Podcasts about quality measures

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Best podcasts about quality measures

Latest podcast episodes about quality measures

TCN Talks
Navigating the Future: HOPE, Wage Index, and CMS Quality Measures

TCN Talks

Play Episode Listen Later May 21, 2025 60:04 Transcription Available


What happens when ancient philosophical questions about "the good life" collide with modern healthcare regulations?  In this compelling episode of TCNtalks, host Chris Comeaux welcomes hospice leaders Annette Kiser, Chief Compliance Officer with Teleios, and Judi Lund Person, Principal, Lund Person & Associates LLC,  for a deep dive into the regulatory crossroads facing hospice providers.In this episode,  we discuss the FY 2026 Proposed Rule, which focused on implementing the HOPE initiative, and two RFIs (Requests for Information) that were part of it.  Also, discuss how important it is for us in the hospice field to give CMS feedback via these RFIs.  These will impact the Future Quality Measure Concepts for the Hospice Quality Reporting Program, and CMS is asking for input on three concepts for the  HQRP Hospice Quality Reporting Program:- The Challenges of Interoperability,- The Evolving Quality Measures related to Patient Well-Being - Nutrition, including Safe Eating Habits, Exercise, Nutrition, and Activity  appropriate for end-of-life careLast, they discuss a separate RFI related to the Advanced Digital Quality Measurement (dQM) in the HQRP (Hospice Quality Reporting Program) and the data standards of Health Level Seven® (HL7®) and Fast Healthcare Interoperability Resources® (FHIR®).Annette and Judi have a wealth of experience and knowledge.  This is a great listen for staff, leaders, and Boards of hospice and palliative care organizations to become more educated about the tracks being laid with the proposed 2026 Wage Index.  This show is timely and relevant, so join us.Guest:Annette Kiser, Chief Compliance Officer with Teleios Judi Lund Person, Principal, Lund Person & Associates LLC Host:Chris Comeaux, President / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/navigating-the-future-hope-wage-index-and-cms-quality-measuresTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

Heart-to-Heart with HealthCap
Ep 34 Understanding MDS with Robin Hillier (Part 2)

Heart-to-Heart with HealthCap

Play Episode Listen Later Apr 29, 2025 24:39


In Part 2 of our deep dive into the MDS process, Heart-to-Heart with HealthCap welcomes back MDS expert to unpack the most recent updates to the Minimum Data Set (MDS) as of October 1, 2023. Angie Szumlinski and Robin explore critical coding changes, penalties tied to incomplete assessments, challenges with Section GG, and how interdisciplinary teams can improve accuracy and resident outcomes. From quality measures to schizophrenia audits, this episode is packed with practical insights for senior living professionals navigating today's MDS landscape. Robin has also created a to support your learning!

SBS Vietnamese - SBS Việt ngữ
Cao Niên Vui Sống - CASS Care chăm sóc cho cao niên người Việt

SBS Vietnamese - SBS Việt ngữ

Play Episode Listen Later Apr 22, 2025 18:23


CASS Care, một tổ chức phi lợi nhuận phục vụ cộng đồng đa văn hoá, có nhiều chương trình hỗ trợ thiết thực dành cho người cao niên, trong đó có cộng đồng người Việt. Một tin vui là mới đây Viện dưỡng lão do CASS điều hành tại Campsie đã đạt xếp hạng 5 sao trên hệ thống đánh giá của My Aged Care, dựa trên các khía cạnh như Tuân thủ quy định (Compliance); Chất lượng dịch vụ (Quality Measures); Trải nghiệm của cư dân (Residents' Experience); Nhân sự (Staffing). Cô Giang Phan đại diện cho tổ chức nầy cho biết về các dịch vụ, cũng như thủ tục để giúp đỡ cho các bác cao niên muốn hưởng dịch vụ.

Heart-to-Heart with HealthCap
Ep 33 Understanding MDS with Robin Hillier (Part 1)

Heart-to-Heart with HealthCap

Play Episode Listen Later Apr 22, 2025 22:39


In this episode of Heart-to-Heart with HealthCap, Angie Szumlinski is joined by MDS expert for Part 1 of our two-part deep dive into the MDS process. Robin shares how the MDS is used across care delivery, compliance, and reimbursement—and why coding accuracy and interdisciplinary collaboration are more critical than ever. Whether you're new to MDS or need a refresher, this episode offers foundational insights you won't want to miss. Robin has also created a f to support your learning!

CHIME Opioid Action Center Podcast
Power of Quality Measures to Improve OUD Care in Emergency Departments

