Reference no: EM133924376

Question

An organizational regulatory requirement that can support the project's implementation is overseen by the Centers for Medicare and Medicaid Services (CMS). CMS manages the Hospital Readmissions Reduction Program, which encourages hospitals to improve their communication and coordination with patients and caregivers to minimize readmissions. This program is in alignment with the national objective of enhancing the quality of healthcare by linking payment to the excellence of hospital care (Centers for Medicare & Medicaid Services, 2020). To illustrate, consider a scenario where a patient is initially hospitalized due to either acute or chronic Congestive Heart Failure and is subsequently discharged to their home. If that same patient returns to the hospital within a two-week timeframe due to the same or similar conditions, it qualifies as a 30-day readmission. In such instances, CMS has the authority to potentially reduce payment to the hospital as a consequence of the readmission. This serves as a clear demonstration of how CMS plays a pivotal role in facilitating the Health Improvement Project (HIP) by providing incentives for hospitals to prioritize the prevention of readmissions and the maintenance of high-quality care standards for their patients.