Outer Banks Ambulatory Surgery Center: A Case Study

This is an opportunity for hospitals to work more closely with skilled nursing facilities and other post-acute providers to improve care transitions, and experience fewer readmissions. The ACA impacted hospitals by holding back a one percent reimbursement rate. Hospitals will actually need to perform and deliver high-quality evidenced based care to recover the one percent withheld reimbursement rate while hospitals that exceed the benchmark, will received a higher reimbursement rate over the one percent. The Act is intended to help spur the trend of more integrated care throughout the continuum. The Affordable care act (ACA) of 2010 designed programs for improvements and innovation in the quality of hospital care by instituting the Medicare’s hospital readmission reduction program. Through this program, CMS reduces Medicare payment bt one percent for hospitals for hospitals that demonstrated high rate of avoidable readmissions for patients with a diagnosis of heart failure, heart attack

The Accountable Care Organization (ACO) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients (McCarty, B., 2016). For example, Medicare Shared Savings Program was created by The Center for Medicare & Medicaid Services to monitor and establish that all ACO’s are meeting the quality performance benchmarks and reduce Medicare spending by certain percentages (H., 2017). The growth of ACO’s from 2011 to 2016 is astonishing, in 2011 there was 64 ACO’s and by 2016 they have risen to 838 in the U.S. (H., 2017).

b. What will its future value be if the CD pays 5 percent interest? If it pays 15 percent interest?

Another provision that the ACA provided was creating the Center for Medicare & Medicaid Innovations within the Centers for Medicare & Medicaid Services (CMS) in order to test new payment and service delivery models designed to reduce costs and increase quality of care to those that receive these benefits.² In this briefing, information about this organization, including financing and delivery, and the impact of the ACA on the Medicaid Program and the

In the hope of better coordinating the care of patients, improving quality and lowering costs, the ACA provides incentives for physicians and hospitals to work together in several ways, such as Accountable Care Organizations (ACO’s) or establishing bundled payments for episodes of care (Martin Gaynor, 2012 ) which has spurred consolidation (Becker, Gamble, & Rosin, 2015). Additionally, compliance with various federal programs such as Meaningful Use requires a significant investment in technology which can be fiscally challenging for smaller provider groups; driving acquisitions of these smaller entities by larger health systems. Other reasons cited by hospital administrators in the pursuit of consolidation is to ensure a steady stream of physician referrals (NPR, 2010), and to create economies of scale and increased efficiencies, the fruits of which result in reduced costs and therefore cheaper care for patients (ProMarket Writers, 2016). However, what most hospital

The Patient Protection and Affordable Care Act, commonly called the Affordable Care Act (ACA), was signed into law by President Barack Obama on March 23, 2010 (CITATION). The ACA represent one of the biggest U.S healthcare system overhaul since Medicare and Medicaid passage in 1965 (CITATION). This reform was implemented to help consumers gain access to affordable health care coverage while also protecting them from abuse perpetrated by insurance companies. The goals of the ACA is to assure quality care, decreasing cost for the uninsured, and making healthcare available to all Americans. As a part of this quality care assurance, there is a mandated for positive transition of health care (CITATION). This brief will examine the factors that must be monitored in the implementation of ACA in order to promote the positive transition of health care and prevent re-hospitalization of this patient population.

The ACA included reductions in Medicare payments to plans and providers and introduced delivery system reforms that aims to improve efficiency and quality of patient care and reduce costs including accountable care organizations (ACOs), medical homes, bundled payments, and value-based purchasing initiatives”(Cubanski & Neuman, 2016, p. 2).

There are various considerations that may affect hospital scores, it involves satisfaction and eduction in which are a very important aspect of nursing care. As a nurse, it is important to have positive outcomes. There is currently one hospital within a 5-mile radius of my current facility. The two hospitals that are in this comparison are Kingwood Medical Center and Memorial Hermann NE. My place of employment is MHNE. So, when compared to Kingwood Medical Center, Memorial Hermann NE scores slightly better in both categories. Kingwood Medical Center patient satisfaction was 70%, while Memorial Hermann was at 73% with state and the national average of 76% and 73%. Even though my facility MHNE is at the national average, it is still lower than

When faced with the reality of the Affordable Care Act (ACA) becoming law and taking effect, Jim began to implement new rules and guidelines. Although impravision a strategic plan the institution is expected to follow as supplies and resources would soon be in critical demand. As CEO, he understood what was expected of the health care system, focusing mainly on the organizational needs that will help with the expanding or the growing populationu8, meeting the increased demand for the future. Via industrialized existing programs and building clinics that will accommodate the expected significant impact of the newly insured. “Eliminating ED crowding will take the collective involvement of healthcare workers, business leaders, politicians, the press, and the public” (Derlet & Richards, 2008). After much consideration, and a comprehensive evaluation of the documents for the new Affordable Care Act, Jim James, CEO thought about the upcoming opportunities using a persuasive approach to transform the hospital. Since he stated that his most pressing desire is to find ways to connect the recipients in a way that will model changes in existing programs. Admittinly, we have a medical (that is, sick) care system- a system that waits until we become ill before it kicks into action instead of a healthcare system focused on helping us stay healthy (Schimpff, 2012). The justification, seeing the possibilities that crucial in dealing with changes in the upcoming health care system using a

The ASC (Ambulatory Surgical Center) provides a variety of career opportunities. Basically, a ASC is a health care facility where surgical procedures not requiring an overnight hospital stay are performed. I have been able to shadow several jobs within the ASC. Out of all the careers, a PACU nurse sparked an interest. PACU Nurses are specialized to work in the post anesthesia care unit. They provide intensive care and treatment for patients who have gone under anesthesia. PACU RNs can also be referred to as a recovery room nurse.

Lafayette and Suwannee submitted the Expectation and documentation. Please review their documents and score the Expectations. Also please note that:

Tulsa Memorial Hospital (TMH) is one of the nine acute care hospitals that serves in the general population area. Historically, it has been highly profitable due to its well-appointed facilities, excellent medical staff, good-standing reputation for quality care and its ability to give individual attention for each of its patients. The hospital, in addition to its inpatient services, operates an emergency department and an urgent care center located two miles from the hospital across the street from a major shopping mall.

This paper will discuss the parity and disparity between the payment levels at the Ambulatory Surgery Center (ASC) and Hospital-based surgery center (HOPD). It will examine how payment is structured between a Medicare program and a private practice program. The terms parity and disparity mean the cost of procedures in the ASC and HOPD. The disparity between the two payment structures will be discussed first.

CM spoke to Kiara Gelin (youth) regarding a follow-up on services. Youth reported she continues to attend the Partial Hospitalization program at the Jersey City Medical Center. CM was informed that youth stopped attending the TASC program due to time conflict and youth will resume the program in September. CM and youth disused employment; youth had a job interview at Wendy’s, Fast food restaurant. CM encouraged youth to apply at local jobs in the mall, CM verbally provided youth with a list of jobs that are hiring in the community. CM inquired about the Cook, Eat and Talk program. Youth reported the family will follow-up with the program once the family phone is working. CM agreed. CM and youth discussed mentor

(SJ., 1987) Such changes include those imposed by the Patient Protection and Affordable Care Act.