CHIME Opioid Action Center Podcast

Play Episode Listen Later Apr 3, 2025 33:33


In this episode, join moderator Brea Burmeister and experts Dr. Scott Weiner and Dr. Arjun Venkatesh as they explore how quality measures can transform opioid use disorder (OUD) care in emergency departments. Discover innovative metrics, quality improvement initiatives, and EHR data integration to optimize patient outcomes. Learn about overcoming barriers like stigma and resource shortages and get key recommendations from recent OUD treatment studies. Perfect for healthcare professionals and anyone interested in advancing OUD care.What You'll Learn:Challenges and opportunities of addressing the opioid epidemic in emergency medicineACEP's work on metrics and the development of quality improvement measuresKey quality initiatives to enhance OUD care and reduce harmThe barriers to adopting these initiatives and strategies to overcome themRecommendations based on recent studies in OUD treatment and medicationMODERATOR: Brea BurmeisterMember, CHIME Opioid Task ForceBio: With 23 years in healthcare, Brea specializes in managing relationships within Integrated Delivery Network (IDN) Health Systems, regional Group Practices, and Specialty Pharmacy accounts. She strengthens value-based care models by developing strategic plans, analyzing performance data, improving care coordination, and implementing process improvements. Brea's work enhances patient outcomes and experiences while reducing costs. Additionally, her volunteer work with the Opioid Task Force reflects her commitment to public health advocacy and community well-being.GUEST: Scott Weiner, MD, MPH, FAAEM, FACEP, FASAMEmergency and Addiction Medicine Physician, Brigham and Women's HospitalAssociate Professor, Harvard Medical SchoolCo-chair, Clinical Advisory subcommittee, CHIME Opioid Task ForceBio: Dr. Weiner is the McGraw Distinguished Chair in the Department of Emergency Medicine at Brigham and Women's Hospital and an Associate Professor of Emergency Medicine at Harvard Medical School. He is board-certified in emergency medicine and addiction medicine. He is an active researcher, working on multiple projects that focus on prevention and treatment of opioid use disorder.GUEST: Arjun Venkatesh, MD, MBA, MHSChair, Department of Emergency Medicine, Yale University School of MedicineChief, Emergency Medicine, Yale New Haven HospitalBio: Dr. Venkatesh is Chair and Chief of Emergency Medicine at the Yale University School of Medicine and Yale New Haven Hospital. He has received over $ 12 million in funding by the NIH, CMS, AHRQ, and CDC to develop measures and interventions that improve acute care outcomes and value. He has supported CMS's development of the Overall Hospital Quality Star Ratings, has led the development of quality measures for the Clinical Emergency Data Registry, and is PI of the Emergency Quality Network (E-QUAL). His work has produced over 200 publications and been implemented in numerous national quality and value programs. He is a graduate of Northwestern University School of Medicine, a proud graduate of the HAEMR Class of 2012 often referred to as the Greatest Class Ever, and completed the RWJF Clinical Scholars Program at Yale.Additional Resources:ACEP E-QUAL opioid initiativeCedr

LTC NAC Chat
Ways NACs Can Advance Their Quality Measures Knowledge

LTC NAC Chat

Play Episode Listen Later Apr 1, 2025 11:34


In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist with AAPACN, discuss ways nurse assessment coordinators can advance their Quality Measures knowledge. Additional Resources:Quality Measure IQ Series: Pressure Ulcer Measures – ArticleQuality Measure IQ Series: Antipsychotic Medication Measures – ArticleQuality Measure IQ Series: All the Vaccine Measures – ArticleQuality Measure IQ Series: Discharge Function Score Measure – ArticleQuality Measure IQ Series: Long-Stay Falls Measures – ArticleQuality Measures: Fundamentals of Exclusions – PodcastJanuary 2025 Five-Star Unfreeze: What to Expect – PodcastMDS 3.0 Quality Measures: Start with the Basic Ingredients – May 2, 2024 – On-Demand WebinarAt-a-Glance QM, QRP, and VBP Tool – ToolWhen MDS 3.0 Quality Measure Triggers Start and Stop – ToolFive-Star and Care Compare MDS 3.0 Quality Measure Data Periods – ToolQuality Measures Survival Guide – ProductQuality Measures Rescue Guide – Product

The Referenda
32. Board Accountability, School Quality Measures, and Perverse Incentives, with Vladimir Kogan

The Referenda

Play Episode Listen Later Mar 26, 2025 43:12


In this episode:Meet Vlad KoganLearn about quality measures that isolate school effects from out-of-school effects.Understand some of the factors that impede school board accountability.Hear a bit about Vlad's forthcoming book

LTC NAC Chat
Quality Measures: Fundamentals of Exclusions

LTC NAC Chat

Play Episode Listen Later Oct 2, 2024 12:41


In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN, discuss Quality Measures and some fundamentals about exclusions. Additional Resources: QM Survival Guide

The MoodyMo Awaaz Podcast
Breaking Taboos: Empowering Menstrual Health with Revaa | Ep 196

The MoodyMo Awaaz Podcast

Play Episode Listen Later Aug 2, 2024 40:16


The Mohua Show is a weekly podcast about everything from business, technology to art and lifestyle, But done and spoken ईमानदारी सेConnect with UsMohua Chinappa: https://www.linkedin.com/in/mohua-chinappa/The Mohua Show: https://www.themohuashow.com/Connect with the GuestMahipal Singh: https://www.linkedin.com/in/mahipalsinghmehta/Follow UsYouTube: https://www.youtube.com/@TheMohuaShowInstagram: https://www.instagram.com/themohuashow/LinkedIn: https://www.linkedin.com/company/themohuashow/For any other queries EMAILhello@themohuashow.comEpisode Summary: Join the latest episode with Mahipal Singh, a visionary social entrepreneur and the founder of Revaa, a pioneering brand dedicated to menstrual health and hygiene. Mahipal's journey into this vital advocacy began during the COVID pandemic when he managed his daughter's first period and recognized the stark lack of access to hygienic menstrual products. His perspective is clear: menstrual health is not solely a women's issue but a societal one, necessitating open conversations and the dismantling of societal barriers surrounding menstruation. Mahipal invites everyone to become pad ambassadors, partaking in awareness drives to combat stigma and fostering a positive mindset to enhance overall well-being and confidence during menstruation.Chapters:00:00 - Introduction03:08 - Inspiration Behind Revaa05:48 - Unique Products by Revaa09:23 - Success Stories of Revaa14:20 - Challenging the Societal Myths21:10 - Lifestyle Changes Contributing to Healthier Menstrual Cycle25:38 - Safety & Quality Measures by Revaa29:30 - Team at Revaa Driving the Mission31:40 - Closing RemarksDisclaimerThe views expressed by our guests are their own. We do not endorse and are not responsible for any views expressed by our guests on our podcast and its associated platforms.TheMohuaShow #Podcast #PodcastEpisode#Revaa #RevaaMenstrualHealth #WikiPeriod #PeriodPositivity #MenstrualStigma #ReusableProducts #MenstrualHealthAwareness #PeriodEducation #EcoFriendlyPeriod #MenstrualHygiene #PeriodMyths #SustainableBrands #MahipalSingh Thanks for Listening!

