inpatient prospective payment system (IPPS)
Reimbursement is primarily done via an _______________.
unannounced
All regular Joint Commission surveys are _______.
18-36 months
How long do JC surveys last?
individual tracers
-follow experience of care for a patient through the healthcare process.
system tracers
-evaluate integration of related processes and the coordination and
communication between disciplines and departments within the institution
survey analysis for evaluating risk
What is the SAFER matrix?
evidence of standards compliance (ESC)
If an organization receives Requirements for Improvement (RFIs), the
accreditation decision is made upon submission of ___________.
CoPs; CfCs
_______ and ______ are required for healthcare organizations to participate
in medicare/medicaid programs.
Core measure reporting
-reported results that represent the percentage of patients admitted with a specific diagnosis who received the recommended care measure.
# of patients receiving expected care/ total # of patients with given criteria
Core measure reporting formula?
reimbursement; compare hospitals
How do Hospitals use Core measure reports?
How do patients use them?