Value-Based Purchasing Analysis: Management And Reimbursement In The Hospitals

Value-Based Purchasing Analysis The rates of each hospital are based on patient surveys. These surveys helped to adjust the cost that each organization is allowed to charge and how well they may be paid. The patient survey is a questionnaire filled out by the patients of the facilities. The centers of Medicaid and Medicare are required by the new law to hold a 1% reimbursement from organizations each year. This percentage is set aside and paid out within a 30% weighted score, based on satisfaction surveys of discharged patients. The main reason for the survey is to improve the quality care afforded to patients, and how well these services, are performed. It allows for the hospitals themselves to be graded on the basis of their roles in the
VBP quality is measured through four domains which are Clinical process, efficiency, outcome, and patient experience. Clinical process of this process carries a 20% weighted and outcome carries a 30% average. The uses of the surveys include simple questions such as communication with doctors and nurses. A similar question would include cleanliness and responsiveness from the staff. Some questions would refer to the patients’ treatment, and whether their pain was being managed correctly. The idea is to include the surveys with the performance of the hospital to achieve a greater understanding on the health organizations today (Carter & Silverman, 2016). Hospital reimbursements are through the VPB measurements made by law. These measurements include six key factors. Patients satisfaction of safety and experience is one of the main measures and carries a 2 score weighted average per measure.
Physicians and hospitals are now at risk of losing payments from insurances by simply not communicating with others in their organizations (Kaufman, 2011). The revenue is based on the whole market keeping an interactive role within the walls of the organization. One such way to hinder payment is to not keep track of the processes in each department. Staff members must delegate the work throughout each aspect of the facility. Each step is carefully monitored so that the communication between different departments and team leaders (TIGI, 2016). The next thing to insure reimbursement is to keep the stakeholders engaged in the processes, let them know that surveys are conducted by mail or if they are automated The move also calls for restructuring of failing infrastructures and accountability for services provided (Kaufman, 2011). The wheels turn based on this process, so learn to manage the process. Revenues are paid by completed surveys from mass collections. The surveys need to be conducted by reputable companies. This ensures that correct monitoring of key measures takes place and payments will not be held in limbo. The actions of the facility acting as a unit improves shared costs. It allows quality improvement to be felt throughout the organization, and in return can increase patient volume (Brown & Crapo,