The Pediatric Lounge
150 An Independent Pediatric Practice in The Suburbs of D.C.

The Pediatric Lounge

Play Episode Listen Later Jul 9, 2024 53:09


At The Heart of Pediatric Care: A Conversation with Dr. Stephen Hirsch. M.D., FAAPIn this episode, the hosts interview Dr. Stephen Hirsch, a pediatrician with an independent practice Hirsch Pediatrics in Rockville, Maryland. The discussion covers the intricacies of running and maintaining a pediatric practice, the importance of attention to detail, the advantages of independent practice, and the significance of having a well-designed office environment. Dr. Hirsch shares his journey, vision, and passion for pediatric care, emphasizing the emphasis on patient experience, the role of telemedicine, the integration of mental health services, and the financial aspects of running a successful practice.00:00 Introduction and Guest Welcome00:53 Dr. Hirsch's Journey to Pediatrics01:35 Designing the Perfect Pediatric Office03:12 Recruiting and Retaining Staff06:12 Independent Practice vs. Hospital Systems08:42 Challenges in Practice Management09:37 Training and Mentoring New Physicians15:31 Importance of Patient Relationships20:54 Quality Measures and Vaccination Rates27:11 Impact of Sick Visits on Practice Revenue27:39 Balancing Sick Visits and Well Visits29:03 Patient Portal and Triage Strategies30:29 Embedding Mental Health Services33:18 Challenges of Mental Health Integration34:26 Running a Pediatric Practice: Analogies and Insights36:59 Managing Work-Life Balance in a Small Practice40:37 Telemedicine and Office Management45:50 Financial Realities and Pediatric Practice51:32 Concluding Thoughts and Future OutlookSupport the Show.

Pear Healthcare Playbook
Lessons from Ron Vianu, Founder and CEO of Covera Health, on building start-ups and his efforts to deliver collaborative quality measures

Pear Healthcare Playbook

Play Episode Listen Later May 13, 2024 49:39


Welcome back to the Pear Healthcare Playbook! Every week, we'll be getting to know trailblazing healthcare leaders and diving into building a digital health business from 0 to 1. Today, we're thrilled to introduce Ron Vianu, the CEO and visionary behind Covera Health. Covera Health is a pioneering AI-enabled diagnostic technology company, specializing in radiology performance measurement and its consequential impact on healthcare. With a career spanning over three decades, Ron has been a driving force at the intersection of healthcare, technology, and insurance. Ron's entrepreneurial journey began over 30 years ago, founding his first health tech company while a senior at NYU.    His first deep exposure to the field of Radiology was with Spreemo, a company he founded with his co-founder, an orthopedic surgeon, in 2010.  Spreemo was a referral management platform in the occupational medicine space. Spreemo grew to over 200 employees across offices in New York City and Dallas and received significant investment from venture and PE investors.  In this episode, we talk about Ron's work with Spreemo, how he started Covera Health, the partnership with Walmart, his thoughts on the future of AI in radiology, and advice he has for founders. 

The Clinical Excellence Podcast
Quality Measures in Primary Care

The Clinical Excellence Podcast

Play Episode Listen Later Apr 2, 2024 23:03


Dr. Lisa Vinci joins the Clinical Excellence Podcast to discuss the nuances of quality measures in primary care. Delve into the complexities of healthcare metrics and their impact on patient care, with insights on navigating between standardized measures and personalized medicine.

Health Care High Wire
Keep Your Quality Measures Hot During the Freeze

Health Care High Wire

Play Episode Listen Later Mar 8, 2024 14:39


LTC NAC Chat
Keep Quality Measures Hot During the Five-Star Freeze: Extended AAPACN Webinar Q&A  

LTC NAC Chat

Play Episode Listen Later Jan 9, 2024 16:15


In this podcast, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN, discuss a few outstanding questions that members asked during the recent AAPACN webinar, Keep Quality Measures Hot During the Five-Star Freeze.

QRM Buzz Podcast
Episode #121 | Updated But Not Over-Rated: Quality Measures

QRM Buzz Podcast

Play Episode Listen Later Nov 16, 2023 16:00


This week's episode of the #BuzzPodcast is all about the newly revised Quality Measure User's Manual. Clinicians, administrators, and operators, are you ready to navigate these crucial updates?Stay informed and tune in!

