The introduction of mandatory quality reporting for ambulatory surgery centers is expected to cause "major changes in the ASC marketplace," according to a HealthLeaders Media report.
Starting Oct. 1, 2012, a new CMS rule created through healthcare reform will require Medicare-eligible ASCs to submit reports on five quality measures or face a 2 percent payment reduction. The initial five quality metrics are the number of 1) patient burns; 2) patient falls; 3) surgeries that are wrong site, wrong side, wrong patient, wrong procedure, or wrong implant; 4) surgeries requiring a hospital transfer or admission; and 5) the number of patients who did not receive an IV antibiotic within one or two hours before incision.
A year after the implementation date, the list will include facility volume for some gastrointestinal, eye, nervous system, musculoskeletal, skin and genito-urinary codes. The year after that, the list expands further to include the percentage of healthcare personnel who receive influenza vaccinations.
"I believe the pay-for-reporting quality metrics will be good for our industry because it will raise the bar for all ASCs," said David Covert, CEO of Phoenix-based Banner Surgery Centers, which is part of Banner Health and has 10 surgery centers in Arizona, Colorado and Nevada.
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Starting Oct. 1, 2012, a new CMS rule created through healthcare reform will require Medicare-eligible ASCs to submit reports on five quality measures or face a 2 percent payment reduction. The initial five quality metrics are the number of 1) patient burns; 2) patient falls; 3) surgeries that are wrong site, wrong side, wrong patient, wrong procedure, or wrong implant; 4) surgeries requiring a hospital transfer or admission; and 5) the number of patients who did not receive an IV antibiotic within one or two hours before incision.
A year after the implementation date, the list will include facility volume for some gastrointestinal, eye, nervous system, musculoskeletal, skin and genito-urinary codes. The year after that, the list expands further to include the percentage of healthcare personnel who receive influenza vaccinations.
"I believe the pay-for-reporting quality metrics will be good for our industry because it will raise the bar for all ASCs," said David Covert, CEO of Phoenix-based Banner Surgery Centers, which is part of Banner Health and has 10 surgery centers in Arizona, Colorado and Nevada.
Related Articles on Quality:
AHRQ Releases Draft Report on Pressure Ulcer Initiatives
8 Practices to Reduce Patient Falls
Surgeon Experience Affects Complication Rates After Spinal Surgery