Bundled Payments for Care Improvement: Preparing for the Medical Diagnosis-Related Groups.
The Journal of nursing administration
Academic Medical Centers; Cost Savings; Delivery of Health Care; Diagnosis-Related Groups; Hospitals, Urban; Humans; Medicaid; Medicare; Patient Care Bundles; Quality Improvement; United States
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.
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