NHPCO Podcast
Season 2, Ep. 3: Quality Measures to Ensure Equity and Accessibility in Hospice

NHPCO Podcast

Play Episode Listen Later Oct 11, 2023 41:43


On today's episode, Madison sits down with Aparna Gupta, NHPCO's VP of Quality, and Sarah Simmons, NHPCO's Director of Quality, to discuss the future of quality measures to ensure the hospice and palliative care community is as equitable and accessible as possible.  Have a question that you'd like to hear discussed on an upcoming episode? Email Madison at podcast@nhpco.org 

Move to Value
Megan Reyna, MSN, RN – Navigating Data and Quality Measures in Value

Move to Value

Play Episode Listen Later Jul 13, 2023 20:33


In this episode we hear the second half of the conversation between CHESS' own Melissa Pollock and Advocate Health's Vice President of Population Health Midwest Megan Reyna as they discuss navigating the data and quality measures for success in Value-based care.So Megan thank you so much for coming back to the Move to Value podcast. I'm really excited to talk to you a little bit more about population health at Advocate and curious - we did talk last time about ACO REACH. I was just curious a little bit about provider buy-in. How did you message ACO REACH and the model to providers? What did that look like? How were you able to get providers on board with this new innovative model?Thanks for having me back, Melissa, happy to be here. Yes so everything that we do within population health in the Midwest really goes through a strong physician governance model and it is a true partnership with our physicians to participate in in in our value based care contracts. So ACO REACH as well, we really educated the practices who we thought would be good participants based on the data that we talked about last time to participate in ACO REACH would benefit from this program and we had conversations with them, really educated them on this program and the why and what the wraparound services would look like and then we continue to have conversations with them around what where we need to innovate within this model. The Medical Group as well because our Medical Group does participate in both Wisconsin and Illinois again in the areas of Milwaukee and then the South side of Chicago around what their needs are and really um what the practices, that entire care team, is needing umm in order to help patients manage their chronic diseases. And that's a conversation that we have with our practices and we continue to look at our data to say what are we seeing within the data to provide different services as we move forward. It will be a care model that continues to iterate um as we move along within this program to make sure that we're successful and patients are getting the needed care that they need.Did you find it difficult to get providers on board with downside risk or, I know you mentioned in the last podcast that you guys have been doing capitation for a long time, but I didn't know was there any pushback that you felt or any kind of hurdles you had to jump over in those conversations with some of the providers maybe some of the independent ones?So our aligned practices that are participating we did have um intentional conversations around capitation for this population. This is a population we were very intentional with what population we were participating in and this is a tough population that often is not going in to see the primary care provider. And so you know I think COVID also um brought a unique opportunity for our physician practices to think differently about capitation and what are benefits of capitation and so really looking at this population and providing an upfront payment to those practices, we are in total care um capitation for ACO REACH, um really provided them an opportunity to think differently. And I think our strong history with value-based care contracts and success that they've been able to see they were able to view it as a true partnership. And it wasn't a one and done we meet with these practices on a monthly basis and we are continuing to look at the finances and make sure that our model makes sense and that they're successful because if they're not successful within the model then the model isn't successful for us and so they really need to be able to provide the needed services and say something's working or not working um for the success of our entire project participation.So, you guys are really providing data to those providers on a monthly basis of performance I would guess and metrics, is that right?...

Talk Ten Tuesdays
Beware: Outcomes Impacted at the Intersection of SDoH and CMS Star Rating Quality Measures

Talk Ten Tuesdays

Play Episode Listen Later Jul 11, 2023 29:48


At the intersection of ICD-10-CM social determinants of health (SDoH) codes and the Centers for Medicare & Medicaid Services (CMS) Star Rating Quality Measures, one will find a wide array of socio-economic factors and competing issues, all of which carry the potential to profoundly affect healthcare outcomes and ratings.During the next live edition of Talk Ten Tuesdays, listeners will enjoy the benefits of learning new strategies to leverage these codes for enhanced quality scores and health equity – that's when former American Health Information Management Association (AHIMA) leader Angela Comfort will return to the weekly broadcast. During her presentation as our special guest, you'll come to realize the pivotal role these codes play in the CMS pursuit of ensuring balanced, patient-focused care. This essential episode will enlighten healthcare practitioners, policymakers, and administrators alike on utilizing data-centric methods for improved patient services.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news.SDoH Report: Juliet Ugarte Hopkins, MD, president of the American College of Physician Advisors, will substitute for Tiffany Ferguson, and will report on the news that's happening at the intersection of coding and the SDoH.News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Bell Work Talks
Episode 42: Assessment for Risk of Suicide: Please Measure the Aces

