Morrow County Hospital receives 5-star rating for quality
Staff Report
MOUNT GILEAD Morrow County Hospital was one of only 35 hospitals in Ohio that received a 5-star rating from CMS (The Centers for Medicare and Medicaid Services) based on 37 measures of performance in five categories that include mortality, safety of care, readmission rates, patient experience and timely/effective care.
Hospitals report data to the Centers for Medicare and Medicaid Services through the Hospital Inpatient Quality Reporting Program, Hospital Outpatient Quality Reporting Program, Hospital Readmission Reduction Program, Hospital-Acquired Condition Reduction Program, and Hospital Value-Based Purchasing Program. Overall star ratings aren’t calculated for Veterans Health Administration or Department of Defense hospitals.
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On April 27, 2021, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule for the fiscal year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS). The proposed rule includes CMS proposals for certain annual Medicare payment policies and rates as well as certain quality and value-based programs for FY 2022. Stakeholders must submit any comments in response to the proposed rule by June 28, 2021.
Below are highlighted FY 2022 IPPS proposals that reflect CMS’ effort to streamline some of its existing payment policies.
Payment. CMS proposes to increase operating payment rates for general acute care hospitals that (i) participate in the Hospital Inpatient Quality Reporting Program and (ii) are meaningful electronic health record users. Specifically, the Medicare IPPS rate for FY 2022 for eligible hospitals would increase by approximately 2.8 percent, which reflects an approximately $3
Lawrence + Memorial Hospital in New London and Westerly Hospital are facing reductions in Medicare payments because of the relatively high rates of complications their patients developed during stays between mid-2017 and mid-2019, which was long before the start of the COVID-19 pandemic.
Backus Hospital in Norwich faces no such penalty.
All three of the hospitals serving the region will get lower reimbursements for Medicare patients in the current fiscal year based on their patient readmission rates for cases between July 2016 and June 2019.
The penalties, assessed by the Centers for Medicare & Medicaid Services, were reported this week by Kaiser Health News, a nonprofit that’s been tracking Medicare’s Hospital-Acquired Condition Reduction Program and its Hospital Readmissions Reduction Program since they were instituted in connection with the Affordable Care Act.
VUMC among facilities docked for complications
This article has been updated to reflect the actual dollar amount Vanderbilt University Medical Center stands to lose from the Medicare penalty based on last year s inpatient admissions revenue.
Twenty-two hospitals across Tennessee are being penalized by Medicare for the number of complications among patients from hospital-acquired conditions and will see their reimbursement rates for the next fiscal year fall by 1 percent.
The Centers for Medicare and Medicaid services cut payments to 774 hospitals across the United States as part of a program created under the Affordable Care Act that aims to reduce the number of hospital-acquired infections. According to
Penalized for Patient Complications: 774 Hospitals Set to Lose Medicare Funding
Some of the country’s biggest hospitals and medical centers will lose Medicare funding due to high rates of infection and preventable patient complications, according to the federal government. The facilities are being cited for their lack of safety based on data collected between 2017 and 2019.
The U.S. healthcare system had a problem with infectious disease before the coronavirus was even on our radar, and 500,000 Americans have already died from COVID-19. As we mark this grim milestone, healthcare officials are reckoning with their facilities’ lack of infection control.
What do the Penalties Mean?