Boost Patient Satisfaction, Avoid Penalties—and Win with CJR

Posted by Betsy Weaver, Ed.D. on Jul 13, 2016 2:00:00 PM

Comprehensive Care for Joint Replacement (CJR), the latest bundled payment initiative from the Centers for Medicare and Medicaid Services (CMS), has now been underway for three months. If your hospital is among the 790 required to participate, you may already know that building and leveraging patient relationships is key to getting the highest CMS reimbursements.

Even if you aren’t a participant at this point, CJR and similar programs from CMS will likely expand. Paying attention now may be worth it in the long run.

Under CJR, hospitals are responsible for the cost and care quality of hip and knee replacements—starting with the surgery and hospital stay, and continuing for 90 days post-discharge for rehabilitation and recovery. CMS will reward hospitals that do well, in terms of cost and care quality, with more money. And it will penalize those that don’t, making them repay a portion of their reimbursements.

Patient satisfaction is one way CMS will evaluate care quality under CJR. And because the agency already requires hospitals to connect with patients digitally, through their Electronic Health Records, an effective way to develop and nurture patient satisfaction is also through digital communication.

Read on to learn how!

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Topics: Patient Outcomes, Value-Based Care, Patient Satisfaction, Comprehensive Care for Joint Replacement, HCAHPS, MACRA

Does Your Technology Improve Patient Care & Outcomes?

Posted by Betsy Weaver, Ed.D. on Jul 6, 2016 2:00:00 PM

The 2015 Medicare Access CHIP Reauthorization Act (MACRA) outlines plans to overhaul reimbursements to physicians, based in part on their ability to provide quality care and to improve patient experience and outcomes.

One of the main goals the Centers for Medicare & Medicaid Services (CMS) has for MACRA is for individual healthcare providers to use technology as a tool for improving care in a way that’s helpful—rather than burdensome—to both patient and provider.

This goal is also central to the objectives for hospitals currently participating in CMS’ Comprehensive Care for Joint Replacement (CJR) initiative. Key to success with CJR’s bundled payment program is the nurturing of patient relationships—teaching and engaging patients to be better partners in their care, ultimately to improve both their satisfaction and outcomes. And this, too, can be accomplished through digital tools that work.

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Topics: Patient Outcomes, Value-Based Care, Comprehensive Care for Joint Replacement, MACRA

CJR & MACRA—THE CONNECTION

Posted by Betsy Weaver, Ed.D. on Jun 28, 2016 1:58:52 PM

Just two months after the Centers for Medicare & Medicaid Services’ game-changing bundled payment plan, Comprehensive Care for Joint Replacement (CJR), took effect in 790 hospitals nationwide, the federal agency is headlong into another landmark innovation in healthcare.

In a June 13, 2016, address to the American Medical Association (AMA) Annual Meeting in Chicago, CMS Acting Administrator Andy Slavitt detailed how his agency will implement the 2015 Medicare Access and CHIP Reauthorization Act, known as MACRA.

What do CJR and MACRA have in common? While MACRA is a broad payment plan for individual healthcare providers and CJR is a hospital reimbursement initiative currently limited to joint replacement surgery and rehabilitation, the two are connected in important ways. This commonality forecasts the future for CMS and the entire healthcare system loud and clear.

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Topics: Quality of Care, Patient Outcomes, Comprehensive Care for Joint Replacement, MACRA

UbiCare and the Startup Institute Focus on Innovation in CJR Patient Education

Posted by The UbiCrew on Apr 15, 2016 11:00:00 AM

The long-awaited Comprehensive Care for Joint Replacement initiative (CJR) became reality on April 1, 2016. Under CJR, hospitals must find ways to rein in costs, reduce complications and improve patient outcomes for hip and knee replacements—the most common joint-replacement procedures—in order to receive maximum reimbursements from the Centers for Medicare & Medicaid Services (CMS).

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Topics: Joint Surgery, Patient Outcomes, Hospital Readmissions, Comprehensive Care for Joint Replacement, Innovation

Setting Patient Expectations Is Key to Post-Acute Care success

Posted by Deirdre Wilson on Dec 14, 2015 8:30:00 AM

Improving the patient experience with rehabilitation and recovery after joint surgery counts big in CMS’s new Comprehensive Care for Joint Replacement (CJR) payment model. So it behooves hospitals to manage patient expectations about their discharge destination and rehab care as early in the care episode as possible.

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Topics: Joint Surgery, Comprehensive Care for Joint Replacement, Patient Experience

CMS’s Bundled Payment Plan for Joint Replacement Is Here to Stay

Posted by Deirdre Wilson on Nov 23, 2015 11:30:00 AM

This week, CMS released its final rule for Comprehensive Care for Joint Replacement (CJR), putting 790 hospitals on notice that hip and knee replacement reimbursements from the nation’s largest insurer will be tied to cost containment and high standards for patient care. 

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Topics: Joint Surgery, Patient Outcomes, Hospital Readmissions, Comprehensive Care for Joint Replacement

Hospitals benefit from setting patient expectations early

Posted by Betsy Weaver, Ed.D. on Oct 14, 2015 10:00:00 AM

Setting expectations early is shown to improve patients' episodes of care, improve patient outcomes and reduce readmission rates. It also prepares your hospital for Centers for Medicare & Medicaid Services (CMS) initiatives like Comprehensive Care for Joint Replacement (CJR).

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Topics: Joint Surgery, Patient Outcomes, Hospital Readmissions, Comprehensive Care for Joint Replacement

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