Official NTOCC Comments

Review the official comments, letters and responses from the National Transitions of Care Coalition (NTOCC).

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Mary Naylor Submits Commentary to IOM on Research to Improve Care Coordination and Quality

Posted on 11/19/2013 by NTOCC ® in Public Policy Updates

As a contributor to the Learning Health System Commentary Series of the Institute of Medicine’s (IOM) Roundtable on Value & Science-Driven Health Care, Mary Naylor submitted commentary to IOM outlining the care coordination and quality improvement work that is being done through the Interdisciplinary Nursing Quality Research Initiative (INQRI), an initiative to improve patient care by examining the role nurses play in improving care quality. As co-chair of the INQRI, Naylor highlighted several studies that examined nursing practices and tested interventions that can improve patient care and safety, including “an analysis of the factors that influence the quality of preparation of patients and family caregivers for the transition from hospitals to home and the impact of enhanced preparation on patients’ perceived readiness and rates of re-hospitalization.”

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DC Summit Speakers Added

Posted on 11/11/2013 by NTOCC ®

The National Summit will host a well-known cast of health care professionals who work to improve transitions of care through the development and use of new models, software and other initiatives. The following speakers and panelists are now confirmed:

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NTOCC to Host National Transitions of Care Summit Addressing National Healthcare, Readmissions and Care Transitions

Posted on 10/17/2013 by NTOCC ® in Press Releases

The National Transitions of Care Coalition (NTOCC) – an organization dedicated to addressing the gaps that occur when patients leave one care setting and move to another – will hold the National Transitions of Care Summit on Dec. 2, 2013, at the National Press Club in Washington, D.C. The event is designed to build awareness of the challenges and solutions associated with transitions of care, and to arm practitioners with the knowledge and resources to enact improvements.

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National Transitions of Care Coalition Launches Healthcare IT Innovations Task Force

Posted on 10/16/2013 by NTOCC ® in Press Releases

The National Transitions of Care Coalition (NTOCC), an organization dedicated to improving patient transitions throughout the healthcare system, has announced the establishment of the NTOCC Healthcare IT Innovations Task Force. In bringing together healthcare technology thought leaders which offer new, innovative or emerging solutions for care transitions challenges, NTOCC and Task Force members will work toward the shared vision of advancing transitions of care (TOC) issues and improving patient outcomes and care quality.

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CMS to Hold Open Forum on Two Midnight Benchmark for Inpatient Hospital Admission

Posted on 9/25/2013 by NTOCC ® in Public Policy Updates

On Tuesday, the Centers for Medicare and Medicaid Services (CMS) announced that it will be holding a special open door forum, “Discussion of the Hospital Inpatient Admission Order and Certification 2 Midnight Benchmark for Inpatient Hospital Admission” on Thursday, September 26th from 2:00pm ET– 3:00pm ET. The conference call will allow hospitals, practitioners, and other interested parties to ask questions on the physician order and physician certification, inpatient hospital admission and medical review criteria that were released on August 2, 2013 in the proposed FY 2014 Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital Prospective Payment System Payment Rule.

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National Transitions of Care Coalition to Host Regional Summit in Atlanta

Posted on 9/10/2013 by NTOCC ® in Press Releases

The National Transitions of Care Coalition (NTOCC), an organization focused on addressing and improving patient care transitions in the U.S. health care system, is set to host the Atlanta Regional Transitions of Care (TOC) Summit this fall to raise awareness about the challenges of poor transitions and present solutions. Online registration is available for this one-day event, scheduled October 17, 2013, at Loudermilk Conference Center in Atlanta, GA.

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CMS Issues Final FY2014 Payment and Policy Changes for Acute and Long-Term Care Hospitals

Posted on 8/2/2013 by NTOCC ®

On Friday, August 2nd, the Centers for Medicare & Medicaid Services (CMS) issued the final rule for hospitals paid under the Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital Prospective Payment System (LTCH PPS). Specifically, the rule increases hospital inpatient payments by 0.7 percent, long-term care hospitals will get an increase of 1.3 percent and hospice pay will increase 1.7 percent in fiscal 2014. In addition to setting payment rates for hospital inpatient services, the rule updates and lays out a framework for implementation of several programs aimed at improving quality of care including the new Hospital-Acquired Conditions Reduction Program, which would begin in 2015, the Hospital Value-Based Purchasing (VBP) program and Readmissions Reduction program.

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HHS Office of Inspector General Releases Report: Highlights Needed Changes To Observation Status Policy

Posted on 7/31/2013 by NTOCC ®

On Monday, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) released a report which analyzed hospitals’ use of observation stays and short inpatient stays for 2012. The report concludes that patients who have been hospitalized for three days and are sent to nursing homes should not have to pay extra for nursing home stays merely because they were on “observational status” while in the hospital. While the OIG gives no formal recommendation, and recognizes a fix may require legislation, the report states, “CMS should consider how to ensure that beneficiaries with similar post-hospital care needs have the same access to and cost sharing for SNF services.”

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CMS Releases FY2014 Physician Fee Schedule and Hospital Outpatient Proposed Payment Rules

Posted on 7/9/2013 by NTOCC ®

Yesterday, the Centers for Medicare & Medicaid Services (CMS) issued two proposed rules that would update payment policies and rates for services furnished under the Medicare Physician Fee Schedule (PFS) and address payment and policy changes for the hospital outpatient prospective payment system (OPPS) and the ambulatory surgical center (ASC) payment system. The rule also proposes changes to several of the quality reporting initiatives that are associated with PFS payments – the Physician Quality Reporting System (PQRS) and the Medicare Electronic Health Record (EHR) Incentive program. In addition, the rule continues the phased-in implementation of the physician value-based payment modifier, created by the Affordable Care Act, which would affect payments to physician groups based on the quality and cost of care they furnish to beneficiaries enrolled in the traditional Medicare fee-for-service program. Among other changes, CMS proposed bundling seven new categories of supporting items and services in payments for primary care, and combining five levels of outpatient visit codes into a single Healthcare Common Procedure Coding System (HCPCS) code for each type of outpatient visit.

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ONC Targets Long-Term Care and Post-Acute Facilities to Improve Transitions Through Health Information Technology

Posted on 6/21/2013 by NTOCC ®

Recently, the Office of the National Coordinator (ONC) for Health Information Technology (health IT) unveiled a new webpage that discusses how health IT can improve care transitions across long-term and post-acute care settings (LTPAC). ONC is strengthening its focus on LTPAC providers, with a specific emphasis on improving care coordination and care transitions for patients to reduce costly hospital readmissions. ONC recognizes the importance of care transitions for this medically complex population and states that health IT “provides an opportunity for health care providers to share health information in a timely and secure manner across care settings to support patient-centered care, particularly during transitions from one care setting to another.”

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