Partnership in North Carolina Aims to Provide Hospitals Advanced Readmissions Data | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Partnership in North Carolina Aims to Provide Hospitals Advanced Readmissions Data

February 17, 2017
by Heather Landi
| Reprints

The North Carolina Hospital Association (NCHA), based in Cary, N.C., announced a partnership with Forecast Health, a Durham-based data analytics company, to provide hospitals in the state with predictive data about their readmissions rates and whether they are at risk of penalties by the Center for Medicare and Medicaid Services (CMS).

Under the Hospital Readmission Reductions Program (HRRP) established in the Affordable Care Act (ACA, hospitals are subject to penalties if their readmissions rates exceed benchmarks set by CMS. According to NCHA, hospitals are notified by the agency whether they will be penalized when it is too late for to act to prevent it. The penalties, which CMS imposes by reducing reimbursements in the following year, can have a severe financial impact on hospital funding, according to NCHA. In 2017, more than 2,500 hospitals nationwide will be penalized more than half a billion dollars, the association stated.

Predicting HRRP penalties is the first of a three phase program to deliver advanced readmissions data to provider organizations in North Carolina. In the next two phases, NCHA and Forecast Health will estimate penalties for hospitals under CMS’ 30-Day All Cause Readmissions  Program, a complex quality measure impacting solo practitioners and groups and use social determinants of health data to measure readmissions that are a result of quality of care, and not socioeconomic or lifestyle factors.

Hugh Tilson,Interim President of the NCHA, said in a prepared statement, “Working with Forecast Health, we have improved the accuracy of our readmissions rate predictions across all measures by more than 34 percent. This information will help our member hospitals better manage care for high risk patients and improve the overall health of the communities they serve.”

 “Today, too many hospitals are left guessing whether they are going to be hit with CMS penalties and what they can do about it,” Norm Storwick, FSA MAAA, Forecast Health’s chief actuary and director of product management, said in a statement. “It doesn’t need to be this way. Working together, Forecast Health and NCHA enable NCHA members to understand how CMS measures their readmission rates as well as their actual and risk adjusted rates so they avoid penalties and improve clinical and financial performance."

 

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Survey: Infrastructure, Interoperability Key Barriers to Global HIT Development

A new survey report from Black Book Research on global healthcare IT adoption and records systems connectivity finds nations in various phases of regional electronic health record (EHR) adoption. The survey results also reveal rapidly advancing opportunities for U.S.-based and local technology vendors.

Penn Medicine Opens Up Telehealth Hub

Philadelphia-based Penn Medicine has opened its Center for Connected Care to centralize the health system’s telemedicine activities.

Roche to Pay $1.9B for Flatiron Health

Switzerland-based pharmaceutical company Roche has agreed to pay $1.9 billion to buy New York-based Flatiron Health Inc., which has both an oncology EHR and data analytics platform.

Financial Exec Survey: Interoperability Key Obstacle to Value-Based Payment Models

Momentum continues to grow for value-based care as nearly three-quarters of healthcare executives report their organizations have achieved positive financial results from value-based payment programs, to date, according to a new study from the Healthcare Financial Management Association (HFMA).

Cerner, Children's National to Help UAE Pediatric Center with Health IT

Al Jalila Children's Specialty Hospital, the only pediatric hospital in the United Arab Emirates, has entered into an agreement with Washington, D.C.-based Children's National Health System to form a health IT strategic partnership.

Telemedicine Association Names New CEO

The American Telemedicine Association (ATA) has named Ann Mond Johnson its new CEO, replacing Jon Linkous who stepped down suddenly last August after 24 years as the organization’s CEO.