Therefore readmissions present a high financial threat to hospitals in Georgia

Therefore readmissions present a high financial

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2017). Therefore, readmissions present a high financial threat to hospitals in Georgia, which are often in rural areas with low-income populations. A report by Merkow et al. (2015) lists many reasons for the average readmission of the patients. The top five factors in the study were as follows: 1. Patients do not entirely understand their errors. 2. Patients can be confused about whether and when to take drugs. 3. Do not have hospitals vital details or test reports to patients or physicians. 4. No follow-up appointment is arranged for a personal doctor. 5. Family members lack sufficient treatment awareness. To solve readmissions penalties, hospitals in Georgia should employ data management strategies that improve these five reasons for readmissions (Dartmouth). 2. Value-Based Purchasing The Value-Based Buying System is another significant opportunity for payment for CMS. Based on their results on 24 metrics, this system provides incentives and penalties for hospitals. In the 2014 federal fiscal year, value-based buying pays are determined by how hospitals are
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INFORMATION TECHNOLOGY 15 rated on six sets. The first of these is 13 steps, known as "order steps" of timely and efficient treatment (Parkinson et al., 2015, p. 908). The “order steps” measure the degree to which hospitals have adopted different clinical standards for proper treatment. The second set of metrics is "patient care experience," assessing the happiness and understanding of the patient. The last three acts are acts of mortality, safety, and spending. It is important to note that Value-Based Purchasing, as opposed to readmissions, focuses on following the patient while they are in the hospital rather than the communal follow-up. It means that the community and environment of a hospital play less of an effect on the hospital’s performance of these standards. However, the financial viability of a hospital (which is impacted by its community and patient-mix) to improve internal quality metrics is an essential factor in whether or not a hospital will be affected by Value-Based Purchasing penalties. For Fiscal Year 2013, 1,213 hospitals were given bonuses for high performance on these measures, while 1,451 were penalized for poor performance (Parkinson et al., 2015, p. 911). Often the improvement in these quality metrics requires adopting high levels of technology within a hospital or health system, a challenge for many Georgia healthcare providers . 3. Uncompensated Care The final financial threat to many hospitals in Georgia is the high levels of uncompensated care which they provide. For many hospitals, this is the single most considerable expense for their operation and can mean the difference between profitability and loss in a single year. Uncompensated care is defined as ' Free or subsidized healthcare services for people who meet and are not willing to pay for all or part of the services offered under the organization's financial aid requirements. ' About one in five Georgians is uninsured with a total of 1.9 million Georgians
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INFORMATION TECHNOLOGY 16 being uninsured to a total cost of $2.8 billion in uncompensated care (Georgia Public Policy
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  • Fall '16
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