Bell Work Talks

Play Episode Listen Later Apr 23, 2023 24:54


In this Bell Works Talks, Pam Marcus will discuss the importance of assessing Adverse Childhood Experiences (ACEs) when predicting the risk for suicide. Ms. Marcus is an Advanced Practice Nurse Psychotherapist in Private Practice in Upper Marlboro, Maryland. She provides psychotherapy to individuals and families experiencing a variety of diagnoses, such as Anxiety Disorders, PTSD, Personality Disorders, Gender Dysphoria, Substance Use Disorder and Affect Disorders. Her area of interest is to prevent feelings or thoughts of suicidal by addressing the hopelessness and powerlessness often experienced by these individuals. Ms. Marcus is currently a Professor of Nursing at Prince George's Community College. She was the former Clinical Director for the Crisis Response System where she provided direct patient care as well as clinical supervision for the mobile crisis dispatch team; urgent care clinic; Intensive Family in Home Team; and telephone triage for crisis intervention. Ms. Marcus lectures and consults extensively on psychiatric nursing. She has authored many chapters in several Psychiatric Mental Health nursing textbooks. She has authored two Psychiatric/Mental Health nursing skills, Mosby/Elsevier Nursing Skills Online and is a content expert. Ms. Marcus presently serves on the Peer Review Committee for the periodical Journal of Addictions Nursing: A Journal for the Prevention and Management of Addictions. She has provided peer review on continuing education programs for American Psychiatric Nursing Association. Ms. Marcus provides content expert evaluations for InterQual by McKesson, Clinical Practice Guidelines. Ms. Marcus is currently participating in the American Psychiatric Association's initiative Quality Measures. Ms. Marcus was awarded the national honor of Excellence in Practice – Advanced Practice by American Psychiatric Nurses Association, November 2012. Resources: https://www.cdc.gov/violenceprevention/aces/index.html https://www.cdc.gov/brfss/ https://harvardcenter.wpenginepowered.com/wp-content/uploads/2018/08/ACEsInfographic_080218.pdf (ACEs graphic) National Center for Injury Prevention and Control, Division of Violence Prevention

ACCP JOURNALS
Quality measures to help define the importance and value of CMM as a key component of population health management - Ep 102

ACCP JOURNALS

Play Episode Listen Later Apr 18, 2023 16:01


Comprehensive medication management (CMM) provided by a clinical pharmacist can improve the quality of care and reduce health care costs through the optimization of medication use and a significant reduction in medication-related problems. Dr. Curtis Haas discusses the limitations of the current evidence and recommends structure, process, and outcome measures to ensure that the key elements of CMM that drive the observed benefits are implemented with fidelity to address the goals of the quadruple aim. Read the full text article at: https://accpjournals.onlinelibrary.wiley.com/doi/10.1002/jac5.1767.

The ACO Show
142. Part 2: Aligning Quality Measures

The ACO Show

Play Episode Listen Later Apr 17, 2023 26:29


Josh and Brian are joined by Lee Fleisher, MD, Chief Medical Officer at the Centers for Medicare & Medicaid Services (CMS) and Director of the Center for Clinical Standards and Quality. They discuss a recent publication, “Aligning Quality Measures at CMS” in the New England Journal of Medicine which Dr. Fleisher co-authored, and the art and science behind the selection of health care quality measures.

The ACO Show
141. Aligning Quality Measures - Improving the System for Clinicians and Patients

The ACO Show

Play Episode Listen Later Apr 3, 2023 32:00


Josh and Brian are joined by Doug Jacobs, MD, MPH, Chief Transformation Officer in the Center for Medicare at the Centers for Medicare & Medicaid Services (CMS), and Michelle Schreiber, Deputy Director for the Centers for Clinical Standards and Quality at CMS, and Director of the Quality Measurement & Value-Based Incentives Group at CMS. In the first part of this quality-focused series, they discuss the work they are doing to align quality measures across CMS and improve the system to benefit both clinicians and patients. 

Becker’s Healthcare - Clinical Leadership Podcast
Students Sue Florida Nursing School, Alleging They Were Blocked From NCLEX; CMS Proposes Universal Quality Measures Across All Programs

Becker’s Healthcare - Clinical Leadership Podcast

Play Episode Listen Later Feb 3, 2023 3:46


LTC University Podcast
Quality Measures, Linda Amato & Rebecca Dillard

LTC University Podcast

Play Episode Listen Later Oct 14, 2022 26:34


www.SCHouseCalls.comwww.HouseCallsGA.comwww.MainStreetPhysicians.comwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com

A Health Podyssey
Rozalina McCoy on Modernizing Diabetes Care Quality Measures

A Health Podyssey

Play Episode Listen Later Jul 26, 2022 27:01


Join Health Affairs Insider.There are currently an estimated 37.3 Americans living with diabetes, more than a 40 percent increase from a decade ago. Thus, it isn't surprising that efforts to measure and improve the quality of health care focuses a significant amount of attention on diabetes.Major health care quality datasets all include a number of measures related to the quality of diabetes care. Given the continuing growth in the burden of diabetes, it's appropriate to ask the question: What are we actually getting from measuring the quality of diabetes care as we do it today?Rozalina McCoy from Mayo Clinic joins A Health Podyssey today to discuss just that very topic.McCoy and coauthors published a paper in the July 2022 issue of Health Affairs examining diabetes quality measures in the US since the mid-1990s. They recommend some pretty significant changes in how we measure and report on the quality of diabetes care.McCoy's research was part of a six-paper cluster of research on type 2 diabetes, all of which were published in the July 2022 issue of Health Affairs.Order the July 2022 issue of Health Affairs for research on type 2 diabetes and more.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts

Surfing the Nash Tsunami
S3-E32.1 - #ILC2022 Looking Back: Patient Motivation and Systems Incentives

