 2015).
References:
Carol B. (2015). Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomized population based study.Doi: 10.1136/bmj.327.7422.1014. Crit.Care Med.
Jha, A.K., Orav, E.J. and Epstein, A.M., 2009. Public reporting of discharge planning and rates of readmissions. New England Journal of Medicine, 361(27), pp.2637-2645.
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