Case Study: Carondelet Holy Cross

The current paper examines the Disproportionate Share Hospital Payment Reduction CMS 2367F rule which was effective on November 18, 2013. The Disproportionate Share Hospital Payment Reduction CMS 2367F is Federal Legislation that was implemented due to the Affordable Care Act. The rule was initially proposed by the Centers for Medicare & Medicaid Services (CMS), HHS on May 13, 2013. The proposed rule was to implement the provision of the Affordable Care Act that reduces Medicaid Disproportionate Share Hospital (DSH) allotments.

The St Marys Saints caused a minor upset when they toppled the Peninsula Seagulls 38-22 in the Sydney Shield second Qualifying Final at Campbelltown Stadium last Sunday.

Competition in the home health field is intense, particularly in rural areas, where the need for services is in more demand. Because services are expensive to provide, it is critical for agencies to generate a volume of visits sufficient to cover fixed expenses plus make a small profit. Competition is primarily between another company Care One, Inc., a multicounty operation that has been established in the area for well over 10 years. AHHS surpassed them in total number of visits after its second year of operation and has been progressively growing. Many of the physicians in the area, however, continue to use Care One, and Care One receives more referrals from the local hospitals than AHHS. Currently AHHS has 32 employees, including 15 registered nurses, 8 nursing aides, 1 physical therapist, I speech language therapist, and 7 administrative staff.

Church of the Holy Sepulchre is also known as the Basilica of the Holy Sepulchre and the Church of the Resurrection (Orthodox Christians). Originally identified as being outside the settlement of Calvary, it is located in the Old City of Jerusalem, Israel and is considered one of the holiest sites in the world, as well as being a central destination for Christian pilgrims. The Church of the Holy Sepulchre was originally built by the Roman Emperor Constantine (272-337) in 330 CE upon the site of a Roman temple. It has since been controlled by Arab rulers, reclaimed by Christian crusaders, repeatedly ruined by fires and conquests, and long been subject to regional religious and political tensions. The Holy Sepulchre is a central Church in

Potential for reduction in reimbursement by 1- % if it falls with other hospitals that rank among the lowest- performing 25 percent with regards to Hospital Acquired conditions (HAC): CAUTI being of them.

This memorandum describes Central Health’s Readmission Reduction Program set to commence in May 2017. The Centers for Medicare and Medicaid Services (CMS) has raised concern over the increasing readmission rate and poor quality of care. To address this issue, Congress has created Hospital Readmission Reduction Program (HRRP) statute under the Affordable Care Act, 2010, which was recently updated under 21st Century Cures Act of 2016. Under the constant pressure of a penalty, Central Health has considered to establish its own Hospital Readmission Reduction Program to address specific imperatives, such as care-coordination, treatment adherence program, and streamlined patient discharge process.

A community hospital is presently in quadrant no.3 which means it is low in value-added services and does not have a wide range of expertise and hence services to

To deal with this information gap, the Hospital Quality Alliance program integrated the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey into its series of measurements. Several hospitals have committed to providing responses to the survey from patients that have been discharged from their hospitals. The Centers for Medicare and Medicaid Services (CMS)

This report is a summary of all the findings of the Medical Liaison officer for the APHI board. This summary is meant to be a review of the feasibility of expanding into the California region. This report will review the history of healthcare in the region, the feasibility financial wise of expanding into the region, and finally how the government in the region has influenced the decision to expand into California. Refer to the appendix for previous findings.

Additional services are integrated into the CCBHC as a means to ensure a healthcare approach emphasizing recovery, trauma-informed care, wellness and the integration of physical and behavioral health.

Furthermore, CMS hospitals receive adequate funding both from the government and individuals as a way of managing and controlling the effects related to HAIs. The funding processes of the hospitals that implement CMS programs have the great opportunity of handling financial resources that assist in the management of HAIs within the hospitals effectively. Monetary incentives through CMS have become possible and supported by Affordable

CMS will be rewarding the top performing hospitals by increasing to their payment for Medicaid patients. HCAHPS survey is sent out within six weeks of the patients discharged, there is 27 questions relating to communication with the staff, cleanliness, pain management, communication about medicines, discharge information and if they would recommend the hospital. The data is to Premier Incorporated to categorize the date, and then place this information on the website http://.wwwhospitalcompar.hhs.gov and available to the public. Health Quality Alliance and Center of Medicare and Medicaid Systems have awarded over eight million to hospitals who have shown improvements in the care of their patients.

The MPHFP enables certain rural hospitals to be licensed as Critical Access Hospitals (CAHs) that receive cost-based reimbursement from Medicare in return for limiting their services (Rural Assistance Center- CAH Frequently Asked Questions, 2012). Under costbased reimbursement, health care providers receive reimbursement based on actual costs incurred which is a more generous reimbursement method than allowed by the prospective payment system (Gapenski L, 2009). However, only those providers that fall under the following categories are eligible to become CAHs: currently participating Medicare hospitals; hospitals that ceased operation after November 29, 1989; or health clinics or centers (as defined by the State) that previously operated as a hospital before being downsized to a health clinic or center (Department of Health and Human Services, 2013). A Medicare participating hospital that wishes to convert to a CAH, has to meet certain criteria including (Department of Health and Human Services, 2013):        Be located in a state that has established a State rural health plan for the State Flex Program; Be located in a rural area or be treated as rural under a special provision that allows qualified hospital providers in urban areas to be treated as rural for purposes of

Columbus Regional Hospital (CRH), a non-for-profit organization with 225 beds, is the system’s star facility (Columbus Regional Health, n.d.). CRH has a Privacy Excellence Award, and the National Committee for Quality Assurance recognized CRH for outstanding patient-centered medical home practices (Columbus Regional Health, n.d.). Additionally, the Becker’s Hospital Review named CRH as a great community hospital, and Thomson Reuters acknowledged CRH in the top 100 hospitals (Columbus Regional Health, n.d.). Moreover, CRH is one of the most beautiful hospitals in America (Columbus Regional Health, n.d.). They provide emergency and surgical services and comprehensive care in many specialty areas, such as, mental health (Columbus Regional Health, n.d.).

The crucifiers would drive a stake into the ground when whoever was being crucified arrived at the execution place. Sometimes they attached the victim to the cross only with ropes. In that case, the crossbeam, where they bound a victim’s arms, was fixed to the vertical beam. They then continued to tie their feet to the stake with a rope. If the victim was pinned down by nails, he was laid on the ground, with his shoulders on the crossbeam. They would hold out his arms and nail him to the crossbeam, which was raised. The victim's feet were nailed down against the previously nailed stake.