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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...

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Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
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Published on: June 18, 2020

Hospital value-based purchasing.

Daniel Blumenthal1, Anupam B Jena

  • 1Department of Medicine, Massachusetts General Hospital, Boston, MA 02115, USA. jena@hcp.med.harvard.edu

Journal of Hospital Medicine
|April 17, 2013
PubMed
Summary

Hospital Value Based Purchasing (VBP) incentivizes high-value care through Medicare and Medicaid policy changes. This review details the VBP program structure, challenges, and its impact on inpatient services.

Area of Science:

  • Health Policy
  • Healthcare Economics
  • Inpatient Care

Background:

  • Medicare and Medicaid reimbursement policies have historically favored high-volume care.
  • Shifting focus towards value-based purchasing represents a significant policy change.
  • Understanding the evolution of hospital reimbursement is crucial for VBP implementation.

Purpose of the Study:

  • To provide a comprehensive review of the Hospital Value Based Purchasing (VBP) program.
  • To analyze the structure, incentives, and funding of the VBP program.
  • To anticipate challenges and discuss the impact of VBP on inpatient care.

Main Methods:

  • Review of historical changes in U.S. hospital reimbursement.
  • Description of the Centers for Medicare and Medicaid Services' VBP program structure.

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  • Analysis of VBP program eligibility, outcome measures, reward allocation, and funding.

    • Main Results:

    • The VBP program formally mandates high-value care through financial incentives.
    • Key aspects of the VBP program include eligible hospitals, incentivized outcomes, and reward/penalty mechanisms.
    • Potential challenges and the impact on inpatient service delivery and reimbursement are identified.

    Conclusions:

    • The VBP program signifies a pivotal shift in healthcare reimbursement strategy.
    • Anticipating and addressing challenges is essential for the successful implementation and evolution of VBP.
    • VBP is poised to reshape the delivery and reimbursement of inpatient care services.