Bundled Payments for Care Improvement: Preparing for the Medical Diagnosis-Related Groups.
Document Type
Journal Article
Publication Date
6-1-2017
Journal
The Journal of nursing administration
Volume
47
Issue
6
DOI
10.1097/NNA.0000000000000492
Keywords
Academic Medical Centers; Cost Savings; Delivery of Health Care; Diagnosis-Related Groups; Hospitals, Urban; Humans; Medicaid; Medicare; Patient Care Bundles; Quality Improvement; United States
Abstract
BACKGROUND: The Centers for Medicare and Medicaid Services Innovation Center introduced the Bundled Payments for Care Improvement (BPCI) initiative in 2011 as 1 strategy to encourage healthcare organizations and clinicians to improve healthcare delivery for patients, both when they are in the hospital and after they are discharged. Mercy Health Saint Mary's, a large urban academic medical center, engaged in BPCI primarily with a group of medical diagnosis-related groups (DRGs).
OBJECTIVES: In this article, we describe our experience creating a system of response for the diverse people and diagnoses that fall into the medical DRG bundles and specifically identify organizational factors for enabling successful implementation of bundled payments.
RESULTS: Our experience suggests that interprofessional collaboration enabled program success.
CONCLUSIONS: Although still in its early phases, observations from our program's strategies and tactics may provide potential insights for organizations considering engagement in the BPCI initiative.
APA Citation
Hardin, L., Kilian, A., & Murphy, E. (2017). Bundled Payments for Care Improvement: Preparing for the Medical Diagnosis-Related Groups.. The Journal of nursing administration, 47 (6). http://dx.doi.org/10.1097/NNA.0000000000000492
Peer Reviewed
1
Open Access
1
Comments
This is an open access PubMed Central article.