This will bankrupt every single stroke hospital, stroke department, neurologists and stroke medical professionals. As long as performance is defined as recovering from the stroke rather than just doing procedures. Since only 10% almost fully recover a 90% reduction in income is going to be hard to handle. But in the long run this will be much better for stroke survivors because it will finally concentrate the minds of stroke professionals to focus on RESULTS. Rather than guidelines like 'Get With the Guidelines' from the AHA/ASA and stroke center certification from the Joint Commission.
If your stroke hospital doesn't go bankrupt they have gamed the system and aren't being paid for results. This is going to be an extremely rough period, our medical professionals can see for themselves how badly they have been serving survivors for decades.
http://medcitynews.com/2015/12/transitioning-from-fee-for-service-to-fee-for-performance-its-not-just-an-accounting-change-its-a-mindset-change/?
While the ongoing change from fee-for-service to fee-for-performance
healthcare is rooted in providing better and more efficient care to
patients, plenty of providers remain skeptical about the transition and
what it means for their already, in some cases, razor-thin margins.
“What we hear from clients is fee-for-service isn’t just a
reimbursement model but a mindset,” says Amber Thompson, VP, Coordinated
Care Solutions. “The ‘bundled’ model is completely different.”
As she explains, fee-for-performance healthcare means that the
cardiologist, PCP, pharmacist and home care worker are all responsible
for coordinating quality care for a heart disease patient. “In the
past,” Thompson points out, “these chutes have been exclusive.”
And it’s certainly not a bad thing that patient satisfaction is
driving everything. It’s only right that providers who offer the most
successful, patient-oriented care reap the rewards, but the
fee-to-performance model is driving a change in thinking among providers
who have long kept their heads in the sand when it comes to accounting.
“The real issue,” Thompson says, “is we’re all in this together now.”
Every care provider who sees that heart disease patient now needs to be
on board with giving him or her the best care possible with the least
chance for hospital readmission.
More at link.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,306 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
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