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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. Recently, I interviewed industry experts who discussed these issues in depth during a live recording of The Better Care Podcast.

Hospital 130
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Understanding DRG Codes and Their Impact on Hospitals

EvidenceCare

In our efforts to empower hospital clinicians to provide better care by having real-time transparency to cost and benchmark utilization data, we’ve learned that one of the core code systems that defines modern hospital resource management – Diagnosis-Related Groups (DRG) – is misunderstood or even unknown.

Hospital 130
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3 Old-School Nursing Methods That Need to Go Away

Scrubs

But sometimes, medical facilities and the nurses that work there can fall a bit behind on the most up-to-date approaches to patient care. Evidence-based practice is the conscientious use of up to date evidence in making decisions about patient care. Joseph’s Hospital Health Center in Syracuse, New York.

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Patients Allegedly Sleeping in Tents Due to Overcrowding

Scrubs

The union alleges that management is keeping patients in hallways and other areas that aren’t meant for patient beds. And the nurses said they “are deeply concerned about eroding patient care conditions and the lack of patient privacy and dignity.” This makes it difficult to navigate the facility.

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Understanding GMLOS and ALOS

EvidenceCare

These measures play a fundamental role in hospital management, financial planning, and patient care optimization. By understanding and leveraging GMLOS and ALOS, hospital executives can improve operational efficiency and patient outcomes.

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Beyond Care and Outcomes, Hospitals Must Deliver on Civics, Inclusivity, Equity, and Value – Lown Institute’s Best Hospitals

Health Populi

The core business of hospitals is patient care, often baked with teaching and research. But wait — there’s more, asserts the Lown Institute in their approach to ranking America’s Best Hospitals in 2020. In fact, hospitals whether non- or for-profit scored similarly for community benefit and inclusivity.

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Magnet Status Matters: What Magnet Recognition Means for Hospitals and the Nurses Working There

Minority Nurse

Hospital administrators across the nation advocate the merits of Magnet designation. The American Nurses Credentialing Center (ANCC), an affiliate of the American Nurses Association, awards Magnet status to hospitals that satisfy designated criteria that measure the strength and quality of the institution’s nursing care.