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