This study focused on a new reimbursement strategy piloted in the state of Maryland called total patient revenue. This case study explored five key strategies implemented by organizational leadership in a rural Western Maryland hospital to reduce congestive heart failure readmissions and be successful under the new total patient revenue reimbursement strategy. The five key strategies implemented by the hospital under study were emergency room case managers, risk assessments, Project Red, an Outpatient congestive heart failure clinic, and progression rounding. Four major conclusions were drawn concerning the outcomes of implemented strategies at the target hospital under the total patient revenue reimbursement pilot: (a) community collaboration and partnerships to develop strategies to reduce congestive heart failure readmissions are essential, (b) one strategy in isolation may not be most effective manner to reduce congestive heart failure readmissions, (c) use of evidence-based practice and standardized evaluation tools is key, and (d) the use of proactive versus reactive strategies to reduce congestive heart failure readmissions is imperative.
|School:||University of Phoenix|
|School Location:||United States -- Arizona|
|Source:||DAI-B 76/08(E), Dissertation Abstracts International|
|Subjects:||Public health, Health care management|
|Keywords:||Congestive heart failure, Reimbursement strategies, Revenue reimbursement|
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