Introduction
Thomas Jefferson University Hospitals in Philadelphia Pennsylvania is in need of reducing readmission rates in patient care. The task is to develop an organizational assessment to find the most effective strategy to reduce readmission rates at hospitals and to discuss how the Center for Medicare and Medicaid Services financially penalizes hospitals based off of readmission rates.
Background
Thomas Jefferson Hospital was established in 1825. Formerly a division of Thomas Jefferson University, the hospital was separated from the University to become a founding member of the Jefferson Health System in 1995. As an academic medical center Thomas Jefferson University Hospital states, “The importance of an excellent clinical setting …show more content…
The findings also have shown hospitals that serve predominately low-income people are more likely to be penalized by the CMS. The study aims to call attention to the current quality metric system’s inequities and to help hospitals identify some key patient factors that could drive readmissions.
The Patient Protection and Affordable Care act gives the CMS the authority to penalize hospitals for excess readmissions by reducing reimbursement payments from fiscal year. Hospitals are likely to differ in their tendencies to admit similar patients. Part of such variation is due to “differences in hospital management and quality of services, and part to factors beyond the control of the hospital” (Signal of failure or success) Specifically, characteristics of the local supply and demand for health services might influence hospital tendencies to readmit. The total population, the age and gender composition, and the prevalence of disease are likely to put hospital services under different degrees of pressure. Therefore, we need to control for such factors in order to be able to identify the effect on readmissions that is due to hospital management and
Thomas Jefferson University Hospitals in Philadelphia Pennsylvania is in need of reducing readmission rates in patient care. The task is to develop an organizational assessment to find the most effective strategy to reduce readmission rates at hospitals and to discuss how the Center for Medicare and Medicaid Services financially penalizes hospitals based off of readmission rates.
Background
Thomas Jefferson Hospital was established in 1825. Formerly a division of Thomas Jefferson University, the hospital was separated from the University to become a founding member of the Jefferson Health System in 1995. As an academic medical center Thomas Jefferson University Hospital states, “The importance of an excellent clinical setting …show more content…
The findings also have shown hospitals that serve predominately low-income people are more likely to be penalized by the CMS. The study aims to call attention to the current quality metric system’s inequities and to help hospitals identify some key patient factors that could drive readmissions.
The Patient Protection and Affordable Care act gives the CMS the authority to penalize hospitals for excess readmissions by reducing reimbursement payments from fiscal year. Hospitals are likely to differ in their tendencies to admit similar patients. Part of such variation is due to “differences in hospital management and quality of services, and part to factors beyond the control of the hospital” (Signal of failure or success) Specifically, characteristics of the local supply and demand for health services might influence hospital tendencies to readmit. The total population, the age and gender composition, and the prevalence of disease are likely to put hospital services under different degrees of pressure. Therefore, we need to control for such factors in order to be able to identify the effect on readmissions that is due to hospital management and