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New facility acquisitions: Preventable SPARCS data scenarios

Many healthcare organizations overlook the importance of mandatory data submissions to New York’s Statewide Planning and Research Cooperative System (SPARCS) when acquiring a new facility. Accurate, up-to-date SPARCS data can give the organizations the most operational horsepower throughout the acquisition process. Accurate SPARCS data ensures compliance, provides guidance and prevents costly delays in expansion plans.  This blog will cover two common SPARCS compliance scenarios* and how they impact facility acquisition. We’ll also highlight how using a data submission platform, like DataGen’s SPARCS submission tool, UDS (UIS Data System™ ), can aid the process.   Scenario 1: Large hospital system acquires a rural facility  Overview  A larger hospital system has acquired a new rural facility. The rural facility has one SPARCS coordinator who handles claims in its healthcare information management department. The rural facility is behind on its SPARCS data submissions, which is causing

Patient Safety Initiatives: 5 Data Factors to Know

The Surveys on Patient Safety Culture™ (SOPS®) take your hospital’s pulse. The results help answer questions like:  Are staff focused on patient safety?  What are our safety results and where can we improve?  How do we take our scores and use them to transform patient outcomes?  How do we build staff confidence?  How do we stress the importance of patient safety?  When used strategically, the required SOPS® survey data can reveal important insights — that go beyond maintaining The Joint Commission accreditation. The Agency for Healthcare Research and Quality offers data collection as a part of the SOPS® survey. Though you’re spending the resources and time to complete this requirement, this effort alone doesn’t improve patient safety. You need to know which safety initiatives to target, followed by the outcomes and impact. A deep dive into the data can deliver that.  In this blog, we'll examine five important factors that impact patient safety data and initiatives, including surve

How to Sustain Effective Medical Home Care Coordination

The National Committee for Quality Assurance defines a patient-centered medical home (PCMH) as “a model of care that puts patients at the forefront.” The PCMH highlights the importance of care coordination and provides pathways to ensure that the medical neighborhood is tangible to the patients served.   The tenants of the medical home ask care teams to treat patients for their medical, behavioral and address their social and economic needs to achieve desired outcomes. As one of the 6 concept areas of the PCMH, it is imperative to implement policies, workflows and partnerships that will promote relationships outside of the primary care setting.   Medical homes are not just care settings but care connectors. Read on to learn:  how to sustain the medical home through effective care coordination;  why practices shouldn’t exclude community-based organizations; and  the key technical components for an effective, sustainable PCMH care coordination model.  Sustaining your medical home through

Community Health Assessment Toolkit: Data Collection Methods

Why should you include data collection methods in your Community Health Assessment (CHA) toolkit? A CHA is like an electronic health record for a county, Metropolitan Statistical Area or region. Done well, the CHA captures clinical and social needs, informs options for new service delivery, facilitates collaboration among community stakeholders and ultimately can impact health outcomes.  Public health departments today must collect data on everything from diabetes outcomes to housing, income, immunizations and many other measures. Read on for the top methods for collecting the most challenging yet insightful data.  Community Health Assessment data collection methods  Like an EHR, the CHA includes defined components. The National Association of County and City Health Officials’ Mobilizing for Action through Planning and Partnerships (MAPP 2.0) model has several components and three assessments under the MAPP 2.0 model Mobilizing for Action through Planning and Partnerships Assessments: 

The 4 benefits of analyzing shadow bundles

Want to supercharge your health and total cost of care strategy? Medicare Accountable Care Organizations can now access CMS shadow bundle data.   This is a unique opportunity for ACOs and clinically integrated networks to reap benefits without assuming any additional financial risk. These benefits include:  improving care delivery;  managing episodes of care within their population; and  promoting engagement with specialists as partners.  If you're ready to do more with your data, continue reading for a complete shadow bundle data overview. We'll examine the four main benefits and discuss how they can help supercharge your analyses. 4 Main shadow bundle benefits  Before we dig in, here’s a brief outline of shadow bundles. Also, use our shadow bundles opportunity analysis info sheet for a quick overview.  What? Shadow bundles capture episodes of care within a defined patient population. CMS’ shadow bundle data for ACOs mirrors the specifications of the Bundled Payments for Care

Patient safety culture survey: Why collect data?

The Agency for Healthcare Research and Quality defines patient safety culture as "the extent to which an organization's culture supports and promotes patient safety." Patient safety culture is influenced by the values, beliefs and norms of healthcare practitioners and other staff. Since these concepts tend to be abstract, organizations looking to improve their patient safety culture must focus on identifying and measuring patient safety-related behaviors.  In this introductory blog, we'll touch on the importance of patient safety data and how it can help create a baseline. From there, you can gain a clearer idea of how to benchmark your facility to create effective patient safety culture improvement strategies.  Why collect patient safety data?  The best way to examine patient safety culture at the department, organization and system levels is to measure data. An organization can implement many different patient safety culture strategies. However, for them to be most

New York’s 1115 Medicaid Waiver: PCMH Enhanced Payment from CMS

On Jan. 9, the Biden administration and CMS approved New York state's $7.5 billion Medicaid Section 1115 demonstration amendment. This New York Health Equity Reform amendment includes nearly $6 billion in federal funding, effective until March 31, 2027.   Using these funds, "NYS seeks to build on the investments, achievements, and lessons learned from the Delivery System Reform Incentive Payment (DSRIP) 1115 waiver program to scale delivery system transformation, improve population health and quality, deepen integration across the delivery system, and advance health-related social need (HRSN) services," according to the New York State Department of Health .  Under CMS’ 1115 waiver, participating New York state primary care practices with Patient-Centered Medical Home recognition from the National Committee for Quality Assurance are eligible to receive increased Medicaid Incentive Payment.   Specifically, under Population Health, one of the three main NYHER programs, these