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8/17/11 Edition: Key Readmissions Provisions Public Policy Committee Update ACMA’s Compare Benchmarking 2012 Franklin Award Application

Healthcare News & Legislative Update Key Readmissions Provisions - 2012 Final Rule The Patient Protection and Affordable Care Act requires CMS to implement a program to reduce hospital readmissions for certain hospitals with excess readmissions for certain selected conditions beginning in FY 2013 for discharges on or after October 1, 2012. The rule finalizes readmissions measures for three conditions: acute myocardial infarction (i.e., heart attack), heart failure and pneumonia. CMS also finalized its definition of readmission as “occurring when a patient is discharged from the applicable hospital and then is admitted to the same or another acute care hospital within a specified time period from the time of discharge from the index hospitalization.” The specified time period being 30 days. Chris Whetsell, Chair of the ACMA Public Policy Committee, prepared an outline of the final rule - 42 CFR Parts 412, 413, and 476 - read more...

Last Week's briefCASE Legislative Updates CAREER LINK Case Management Jobs Director, Clinical Care Coordination Accretive Health Minneapolis/St. Paul, MN More Information... Director Care Management, Associate Hospital Director University of Arkansas for Medical Sciences Little Rock, AR More Information... Director Care Management Dameron Hospital Association Stockton, CA More Information... Workers' Compensation Nurse Case Manager IW CARE CONNECTION, Inc. Encino, CA More Information... To access complete Career Link listings click here...

Public Policy Committee Update: Stable Patients with Pulmonary Embolism Can Be Treated As Outpatients   For this month's Public Policy Committee update, Dr. Ronald Hirsch shares information from a physician perspective. He has chosen to highlight a study of clinical significance that could soon change clinical standard of care and the hospital’s susceptibility to audit. This study was recently published in The Lancet, and has shown that stable patients with pulmonary embolus can be safely discharged from the Emergency Department with enoxaparin and warfarin and avoid hospitalization - read more... ACMA’s Compare - Benchmarking for Avoidable Delays, Readmissions & Denials   A Proven Tool for Performance Improvement Developed in response to the needs of ACMA’s members, ACMA Compare Benchmarking has grown into a powerful and proven performance improvement tool. Subscribing organizations use Compare to assess and improve their performance in avoidable delays, readmissions and denials. Compare Benchmarking services are available by subscription. Subscribing hospitals and health systems are able to implement and use any or all of the benchmarking services for avoidable delays, readmissions and denials. This improves tracking of these metrics, provides rich and detailed benchmarking, powerful data support for improvement initiatives, and gives the subscribing hospital access to best practice educational webinars. If you are interested in learning more about Compare Benchmarking via a free webinar demo, please contact Randall Archer, Director of Sales and Product Development for ACMA Compare at rarcher@acmaweb.org. 2012 Franklin Award of Distinction Application Available   The 2012 Franklin Award Of Distinction Application is now available online. Both ACMA and The Joint Commission encourage all organizations with distinctive case management departments to apply. To learn more about the Franklin Award and download the 2012 application, click here.

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