Optum Quality Monitor

Quality outcomes have taken center stage in healthcare. Hospitals are feeling the impact of payment penalties tied to CMS value based incentive programs, including hospital value based purchasing and the hospital acquired conditions program. Your hospital may incur financial penalties from CMS applied to the upcoming year for quality outcomes reported by your organization last year. Scores are being used as a guide to measure the care your hospital provides against other organizations. This information is publicly available, which may sway healthcare consumers choice to receive services at your institution. Take proactive measures today. Look for technology to help detect potential quality events by reviewing for patient safety indicators and hospital acquired conditions. Implement workflows to apply inclusion and exclusion codes. Validate present on admission values and risk adjustment factors. Evaluate where your organization stands today. Educate and engage physicians, coders, quality and compliance in a collaborative approach to monitoring these outcomes. Ensure the great care provided by your organization is captured and translated into the appropriate outcomes by placing the right tools in the hands of your CDI and HIM departments.