Perspectives on the Acute Care Continuum
The Acute Care Continuum is the integration of urgent, emergent, inpatient and post-discharge care of patients with acute medical conditions.
News Updates — "Post-Hospital Syndrome," News on the Physician Shortage and Hospitalists Approach to the VBPM Program
This feature, called “News Updates” is designed to keep you up to date with current developments relating to the Acute Care Continuum.
We invite you to post your perspective on these stories and to share articles that you have found relevant.
Why do so many Medicare patients experience an acute medical problem within 30-days of discharge from the hospital? The New England Journal of Medicine (January 2013) published an article highlighting the prevalence of post-hospital syndrome, the heightened level of stress patients can experience post-discharge that may make them more susceptible to acute medical problems. The implications of the syndrome could impact CMS’ 30-day readmission standards.
Healthcare Finance News examines a study from Health Affairs that says the looming physician shortage could be averted by pooling patients into panels led by both physicians and non-physician providers. Using electronic communication, the simulation showed a greater number of patients could have access to primary care under this coordinated team approach.
Dr. Bryn Nelson at The Hospitalist examines CMS’ new program to tie Medicare’s physician reimbursements to quality and efficiency measures. Based on the PQRS program, the VBPM uses those reports to either reward or penalize a physician based on performance. Although some physicians are concerned of the program’s implications, others believe hospitalists are ahead of the curve since many have played an instrumental role in implementing the hospital value-based purchasing system. Dr. Nelson wrote a companion article outlining how hospitalists can prepare for the change that will take place in FY 2015.
**Editor's Note: Look for an follow-up article on this blog by Rick Newell, MD, examining the impact of VBPM on emergency physicians.**
Becker’s Hospital Review has published 40 benchmarks on ED performance compiled from 62 hospitals across the US. How does your ED compare?