Library

Library

Don’t Severity-Adjust Costs due to Potentially Avoidable Complications (PACs)

In order to be fair when comparing the costs of Evidence-informed Case Rates between providers, we severity-adjust typical costs. Severity-adjusting the typical costs allows for the comparison of providers’ resource use as if all patients had equal levels of severity.…

September 28, 2011

Diabetes ECR Playbook

ECR Definition Summary

September 28, 2011

Should Health Care Come With A Warranty?

Many goods and services come with warranties; should health care? Analysis of one payment model shows promise and challenges.

How health care providers get paid has implications for the delivery of care and cost control; the topic is especially important during an economic downturn with persis- tent growth in health spending. Adding “warranties” to care is an innovation that…

September 28, 2011

Evidence-informed Case Rates: A New Health Care Payment Model

As a way to address the flaws of traditional payment methods, like fee-for service and capitation, the authors of this report suggest a new payment model, based on evidence- informed case rates (ECRs). Under this system, providers are paid a…

September 28, 2011

Evidence-Informed Case Rates: Paying for Safer, More Reliable Care

There is widespread dissatisfaction with the current modes of paying for health care. Created by Prometheus Payment, evidence-informed case rates (ECRs) are designed to create fair payments for all providers deliv- ering care to a patient for a particular condition.…

September 28, 2011

Diabetes Care Link – Denominator and Numerator Documentation

September 28, 2011

Chronic Obstructive Pulmonary Disease (COPD) ECR Playbook

ECR Definition Summary

September 28, 2011

Colonoscopy (COLOS) ECR Playbook

ECR Definition Summary

September 28, 2011

Colon Resection (COLON) ECR Playbook

ECR Definition Summary

September 28, 2011

Proportion of patients with a chronic condition that have a potentially avoidable complication during a calendar year.

As part of the development of the Prometheus Payment model, we have developed and published in several peer‐reviewed papers1‐4 the impact of potentially avoidable complications (PACs) on total cost of care. Potentially avoidable complications for patients with one or more…

September 28, 2011

Congestive Heart Failure (CHF) ECR Playbook

ECR Definition Summary

September 28, 2011

Healthcare Finance: What I See Clearly Can Be Scary

The CFO’s Dilemma May 2011

The CFO’s Dilemma…

September 28, 2011

Cardiac Care Link – Denominator and Numerator Documentation

September 28, 2011

Coronary Artery Disease (CAD) ECR Playbook ECR Definition Summary

CAD ECR Playbook ECR Definition Summary…

September 28, 2011

Coronary Artery Disease Care Link – Denominator and Numerator Documentation

September 28, 2011

Coronary Artery Bypass Graft (CABG) ECR Playbook

ECR Definition Summary

CABG Playbook ECR Definition Summary …

September 28, 2011

Hypertension Care Recognition Clinician Guide

The Hypertension Care Recognition Program is a BTE Clinician Recognition Program intended to identify clinicians who deliver high-value hypertension care to adult patients. The program is designed with an understanding that adult patients may seek the care of various types…

September 28, 2011

Diabetes Care Recognition Clinician Guide

The Diabetes Care Recognition Program is a BTE Clinician Recognition Program intended to identify clinicians who deliver high-value diabetes care to adult patients. The program is designed with an understanding that adult patients may seek the care of various types…

September 28, 2011

BTE Data Aggregator Readiness Assessment Worksheet

BTE has several chronic condition care programs for which physicians are seeking recognition. While much of the information collected for each program is the same, some measures do differ between programs. The BTE Data Aggregator Readiness Assessment will help you…

September 28, 2011

Chronic Obstructive Pulmonary Disease Care Recognition Clinician Guide

The COPD Care Recognition Program is a BTE Clinician Recognition Program intended to identify clinicians who deliver high-value COPD care to adult patients. The program is designed with an understanding that adult patients may seek the care of various types…

September 28, 2011

Congestive Heart Failure Care Recognition Clinician Guide

The Congestive Heart Failure Care Recognition Program is a BTE Clinician Recognition Program intended to identify clinicians who deliver high-value congestive heart failure care to adult patients. The program is designed with an understanding that adult patients may seek the…

September 28, 2011

Cardiac Care Recognition Clinician Guide

The Cardiac Care Recognition Program is a BTE Clinician Recognition Program intended to identify clinicians who deliver high-value cardiac care to adult patients. The program is designed with an understanding that adult patients may seek the care of various types…

September 28, 2011

Coronary Artery Disease Care Recognition Clinician Guide

The Coronary Artery Disease (CAD) Care Recognition Program is a BTE Clinician Recognition Program intended to identify clinicians who deliver high-value coronary artery disease care to adult patients. The program is designed with an understanding that adult patients may seek…

September 28, 2011

Asthma Care Recognition Program Clinician Guide

The Asthma Care Recognition Program is a Bridges to Excellence Clinician Recognition Program intended to identify clinicians who deliver high-value asthma care to adult patients. The program is designed with an understanding that adult patients may seek the care of…

September 28, 2011

Bridges to Excellence (BTE) in Practice

Baughman Family Medicine, Harrisburg, PA

Baughman Family Medicine is a single physician practice providing care to patients in Harrisburg PA since 2000. Dr. Paul Baughman graduated in 1993 from Lycoming College and obtained his medical degree in Philadelphia at The Philadelphia College of Osteopathic Medicine.…

September 28, 2011