Mission Health today applauded the remarkable achievements of Mission Hospital and the Asheville Surgery Center as the Centers for Medicare and Medicaid Services (CMS) recently published its Year 1 Results for the Comprehensive Care for Joint Replacement (CJR) Model. Mission Hospital was one of only six hospitals in North Carolina to receive a quality performance rating of "Excellent.” In addition, due to Mission’s successes in reducing overall Medicare spending, Mission was the highest rewarded health system in North Carolina and the 25th highest out of 382 participating systems in the United State.
“This latest CMS release simply affirms what we have
known for a very long time - that Mission Health patients receive care among
the highest quality and highest value in the nation that is routinely among or
the very best in North Carolina,” said Ronald A. Paulus, MD, President and CEO
of Mission Health. “The definition of value in healthcare is embodied by
Mission’s BIG(GER) Aim: to get each person to their desired outcome, first
without harm, also without waste and always with an exceptional experience for
every patient, family and team member.”
The CJR model holds participant hospitals financially
accountable for both the quality and cost of an episode of care while
incentivizing increased care coordination among hospitals, physicians, and
post-acute care providers. The model was designed by Medicare to improve
quality of care and provider collaboration and reduce the overall cost of care
for patients having a total hip or knee replacement.
In the CMS bundled payment model, hospitals are held
to a single target price point for all aspects of care from the point of
admission through 90 day’s past discharge.
By “bundling” the payments for an episode of care, hospitals,
physicians, and other providers have an additional, financial incentive to work
together to deliver the most effective and efficient care. If costs exceed the target payment, hospitals
must repay Medicare the difference.
Conversely, if hospitals are able to provide the episode of care at a
cost lower than the target price, Medicare will pay hospitals the difference.
Hospitals may also earn additional payments from Medicare
with exceptional quality ratings such as low infection rates, low hospital
readmission rates, high HCAHPS scores (a patient satisfaction survey required
by CMS), and high patient-reported outcomes.
Mission is one of those hospitals that outperforms the
nation in complications and readmissions for Lower Extremity Joint Replacement
(LEJR) patients having received an “Excellent” Quality Performance Rating, the
highest rating given.
“I’m incredibly pleased by our results which I know
are the result of the many remarkable physicians, nurses and other clinicians
and support team members who make such great care possible,” said Jonathan
Bailey, Chief Program Development Officer, Mission Health. “I am privileged to have truly amazing
teammates who share a passion to make care better for every patient, both
clinically and financially.”
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