Clinical Affairs

Improving MHAC rates: How Answering DocuCheck Queries Helps Represent the Outstanding Care We Provide and Improves the Hospital’s Bottom Line

Improving MHAC rates: How Answering DocuCheck Queries Helps Represent the Outstanding Care We Provide and Improves the Hospital’s Bottom Line

Posted by  | Administration, Patient Care

Why are we talking about MHACs? To promote quality improvement and financial responsibility, Maryland and the federal government have instituted hospital pay for performance programs. Maryland is unique nationally in that the state sets hospital reimbursement rates for all payers. Maryland hospitals have a waiver from CMS’s Value Based Purchasing incentive program (limited to Medicare(...)

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Ambulatory and Access Updates

Ambulatory and Access Updates

Posted by  | Administration, Patient Care

The Department of Medicine has provided a great deal of leadership and direction when it comes to access and ambulatory operations. Our access team continues to out-perform the hospital average and produce high levels of service. Our ambulatory groups have succeeded in lowering the rate of provider-initiated cancellations, decreasing the number of open encounters, all(...)

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The Sepsis Core Measure

The Sepsis Core Measure

Posted by  | Administration, Patient Care, Vice Chair Contributors

On October 1, 2015, the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) launched a Sepsis Core Measure for all 4000 Joint Commission-accredited U.S. hospitals. Core Measures are evidence-based process measures to reduce morbidity and mortality. Well-known examples include inpatient pneumococcal vaccination, venous thromboembolism prophylaxis requirements and achieving quick door-to-balloon time(...)

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GBR II – What’s next?

GBR II – What’s next?

Posted by  | Administration, Patient Care

The new Global Budget Revenue (GBR) agreements seem to be working. Initial statewide data show hospital volume is declining and quality is improving. We are now entering year three of a five-year demonstration project with the Centers for Medicare & Medicaid Services (CMS) as part of the waiver modernization program.  So what’s next? One of(...)

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Looking Ahead for Ambulatory Practices

Looking Ahead for Ambulatory Practices

Posted by  | Administration, Patient Care, Vice Chair Contributors

Within the Department of Medicine we have a broad array of ambulatory practices, with diverse patients, practitioners and locations. This richness is our strength and challenge in many ways. Initiatives designed to make both the patient’s and practitioner’s experience positive and more uniform will require a coordinated effort to identify best practices in the outpatient(...)

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Provider Satisfaction

Provider Satisfaction

Posted by  | Administration, Patient Care, Vice Chair Contributors

In the era of patient-centered care, a tremendous amount of time and energy is expended in understanding the experience, perspective and needs of our patients. Understanding the patient perspective is critical to providing the excellent care in which we as a department always aspire. Meeting the needs of our patients in the hospital or in(...)

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Why Care about Closing Clinic Encounters?

Posted by  | Administration, Patient Care

Johns Hopkins, in conjunction with the Clinical Practice Association, is embarking upon a new method to monitor the closing of our clinic encounters. As detailed in several emails that you recently received, this process will be embedded in our current procedure for monitoring discharge summaries and operative notes. Once a month, the Department of Health(...)

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An Epic start to the New Year!

An Epic start to the New Year!

Posted by  | Administration, Patient Care

2015 concluded with the Bayview Inpatient and Revenue Cycle Epic go-lives. Thank you to the central Epic team and to those faculty, nurses and administrators from the Department of Medicine who spent nights, days and weekends making this a successful go-live. We also want to recognize those who continue to support the transition. Overall we(...)

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Ambulatory Patient Access Process Improvement

Ambulatory Patient Access Process Improvement

Posted by  | Administration, Patient Care

The Patient Access Process Improvement (PAPI) plan is an initiative geared toward the creation of world-class patient and family-centered access when seeing a provider for a medical appointment within our outpatient settings. This plan will be implemented in two major roll-outs known as “pathways” with three phases to make the process of creating an appointment(...)

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