Hca/511 Research Assignment

HCPCS (Healthcare Common Procedure Coding System) Level II codes are updated by the Centers for Medicare and Medicaid Services. HCPCS Level II codes are revised annually with implementation in Jaunary of each year. This means that coders have to stay up to date on all changes. Some of the ways coders can stay up to date include: getting updates from the CMS website; consulting with the ASCA website; network with other coders; and consulting local coverage determinations. There are also monthly newsletters published by the AMA called HCPCS Assistant that are considered an official coding resource by the CMS. The medical management software must be kept up to date to ensure the proper codes are being used. A coder should never use an older

Healthcare is in a constant state of change with movements that impact rates, access and quality of care. Hospitals have become more competitive due to the rising cost of care delivery and the reduction in reimbursement from payers. This causes difficulty in delivering quality care to all patients, which is being measured by mandated patient perception surveys, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS scores are part of value

The research question asked by Coyne et al. (2009) study was whether the size and ownership type of the hospitals make variance in cost and efficiency results of the hospitals. This distinction of the cost and efficiency matter are very important for the policy makers to motivate a certain type of the health care facility for gaining a better control for the payer mix, case mix and services provided (Coyne et al., 2009, Pg. 174). The research question for Messina et al. (2009) study was whether the patient satisfaction is the reason for the increased volume or admissions in the hospitals, and whether the patient satisfaction and increased admissions are different in teaching and non-teaching hospitals. The patient satisfaction and the

Measuring and reporting on patient satisfaction has become an integral part in healthcare and has become an industry of its own. The rising importance of patient satisfaction has not only been a determinant in incentives and reimbursements the hospital will receive (Mehta) and of quality of care for the patients, but it enhances the accountability to provide the quality of hospital care. Hospitals use HCAHPS (the Hospital Assessment of Healthcare Providers and Systems) which is required by CMS to measure patient satisfaction. It is a survey targeted towards patients to receive their feedback and perspectives of hospital care. It is focused to provide valid and up to date information to the public and give hospitals reports on patient expectations to work towards improvement and a greater standard (CMS).

According to Fred Lee (2004) hospitals use clinical results and process improvement as a gauge of quality as this data can be readily measured and objective. Conversely, patients judge the quality of care by individual perception. Therein a gap of what the patient’s perception of quality care and how the healthcare providers perceive quality of care is created. The purpose of this paper is to discuss the Gaps Model of Service Quality while comparing the findings of the work done by Fred Lee in the book, If Disney Ran Your Hospital: 91/2 Things You would Do Differently.

Appointed as the new Health Services Administrator for Sunlight Hospital, we will evaluate and develop a clear and concise framework that will focus on the significant domains of quality measurements and specify the reasons for conducting the assessment for inpatient and emergency care processes that matter to our patients at Sunlight Hospital. The company objective is to increase efficiency and the value, with providing quality care for our patients and employees. The report will be a model for observation and to build a hypothesis based on improvements needed, dealing with retention (employee satisfaction and staff understrength), analyze the chief complaints in quality care dealing with patients. Prior to conducting a walk

The Centre for Medical & Medicaid services (CMS) has recently become more involved in the reimbursement component of health care. The reason for this increased involvement is that there is an increase in the need to improve the quality of the delivery of healthcare (Garcia, 2004). Stakeholders in the healthcare industry are striving to ensure that there are a better definition and measure of quality in healthcare. One major component of quality health care is the satisfaction of the patient. There is a link between patient outcomes and satisfaction, and hence patient satisfaction is used as determinant in measuring quality care.

The hospital can begin to improve their quality by asking the customer (patients) evaluate the quality of care during their stay at the hospital. This could be done by follow-up phone call to the patient’s home once they leave the hospital, or a short survey, before leaving the hospital. Tracking the patient’s complaints and trying to resolve them. If the customer makes a formal complaint, by giving their names, then the issues can handles and offer the

As a way to analyze and measure the progress of those six aims, the Hospital Consumer Assessment of Healthcare Providers and Systems survey, or HCAHPS, was established to “compare ‘apples to apples’… and to support consumer choice” as well as a means to evaluate a multitude of hospitals on a common ground (HCAHPS Hospital Survey). HCAHPS surveys are provided to patients after their patient-care experience. The full print survey can be

Healthcare is the single largest business around the world and plays a vital role in society today. The desire to enhance quality of care in healthcare delivery has increased tremendously.

Health care organizations should work on putting more emphasis on patient experience and satisfaction, such as giving evaluations when giving care. When it comes to patient satisfication the healthcare system should put their sole focus on making sure patient were well taken care of during their visit. Whether if the patient was satisfied or not with their experience. Patient experience/satisfaction in a hospital should always be a number one priority and getting the person back at 100%. Hospitals are always looking for ways to improve several different things such as technology, health in populations, reducing cost, maintaince, etc. But they fail to focus on the quality care, Avoidable harm is a worthy goal that all health care system should benefit

More times than not, a surgical patient will not know the cost for the procedure before undergoing the operation. With all the possible variables involved, the providers most likely do not know the associated costs either. Even if cost were available, providers do not want to use the Wal-Mart strategy of being the low cost leader. People associate lower cost with lower quality of care. Since cost of care is not a marketable factor, other areas become overstated including the satisfaction of the patients. It is healthcare provider’s obligation to ensure the patient is satisfied or market share will be compromised. There are many variables to patient satisfaction, but research has shown a direct correlation between high patient satisfaction levels and a highly engaged staff.

Patient satisfaction surveys will also help potential patients understand the environment they are about to enter. If a staff is rude and curt than the public will have access to this. Essentially, this will encourage health care providers to give optimal quality of service to each and every patient. Of course, it’s important that a patients expectations are not too grand. Nothing in life is perfect and people should understand this. Busy hours and numerous patients can cause fatigue. After all, health care providers are still human. Perhaps if all physicians were machines then we could expect them all to be perfect. Performance of medical procedures will enlighten a patient of how well a hospital is able to provide a service. This in turn will allow consumers to make the best choice when selecting a facility for providing care. Someone needing back surgery should be able to locate and choose a facility right for them. If a facility performs poorly with back surgeries, the public has a right to know so that they can avoid this. People have the right to make the most well informed decision. Facility treatment of patients should definitely be transparent. If a facility is trying to hide something it can’t be good. People have the right to know how well a facility treats their patients. This also encourages a facility to always do their best. Ultimately, everyone wants

There were too much talented and passionate staff members working at the hospital. The quality of the service was good because the staff members were talented and providing quality services. The turnover of the staff was low. The patient satisfaction was very high. There was 90% patient of the hospital were satisfied with the services. Patients recorded the most satisfaction with issues related to the health care providers. Many patients expressed their gratitude for the care they received. They often remarked as saying they would have no way of obtaining health care without the hospital.

A healthcare organization’s reputation for its commitment to quality and patient-centered customer service stands as the main criteria for individuals in choosing a healthcare service provider (Stavins,2006). “Therefore, measurement of patient satisfaction and incorporating results to create a culturewhere service is deemed important should be a strategic goal for all healthcare organizations”(Stavins,