From payors to providers to CMS and even the health reform proposals on the table, avoidable hospital readmissions are receiving national attention as a way to glean savings from the healthcare system and improve the quality of care that patients receive.
Listen to pre-conference comments from Dr. Randall Krakauer and Dianne Feeney.
During Aligning Reimbursement To Reduce Avoidable Hospital Readmissions, a 60-minute webinar held on December 2, 2009, now available as a CD-ROM, via On Demand Web access or as a training DVD, Dr. Randall Krakauer, national medical director, Medicare at Aetna and Dianne Feeney, BSN, MS, associate director of quality initiatives for the Maryland Health Services Cost Review Commission (HSCRC), examined how to structure programs to reduce avoidable hospital readmissions, including the alignment of financial incentives.
Following a successful pilot in which it reduced hospital readmissions in the three months post-discharge by 25 percent, Aetna is rolling out an intensive intervention program based on the Transitional Care Model, through which advanced practice nurses work extensively with patients after discharge.
In Maryland, HSCRC is rolling out a statewide program that compares actual versus expected rates of performance for hospital readmission rates that is risk-adjusted.
During the webinar, Dr. Krakauer and Ms. Feeney covered:
- The strategic planning and analytics behind the structure that Maryland is putting into place to incent hospitals to improve readmission rates on a risk-adjusted basis;
- The infrastructure needed to improve hospital readmission rates;
- The critical components to analyze hospital readmission rates;
- The importance of medical management in the Medicare Advantage population to reduce avoidable hospital readmissions;
- The relationship between medical management and revenue in the Medicare Advantage market;
- How to get hospitals on board with a program to reduce readmission rates.
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You can listen to this program right in your office and enjoy significant savings – no travel time or hassle; no hotel expenses. It’s so convenient! Invite your staff members to gather around a conference table to listen to the CD, DVD or the On Demand version.
WHO WILL BENEFIT FROM THIS CONFERENCE?
Presidents/CEOs, CFOs, chief operating officers, vice presidents, medical directors, reimbursement executives, analysts, business development executives, consultants, directors, executive directors, financial/business managers, and strategic planning executives.
ABOUT OUR PANELISTS:
|Incentives alone will not significantly impact rates of avoidable readmissions.
Randall Krakauer, M.D., is the national medical director for the Medicare, consumer segment for Aetna. He has
more than 30 years of experience in medicine and medical management and has held senior medical management positions in
several major organizations.
He is responsible for medical management planning and implementation nationally for Aetna Medicare members, including
program development and administration. Dr. Krakauer has initiated leading edge programs including Compassionate Care – a
care management program for terminal illness, Collaborative Care Management with leading physician groups, an interactive
automated program to enhance management of hypertension, and home biomonitoring of high risk members.
Dr. Krakauer graduated from Albany Medical College and is board certified in Internal Medicine and Rheumatology. He
received training in internal medicine at the University of Minnesota Hospitals and in rheumatology at the National Institutes of
Health and Massachusetts General Hospital/Harvard Medical School, and received a Master in Business Administration from
Rutgers University. He is a fellow of the American College of Physicians and the American College of Rheumatology and
Professor of Medicine at Seton Hall University Graduate School of Medicine. Dr. Krakauer is past chairman of the American
College of Managed Care Medicine.
||The HSCRC has a suggestion for hospitals that claim they can't afford the empty beds resulting from readmission reduction efforts.
Dianne Feeney, B.S.N., M.S., associate director, quality initiative with Maryland Health Services Cost Review Commission (HSCRC). Her experience includes more than 27 years in healthcare with comprehensive expertise in the areas of healthcare quality and safety, public policy, healthcare financing, program implementation, and care coordination.
Feeney joined HSCRC in March of 2008 and is primarily responsible for directing and staffing HSCRC’s quality initiative implementation and evaluation activities targeted at aligning financial incentives to improve hospital care quality.
Prior to joining HSCRC, Feeney was senior vice-president at the National Quality Forum, the primary national organization that endorses quality and patient safety measures. She was also a vice president at the Delmarva Foundation, a quality improvement organization, where she worked with the Maryland Healthcare Care Commission and the Centers for Medicare and Medicare Services on a hospital 3-state pilot project entailing public reporting of hospital performance.
Feeney’s prior healthcare experience includes middle and executive management, performance improvement, senior consulting, and clinical, instructional and case management nursing, with comprehensive expertise in the areas of healthcare quality and safety, public policy, and program implementation.
Feeney received a Bachelor of Science in Nursing from D’Youville College in Buffalo and a Master of Science in Nursing from the University of Maryland at Baltimore.