July 31, 2015
 

 

 

   

 

 

 

 

 

 

 

 

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President's Message 

 

Clint D. Owen  

Vice President 

Salucro

 

  

Dear HFMA South Texas Chapter Membership,

I am honored and humbled to serve as President of the South Texas Chapter for the 2015-2016 year. I have been involved within our chapter since 2004 and have been blessed to meet and work alongside many a great person for which I am grateful to all. I am of belief that regardless of position in life each of us have a gift/skill set that all can learn from and I strive each and every day to share and learn from those around me. I want to thank the Past Presidents, Officers, Board Members, Committee Chairs and membership for entrusting me with the privilege of leading you this year. I thank outgoing President, Christopher Snyder, for his tireless dedication and innovative ideas over the last two years. Chris has set the bar high, demonstrating what it takes to lead with passion and commitment. With a strong board, officer team and committee volunteer base, I am confident we will continue to be an indispensable resource for this chapter.

 

As our new year begins one thing stays constant, Change! Today's healthcare industry is constantly changing with Federal Regulations, ICD-10 implementation, technology, and the list goes on. Our chapter is and has made significant changes in recent months to ensure we deliver all that our members need to be successful both personally and professionally. Our membership will see a new look and feel from the newly designed website, you will see a change in venues regionally to deliver quality education and more FUN! Yes fun. We believe strongly in delivering education on regional and national topics but we also know that having a memorable experience at the events ties it all together.

 

 


STX HFMA Logo   


HFMA South Texas Chapter  
was awarded the following  
for the 2014-2015 year:

1. John M. Stagl Silver Award of Excellence for Education

2. Award of Excellence for Membership Growth and Retention Bronze

3. Award of Excellence for Certification Silver

4. Helen M. Yerger (South Texas) - Certification Program Improvement

5. Helen M. Yerger (all Region 9 Chapters) - Education - Region 9 Certification Webinar Program

6. Helen M. Yerger (all Region 9 Chapters) - Member Service - Capitalizing upon the value of HFMA Region 9 Annual Conference in benefiting our local chapters and members

7. Helen M. Yerger (all Region 9 Chapters) - Education - Webinar Effectiveness Initiative
A

What A Tangled Web We Weave: How to Make Value-Based Partnerships and Affiliations Successful

 

by Jeff Hoffman, Health Care Expert

Kurt Salmon   

 

Developing integrated, value-based care delivery models requires unraveling existing systems and processes and weaving together new ones in new ways. It's an uncomfortable, disruptive effort with few guidelines, and most hospitals and health systems in the midst of it are finding it messy and complicated.

 

The reality is that many will fail. Mergers and acquisitions to build scale won't be enough to meet population health goals. Integrated care solutions call for larger, fiscally strong health organizations-not necessarily with shared balance sheets-to partner with one another and with other area providers to jointly develop systems of care that offer value-based solutions.

 

Difficulties typically arise when goals lack focus or there is a reluctance to challenge current clinical processes and physician-referral patterns, and success won't be dictated by who is involved or the structure and process they use. Ultimately, it will boil down to who can actually put these symbiotic relationships together-integrate cultures, technologies, geographies and financial circumstances-then deliver results and get paid for the value of these results.

 

B
Hospital Compare Star Ratings: Too Much Power in the Patient Review? 


 

By Elliot Kaple

Lancaster Pollard  

 

Customer reviews have become a powerful force in recent years, as everything from apartments to restaurants have seen the success of their business affected by online comments and ratings. With the introduction of its new star rating system, the Center for Medicare & Medicaid Services' (CMS) Hospital Compare database now offers consumers a way to assess hospitals based on patient reviews. Some, however, are already suggesting the system needs revamping to include other quality measurements in addition to patient survey responses.

 

Hospital Compare and the HCAHPS

Choosing a doctor or hospital is no easy task. For years, patients have searched for useful tools that would allow them to compare hospitals and services to help ensure they are making the best decision. Originally established in 2002, Hospital Compare is a consumer-oriented website that allows prospective patients to compare hospitals in regard to the following categories:

 

* Patient survey results.
* Timely and effective care.
* Readmissions, complications and deaths.
* Use of medical imaging.
* Linking quality to payment.

* Medicare volume.

 

The first category mentioned above, patient survey results, provides information from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey set the national standard in 2006 when it began collecting and publicly reporting data to allow comparisons of hospitals in local markets and across the country. In addition to compiling and reporting data for thoughtful consideration in the comparison of hospitals, the survey hopes to establish incentives to improve quality of care and increase the return value of public investment.


 
C
CMS's Value-Based Payment Initiatives Offer Mix of Benefits and Penalties

By: Dawn Samaris
Kaufman, Hall & Associates, Inc. 

 

The Centers for Medicare & Medicaid Services (CMS) is taking a carrot-and-stick approach in its efforts to decrease medical costs, reduce preventable hospital readmissions, and improve care quality through value-based care initiatives. These varied efforts include payment penalties for issues such as hospital-acquired infections, and alternative payment models that offer providers incentives to deliver efficient and effective care.

 

Sylvia Mathews Burwell, secretary of the U.S. Department of Health and Human Services, recently announced goals for Medicare payments over the next several years:

  • 30 percent of payments will be made through alternative payment models such as accountable care organizations (ACOs) and bundled payments by the end of 2016, with the share expanding to 50 percent by the end of 2018
  • 85 percent of fee-for-service payments will be tied to value-based or quality-incentive programs by the end of 2016, with the share expanding to 90 percent by the end of 2018  
     

THANK YOU to our Chapter Sponsors

  

Gold Sponsors

 

 

HollawayGumbert 

 

   

  

   

   

  

    

   















  

Gold Sponsors

 

   

 

   

 

     

   

 

  

 

 

 

 

 

VeritySource

 

 
















C+A









RevClaims


Bronze Sponsors

 

Apogee Consulting  

 

Banc of America Public Capital Corp.

 

BESLER Consulting

  

Capio Partners 

 

Cirius Group, Inc.

 

CNA HealthPro

 

EnableComp, LLC

 

HCFS, Inc.

 







Healthcare Resource Group, Inc.

 

MedA/Rx

 

Protiviti


SSI Group, Inc 

 

TransUnion LLC

 

Triage Consulting Group

 


 

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