Surfing the Nash Tsunami

Play Episode Listen Later Jul 4, 2022 20:56


Last week, roughly 5,000 liver community stakeholders gathered in London for the 2022 International Liver Congress (#ILC2022,) the first major hepatology Congress to be held in person since the start of the pandemic (smaller, but very valuable, meetings like NASH-TAG, LiverCONNECT and Paris NASH have taken place with an in-person component, but the International Liver Congress and The Liver Meeting have not). The first three days of the program focused on a range of issues, with specific emphasis on non-invasive tests (NITs) and their role at different stages in diagnosis and treatment. This conversation touches on two issues: how proper use and explanation of NITs can increase patient motivation and why adding NITs to quality measures can have such an effect on educating providers and increasing treatment.This conversation starts with Michelle Long and Louise Campbell discussing studies that demonstrated that patients receiving a FibroScan changed behaviors in ways that lasted at least six months, whether or not they learned they had liver fat. From here, Zobair Younossi discusses the importance of front-line, primary care screening with FIB-4 for all patients with diabetes. Zobair suggests that we consider making use of FIB-4 as a test for co-morbidities in diabetes a formal quality measure, in the same way that providers are required to check creatinine to assess possible kidney damage. Michelle and Roger Green added to Zobair's comment to discuss the specific benefits of adding an electronic health record-generated FIB-4 test as a standard assessment for diabetic patients. Zobair goes back to the point that we need primary care to serve as a front line for diabetes testing. In this context, he suggests the importance of FIB-4 and gives reasons he believes FibroScan will never become widely used in primary care. Louise Campbell disagreed, saying that having FibroScan in primary care would educate patients and drive better care. Jörn Schattenberg discusses some sessions where the consensus supported early FIB-4 use. Roger Green wraps up this conversation by talking about the importance of having formal quality measures around FIB-4 use in the US by telling a story from his own medical history.

Surfing the Nash Tsunami
S3-E32.3 - #ILC2022 Looking Back: NASH Is a Complex Disease

Surfing the Nash Tsunami

Play Episode Listen Later Jul 4, 2022 14:33


Last week, roughly 5,000 liver community stakeholders gathered in London for the 2022 International Liver Congress (#ILC2022,) the first major hepatology Congress to be held in person since the start of the pandemic (smaller, but very valuable, meetings like NASH-TAG, LiverCONNECT and Paris NASH have taken place with an in-person component, but the International Liver Congress and The Liver Meeting have not). The first three days of the program focused on a range of issues, with specific emphasis on non-invasive tests (NITs) and their role at different stages in diagnosis and treatment. This conversation touches on two issues: the use of AI to better understand the meaning of liver volume and elements of morphology and, relatedly, how much more sophisticated a view we take of NAFLD and NASH than we did even five years ago.The issues around AI and liver morphology arise from Jörn Schattenberg's comment that consistent with Stephen Harrison's "KISS" (Keep It Simple, Stupid!) principle, researchers are starting to explore the meaning of changes in liver volume. Ultimately, Jörn notes, pairing these kinds of measures with AI-supported histopathology can yield tremendous benefits. Roger comments on a breakfast he attended that morning that suggested that AI and NITs each provide different, important information on individual liver health: NITs can address collagen burden but not structure, while AI can identify changes in structure but not link them to the impact on the patient. Zobair ends this part of the conversation by noting that companies are starting to use AI in these ways.The second part of this conversation stems from Roger's observation that we know far more about the disease than we did 3-4 years ago. He goes on to describe how the environment is more collaborative and open-minded than it might have been if, in fact, we saw drug approvals at that time. Zobair takes this observation to a different plane, noting that 5-10 years ago, "some very important experts" believed that we all understood the etiology of Fatty Liver disease, so why spend more time? He goes on, "we could not have been more wrong," observing that what we have learned about progression and regression in placebo arms suggests a far more complex disease than something that progresses linearly, or even constantly in one direction. He goes on to add that the multiple drug trial failures is that targeting drugs to a single solution based on animal models is likely to fail because this is a multiple mode of action disease. His third point: the "source" of the disease is visceral obesity and insulin resistance, which all viable solutions must address. This identifies two targets for treatment, while simultaneously demonstrating that therapy will be chronic, lifelong and with behavioral elements. The rest of the conversation addresses the challenges with shaping this kind of lifelong, multitarget therapy in the US today.

Surfing the Nash Tsunami
S3-E32.2 - #ILC2022 Looking Back: NAFLD and Quality-of-Life

Surfing the Nash Tsunami

Play Episode Listen Later Jul 4, 2022 13:57


Last week, roughly 5,000 liver community stakeholders gathered in London for the 2022 International Liver Congress (#ILC2022,) the first major hepatology Congress to be held in person since the start of the pandemic (smaller, but very valuable, meetings like NASH-TAG, LiverCONNECT and Paris NASH have taken place with an in-person component, but the International Liver Congress and The Liver Meeting have not). The first three days of the program focused on a range of issues, with specific emphasis on non-invasive tests (NITs) and their role at different stages in diagnosis and treatment. This conversation touches on the impact that NAFLD has on patient quality-of-life and the importance of integrating quality-of-life issues and metrics into everything from clinical trials to treatment protocols.This conversation starts with an observation from Jörn Schattenberg about the importance of looking more carefully at quality-of-life metrics, both in terms of patient treatment and clinical trial outcomes. MIchelle Long, making a closing comment, notes how much more collaborative researchers in the meeting are compared to years past. She then makes an announcement about a major, exciting change in her career, and then exits the conversation.Zobair Younossi identifies "fatigue" as the patient-reported outcome from NAFLD that links most closely to quality-of-life issues He points out that fatigued Fatty Liver patients produce lower quality-of-life scores and also exhibit higher levels of mortality. He goes on to note that fatigue is also linked to unemployment and underemployment, which means that it has clear economic costs. Roger Green asks whether payers will accept economic analysis on this and, as a result, pay for therapy. Zobair suggests that this will depend on whether advocates can make this issue part of the policy, which will drive individual payers' behavior in the US and shape government policy elsewhere. In response to a question from Roger, Louise Campbell comments that the policy environment in the UK is not very different from the US despite differences in how care is actually paid for. She goes on to identify one challenge in this issue, which is that quality-of-life scores decline as soon as a patient becomes aware of their disease, which has the potential to complicate employee analyses when the employee is not yet a patient. She also agrees with Zobair's earlier statement that he would prescribe a slightly more expensive medication if it improves quality-of-life. Zobair closes this conversation by returning to discuss the importance of fatigue and describing himself as "heartened" that fatigue is now measured in most (if not all) clinical trials.

