Title

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.

Comments

This is an open access PubMed Central article.

Peer Reviewed

1

Open Access

1

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