Part I: Analyzing HRRP Policy and Evaluating Hospital Performance
Read the Health Affairs Policy Brief on the “Medicare Hospital Readmissions Reduction Program.” Then, analyze the document “Brooklyn Presbyterian Hospital—Unplanned Readmission Rates,” which presents statistics on the unplanned readmission rates at the hospital and how they compare to the national averages. Also, review the current, “Acute Inpatient Hospital Admissions Payment Policy” document.
Use these resources to develop a report (4–5 pages) to the CEO that completes the following:
Describe the key elements of the Medicare Hospital Readmissions Reduction Program (HRRP) established in the Affordable Care Act (ACA).
Identify two factors at Brooklyn Presbyterian Hospital based on the current policy that contribute to the risk of failing to meet HRRP criteria.
Explain how current internal practices and the changes in policy might positively impact alignment to current and future healthcare laws.
Suggest one revision to the current policy to help Brooklyn Presbyterian Hospital meet HRRP criteria.
Suggest one change in current practice across the hospital’s organization in order to help Brooklyn Presbyterian Hospital meet changes in Medicare reimbursement. Include 2–3 sentences explaining the importance of adapting internal policies and practices to align with changes in healthcare laws and regulations.
Describe at least three key elements needed in a new program to earn the maximum reimbursement under HRRP by reducing readmission rates.
Create five goals for Brooklyn Presbyterian Hospital for earning the maximum reimbursement by following the HRRP criteria. These goals may focus on processes or outcomes.
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