The leadership team for a multisystem healthcare organization learns that Medicare reimbursement will be 10% lower for the next quarter. Which data should the team analyze to determine the reason for this decline in reimbursement? Select all that apply.
A) Fall rates
B) Staff turnover
C) Surgical errors
D) CAHPS surveys
E) Readmission rates
D) CAHPS surveys
E) Readmission rates
Explanation: A) Fall rates are tracked through the national database of nursing quality indicators; however, it does not impact reimbursement.
B) Staff turnover is not information that would impact reimbursement.
C) Surgical errors will impact Joint Commission accreditation; however, it is not identified as impacting reimbursement.
D) The hospital Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a survey that collects data on patients' perceptions of care. These surveys are used to provide financial incentives in the form of increased or decreased Medicare reimbursement for hospitals to improve the quality of care provided.
E) The hospital readmission reduction program provides financial incentives to hospitals to reduce patient readmissions within 30 days for Medicare beneficiaries.
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