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AMPHION will take on the challenges of core measure abstraction for you! We can manage the process...from abstraction through validation.
The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have worked together to align common quality measures with the desire to improve the quality of patient care. As CMS moves towards linking reimbursement to performance rates, now more than ever the quality of care provided in your facility, along with proper documentation of this care, is increasing.
Staffing Challenges
Internal staff, only partially dedicated to core measure functions, may not be able to fully assure 100% accurate data collection. Measures and data definitions are constantly changing and it has become increasingly difficult, if not impossible, for an organization to remain fully up-to-date and compliant with standards.
Amphion's Proven Expertise
Amphion's thorough knowledge and in-depth experience in health record documentation and coding has put us in a prime position to provide outsourcing services to support a healthcare organization's critical need for accurate and cost-effective core measure abstraction.
Our team has worked with core measures since its inception and our knowledge and experience has allowed us to qualify as experts in the field. Outsourcing your core measure abstraction to Amphion can result in more accurate data leading to higher validation scores and maximum reimbursement to your organization. Our staff is fully trained and up-to-date on all current core measure specifications.
Fewer Errors/Better Scores
Outsourcing your core measure abstraction and reporting to Amphion can result in fewer errors, higher validation scores and maximum reimbursement to your organization. Our staff is fully trained and up-to-date on all current core measure specifications.
Dedicated Staffing
While internal core measure abstraction is often assigned to a variety of individuals, at Amphion we dedicate staff to each account. This enables us to become very familiar with your facility's health records, resulting in reduced chance of data being “missed” while adding efficiencies to the overall process.
Amphion stays abreast of upcoming regulatory changes and can make that information available to clients in an easy-to-understand format. We can provide assistance and recommendations to you on implementing these changes. Our staff is well-versed in the use of QualityNet and TJC FAQ data bases, as well as other leading third-party content-based resources including: FMQAI and other state QIOs.
Quality Monitoring/Quality Improvement Recommendations
Our staff has worked in hospitals and has the knowledge and expertise to make sure data is abstracted according to CMS/TJC specifications. We can suggest areas for improved documentation that may ultimately enhance validation rates. We can also recommend hospital-wide improvement strategies designed to increase your overall core measure performance rates.
With consistent staff designated to clients, we are in a unique position to identify aberrant patterns or trends. Our staff is highly experienced in the hospital environment and in current quality improvement principles and techniques. Our expertise in core measure abstraction and our knowledge of quality improvement (QI) principles allows us to offer suggestions and ideas for improving core measure performance. We will provide real-time feedback, thus allowing organizations the opportunity to intervene and make changes in a timely manner.
Why Amphion is the right choice:
- Cost effective alternative to in-house staff.
- Expertise and experience of our staff.
- In-depth knowledge and experience with CMS/TJC core measure specifications.
- Consistent, designated staff assures increased data reliability and validity.
- Timely, reliable data submissions resulting in high validation rates.
Amphion’s Core Measure Enhancement Program Includes
- Abstraction outsourcing services customized to meet your needs (e.g. total outsource, individual clinical area)
- Education on proper abstraction of core measure charts.
- Regular feedback reports on your core measure results.
- Identification/analysis of problem areas & how to implement new protocols.
- Strategies and best practices to improve publicly reported scores.
- Recommendations for documentation and process improvements.
- Physician and staff education on current/new measures.
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