Direct Difference Core Measures Data Abstraction Company Helping Hospitals Comply With Core Measure Abstraction to Achieve Higher Reimbursements and Scoring
Thank you for taking the time to consider Direct Difference as a consultant in Core Measures for your hospital.
Improving Your Bottom Line and Bettering Patient Outcomes
Since Direct Difference Inception we have over 200 satisfied clients and counting. Direct Difference’s considerable knowledge of Core Measures has enabled us to help institutions overcome the extensive burden that the Centers for Medicare and Medicaid Services (CMS) has placed on hospitals nation-wide. We are educated in current and future legislation that will directly impact health care organizations. Our staff has an intimate knowledge of hospital procedures and culture which makes us an excellent choice.
The program known as Core Measures was started by CMS in an attempt to ensure a universal quality of care for patients. The program has developed into a set of “measures” that hospitals are required to report on in order to receive their full APU reimbursement.
Analyzing and identifying “problem” areas for hospitals is one of our strongest areas of expertise. We have been able to successfully implement new protocols and make hospital-wide changes that have resulted in an increase in core measures scores. For example, Western Medical Center, Santa Ana achieved the Gold medal for Coronary Artery Disease and Heart Failure from the American Heart Association in 2008/2009 and was published in the U.S. World News Report due to the efforts of the Direct Difference team members. We have also worked with Los Alamitos / Tenet in achieving the Gold medals for CAD and CHF from the AHA. They are now recognized as a facility that ranks in the top 10% of the nation.
Direct Difference is continually monitoring the upcoming legislation that will increase the measure sets by 300% over the next three years. The new CMS Value-Based Purchasing Program (VBP) has been studied extensively by our staff and will be one of the biggest challenges that hospitals will have to face in the next few years. The CMS VBP Program will also extend to doctors’ offices, skilled nursing and long term care facilities. Doctors’ offices are currently being asked to participate in a voluntary reporting program for heart failure patients, diabetes patients and renal failure patients. This program mimics the current Core Measures program for hospitals. We can see the demand for education on these important upcoming CMS requirements in the hospital setting, doctors’ offices, skilled nursing and long term care facilities.
Our team has worked with Core Measures since its inception. Our knowledge of these guidelines has allowed us to qualify as expert witnesses in a court case which was heard in Washington DC. The outcome was announced this year and the case was won with the hospital being reimbursed their full APU payment*. We have also presented on CHF and CAD for the Get with the Guidelines program at the American Heart Association.
What are we able to offer You and your health care organization?
- Education on properly abstracting core measure charts
- Identify and analyze problem areas
- Educate physicians and hospital staff on core measures
- Guidance on how to implement new protocols
- Improve publicly reported scores
- Educate on upcoming measures
- Help maximize reimbursement within the Value-Based Purchasing Program
- Achieve recognition from the AHA
- Direction on how to become a certified Stroke Center
- Increase scores for HCAHPS
- 24/7 resource
Direct Difference stands out from other companies because our team consists of a group of highly educated individuals that understand what it takes to bridge the gap between CMS reimbursement and patient care. Our team members all work in the Acute Health Care setting and understand the true impact this has on facilities across the nation.
“The Joint Commission is asking all participating core measures facilities to perform reabstraction. Reabstraction is taking a sample of 12 cases previously submitted and performing abstraction a second time to verify that the submitted data was valid.
AHA/CMS and Stroke
We’re almost there – stroke national quality reporting is getting closer!
The work and dedication of Get With The Guidelines-Stroke hospitals to improving stroke patient care is paying off. Together we have brought stroke measures reporting and quality improvement to the national forefront.
The Centers for Medicare and Medicaid Services has been working to change the current RHQDAPU program to a Value-Based Purchasing Program for the last few years. With the current economic crisis, our government will be looking to approve any program that claims to save money. We believe that the VBP Program will be approved by the end of this year.
National Quality Forum