The Huddle: Conversations with the Diabetes Care Team
The Value of the DCES: Leveraging Cost Strategies to Communicate Value

The Huddle: Conversations with the Diabetes Care Team

Play Episode Listen Later Apr 28, 2022 20:31


ResourcesLearn more about the Value Toolkit at diabeteseducator.org/valueRead the Value Toolkit Paper: https://doi.org/10.2337/cd21-0089

LTC University Podcast
Annika Huell, Quality Measures

LTC University Podcast

Play Episode Listen Later Mar 25, 2022 32:09


www.SCHouseCalls.comwww.HouseCallsGA.comwww.MainStreetPhysicians.comwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com

Gastro Broadcast
Episode #31: Should Adenoma Detection Rates be Made Public? (other quality measures are important to patients too)

Gastro Broadcast

Play Episode Listen Later Feb 22, 2022 16:40


Dr. Michael Weinstein of Capital Digestive Care talks to Dr. Costas Kefalas from Akron Digestive Disease Consultants about his work as the president of the GI Quality Improvement Consortium (GIQuIc), a benchmarking registry that tracks quality measures such as cecal intubation rates, withdrawal times and adenoma detection rates. Hear about the path Dr. Kefalas took to independent GI, his role in co-founding the Ohio Gastroenterology Society, and how drumming in an acoustic Greek band called Aegean Odyssey is his way to release stress. Join Dr. Weinstein and Dr. Kefalas as they discuss the importance of advocacy and coming together as independent GI practices to promote important issues to policymakers at the state and federal level. Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC Original score by Hayden Margolis Gastro Broadcast, Episode 31

Patient Partner Innovation Community Podcast
51. How the Patient Voice Shapes Clinical Quality Measures with Mathematica

Patient Partner Innovation Community Podcast

Play Episode Listen Later Feb 10, 2022 18:21


In this episode of the Patient Partner Innovation Community podcast, Desiree Bradley is joined by Jayanti Bandyopadhyay, Christine Holland, and Emma Bickel from Mathematica to discuss the importance of using patient lived experience in measures development.

Patient Partner Innovation Community Podcast
51. How the Patient Voice Shapes Clinical Quality Measures with Mathematica

Patient Partner Innovation Community Podcast

Play Episode Listen Later Feb 10, 2022 18:21


In this episode of the Patient Partner Innovation Community podcast, Desiree Bradley is joined by Jayanti Bandyopadhyay, Christine Holland, and Emma Bickel from Mathematica to discuss the importance of using patient lived experience in measures development.

TopMedTalk
Quality measures in Anesthesia | Novel Rescue PONV Therapy

TopMedTalk

Play Episode Listen Later Jan 17, 2022 24:05


"We have to decide; if it's safe, how do we do it, and how do we do it right?" This piece provides a much needed overview of anesthesia in the USA, clinical innovation, best practice and enhanced recovery. How do we deliver on the value proposition safely and efficiently? What is the responsibility of practitioners to patients when measuring the impact of new products, medications and equipment? How do we mitigate cost, need and quality? Supported in part through an unrestricted educational grant from Acacia Pharma, Inc. To hear more from our guest go here: https://www.topmedtalk.com/topmedtalks-to-rick-dutton/ Presented by Desiree Chappell and Monty Mythen with Rick Dutton, Chief Quality Officer for US Anesthesia Partners (USAP), Texas.

PQS Quality Corner Show
Improving Patient Care: Quality Measures and Diabetes Management

PQS Quality Corner Show

Play Episode Play 47 sec Highlight Listen Later Nov 29, 2021 22:23


PQS Senior Manager of Pharmacy Accounts, Nick Dorich, PharmD continues discussing the pharmacist's role in diabetes management with Dina M. Cuellar, MBA,  Director, Clinical Performance Strategy at Walgreen Co. on the PQS Quality Corner Show. In this episode, the focus is on quality measures and how pharmacists can improve patient care for people with diabetes while supporting these measures.

DGTL Voices with Ed Marx
Public Health Quality Measures - What Needs to Change (ft. Dale Sanders)

DGTL Voices with Ed Marx

Play Episode Listen Later Nov 24, 2021 34:27


In this episode, Ed interviews Chief Strategy Officer at Intelligent Medical Objects, Dale Sanders. They discuss the life journey Dale has taken to get where he is today and the changes that need to be made in public health quality measures. 

Neurology Minute
Multiple Sclerosis Quality Measures

Neurology Minute

Play Episode Listen Later Sep 21, 2021 1:54


Dr. Alex Rae Grant discusses the recent AAN update to the MS quality measurement set.

