LE003: Adapting Internal Policies And Practices-Assignment Solution

Access the following to complete this Assessment:

Brooklyn Presbyterian Hospital Acute Inpatient Hospital Admissions Payment Policy
Brooklyn Presbyterian Hospital—Unplanned Readmission Rates (from Medicare Hospital Compare)
Gai, Y., & Pachamanova, D. (2019). Impact of the Medicare hospital readmissions reduction program on vulnerable populations. BMC Health Services Research, 19(1), 1. Retrieved from the Walden Library databases.
Academic Writing Expectations Checklist
Rubric

This assessment has two-parts. Click each of the items below to complete this assessment.

Part I: Analyzing HRRP Policy and Evaluating Hospital Performance

Read the Health Affairs Policy Brief on the “Medicare Hospital Readmissions Reduction Program.” Then, analyze the document “Brooklyn Presbyterian Hospital—Unplanned Readmission Rates,” which presents statistics on the unplanned readmission rates at the hospital and how they compare to the national averages. Also, review the “Acute Inpatient Hospital Admissions Payment Policy” document.
Use these resources to develop a report (4–5 pages) to the CEO that completes the following:
Describe the key elements of the Medicare Hospital Readmissions Reduction Program (HRRP) established in the Affordable Care Act (ACA).
Explain whether you think HRRP has a positive or negative impact on Brooklyn Presbyterian Hospital’s delivery of care and explain the rationale for your opinion.
Identify two factors at Brooklyn Presbyterian Hospital based on the statistical report of Brooklyn Presbyterian Hospital’s unplanned readmission rates that contribute to the risk of failing to meet HRRP criteria. Use additional ideas related to HRRP policies.
Create five SMART goals for Brooklyn Presbyterian Hospital for earning the maximum reimbursement by following the HRRP criteria. These goals may focus on processes or outcomes.
Describe at least three programs or activities based on the SMART goals you created that would help the hospital increase reimbursement under HRRP by reducing readmission rates.
Part II: Developing an Action Plan in a slide presentation to Maximize Reimbursements and Adapt to Change

Political pressure will result in changes to Centers for Medicare and Medicaid Services (CMS) policy and reimbursements. Develop a 10- to 12-slide presentation, to senior management, proposing strategies for executing a plan for earning maximum reimbursement under HRRP, specifically by changing the behavior of providers and patients. Your goal is to secure resources to put your plan into action. In this presentation, explain your approach, your plan for implementation, at least two ways you will prepare and monitor for change in CMS policy, and your education plan for staff.

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