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 […]
Clinical Affairs
Looking Ahead for Ambulatory Practices
Posted by | Administration, Patient Care, Vice Chair ContributorsWithin 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 […]
Provider Satisfaction
Posted by | Administration, Patient Care, Vice Chair ContributorsIn 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 […]
Why Care about Closing Clinic Encounters?
Posted by | Administration, Patient CareJohns 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 […]
An Epic start to the New Year!
Posted by | Administration, Patient Care2015 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 […]
Ambulatory Patient Access Process Improvement
Posted by | Administration, Patient CareThe 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 […]
Our Doctor Communication HCAHPS Scores and What We’re Doing about Them
Posted by | Administration, Patient Care, Vice Chair ContributorsThe Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is the only national, standardized survey assessing patients’ experience with US hospitals. It contains 32 questions covering doctor communication, nurse communication, cleanliness, pain management and other domains. A random 50 percent of all patients discharged from Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center […]
Hopkins Access Line Triage
Posted by | Administration, Patient Care, Vice Chair ContributorsWe can be proud of the high demand for our inpatient beds in the Department of Medicine, but the demand creates challenges. Patients accepted from other institutions via the Hopkins Access Line (HAL) and patients in our ED are often vying for the same beds. We recently implemented a HAL triage protocol to create a […]
GBR in Maryland – A new payment methodology for Maryland hospitals
Posted by | Administration, Patient CareRecently, you may have heard the acronym “GBR” being tossed around in meetings and hallways of the hospital. “GBR” has been called a tectonic shift in the decades-old Maryland all-payer model. So what is GBR, and why is it so important? GBR (Global Budget Revenue) is a payment method recently implemented by Maryland’s all-payer system […]
Goals and Focus for 2016
Posted by | Administration, Patient CareFiscal and academic year 2016 will continue to experience the dramatic change affecting all facets of our healthcare environment. Your Clinical Affairs Team goals are reflective of responses to the highest priority changes impacting our mission, while still focused on our vision to: Deliver the highest quality, patient-centered care Develop innovations in clinical care delivery […]