Medical Receptionist Network Podcast
Quality Measures Episode 18

Medical Receptionist Network Podcast

Play Episode Listen Later Sep 11, 2021 36:49


This week Shivhon Adkins, Founder of Medical Receptionist Network discusses Quality Measures and Organizational Culture. Visit us at www.medicalreceptionistnetwork.com today. Medical Receptionist Handbook to Success available now on Amazon! https://amzn.to/2IeFwy6 Don't forget to subscribe to the Medical Receptionist Network podcast!  Need CPR Training? Visit https://www.ProTrainings.com for CPR, HIPAA, Ergonomics, Self Defense courses and more. Use discount code for savings: CPR-MRNCPR Need a new planner? Check out our Affiliate LOA, click the link to learn more https://manifestationplanner.com/free... Be a guest on the MRN Podcast, visit https://calendly.com/mrnetwork/30min to schedule or email info@medicalreeptionistnetwork.com Episode 18 References:  Agency for Healthcare Research and Quality https://www.ahrq.gov/talkingquality/measures/types.html CMS.gov https://www.cms.gov/files/document/2020-mips-call-quality-measure-overview-fact-sheet.pdf Merit-Based Incentive Payment System (MIPS) https://www.aapmr.org/quality-practice/quality-reporting/merit-incentive-payment-system Advanced Alternative Payment Models (APMs) https://qpp.cms.gov/apms/advanced-apms

LTC NAC Chat
Clarifying Publicly Reported Claims-Based Quality Measures with Pat Newberry

LTC NAC Chat

Play Episode Listen Later Aug 10, 2021 23:35


In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures. 

LTC NAC Chat
Clarifying Publicly Reported Claims-Based Quality Measures with Pat Newberry

LTC NAC Chat

Play Episode Listen Later Aug 10, 2021 23:35


In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures.

LTC NAC Chat
Clarifying Publicly Reported Claims-Based Quality Measures with Pat Newberry

LTC NAC Chat

Play Episode Listen Later Aug 10, 2021 23:35


In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures. 

Today in Nursing Leadership
Beyond Deny & Defend: Engaging Patients in Solutions

Today in Nursing Leadership

Play Episode Listen Later Jul 19, 2021


Anne Pedersen, Director of Nursing at UPMC Hamot and Joanne Sorensen discuss how to engage patients in solutions.

Central Line by American Society of Anesthesiologists

Drs. Sheila Barnett and Victor Davila from ASA’s Committee on Performance and Outcomes Measurement talk to Dr. Adam Striker about new measures, including the new Intraoperative Hypotension Measure. Learn about the committee’s work, how measures are selected, why they’re important, and what’s so groundbreaking about the new IOH measurement. Recorded March 2021.

PQS Quality Corner Show
Understanding Opioid-Related Quality Measures

PQS Quality Corner Show

Play Episode Play 29 sec Highlight Listen Later Apr 27, 2021 27:08


PQS Senior Manager of Pharmacy Accounts, Nick Dorich, PharmD asks Adam Bernstein, PharmD, BCPS Manager, Performance Measurement at Pharmacy Quality Solutions to explain the "Why?" of Opioid Use Quality Measures on this episode of the Quality Corner Show. Bernstein also talks about how Opioid-related measures are different from adherence measures due to the intent and the way they are calculated. 

A Health Podyssey
Should social risks factor into health care quality measures?

A Health Podyssey

Play Episode Listen Later Apr 27, 2021 28:11


Listen to Health Affairs Editor-in-Chief Alan Weil interview David Nerenz from the Henry Ford Health System about social risk factors and their controversial inclusion as a measure of health care quality.

Inspiring Health
Value-Based Competencies That Generate Value and Improve Health

Inspiring Health

Play Episode Listen Later Mar 16, 2021 15:57


Dr. Stephen Flack joins Roxanna to discuss six value-based competencies needed to generate value and improve health. 

Inspiring Health
Pursuing High Reliability

Inspiring Health

Play Episode Listen Later Sep 1, 2020 11:10


Dr. Michael Seim joins Roxanna to discuss how to not only meet but exceed consumer expectations through reliability. 

Patient Partner Innovation Community Podcast
28. The Person and Family Engagement Network (PFEN) | Learn How to Include Your Voice in Quality Measures Development Work (w/ Dr. Lindsey Wisham)

Patient Partner Innovation Community Podcast

Play Episode Listen Later May 22, 2020 11:22


Welcome to the Patient Partner Innovation Community Podcast. This podcast was created to inform patients, families and caregivers about important health transformation topics. On this week's episode, we speak with Lindsey Wisham again about The Person and Family Engagement Network(PFEN) and learning how to include your voice in quality measures development work. Contacting PFEN: PFEN Website https://031d022.netsolhost.com/pfe/ Victoria Danner PFE Coordinator Email: victoria.danner@rainmakerssolutions.com Phone: (706) 401-7932 ------------------------------------------------------------------ Recorded May 2020/Released May 2020.

Inspiring Health
Leading the Region in Value

Inspiring Health

Play Episode Listen Later Mar 2, 2020 9:13


Dr. Anthony Aquilina joins Roxanna to discuss how WellSpan plans on leading their region with value. 

The NP Dude
Episode 100 – What the Heck is MIPS and Why You Should Care!

The NP Dude

Play Episode Listen Later Oct 11, 2017 28:50


On this, the 100th episode of the NP Dude podcast I try to give some background the new Merit-based Incentive Payment system and my predictions as to what this will mean down the line.  Have a listen, share the show and don’t forget to keep giving ratings on Facebook and iTunes!  As always, you can […] The post Episode 100 – What the Heck is MIPS and Why You Should Care! first appeared on The NP Dude.