Advocating for standards in post-acute care.
We are post-acute care stakeholders concerned with the lack of standards being applied to measure the efficiency and effectiveness of Post-acute Care, both within and across venues of care. Additionally, we are concerned with the financial burdens being placed on providers to collect growing amounts of data that lacks evidence of being able to reduce costs or improve quality.
Post-acute care (PAC) providers offer important restorative and rehabilitation services to Medicare (and private insurer) beneficiaries after an acute care hospital stay. These providers include skilled nursing facilities (SNFs), home health agencies (HHAs), inpatient rehabilitation facilities (IRFs), and long-term care hospitals (LTCHs). Determining which patients should go to what type of PAC facility, for what type of care, and measuring the outcomes and quality of the care in a standard way has been elusive for HHS/CMS (post-acute stakeholders??). This situation has been further complicated by the need for Congress / HHS / CMS to reduce Medicare spending. One big casualty of the above is a time-compressed need to measure more and to do it with less. The result has been a blurring of the lines between “measuring” for 1) payment / reimbursement , 2) severity adjusting and 3) quality improvement.
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