Quality improvement project to reduce medicare 1-day write-offs due to inappropriate admission orders.

ABSTRACT:

Background

We identified that Stanford Health Care had a significant number of patients who after discharge are found by the utilization review committee not to meet Center for Mediare and Medicaid Services (CMS) 2-midnight benchmark for inpatient status. Some of the charges incurred during the care of these patients are written-off and known as Medicare 1-day write-offs. This study which aims to evaluate the use of a Best Practice Alert (BPA) feature on the electronic medical record, EPIC, to ensure appropriate designation of a patient's hospitalization status as either inpatient or outpatient in accordance with Center for Medicare and Medicaid services (CMS) 2 midnight length of stay benchmark thereby reducing the number of associated write-offs.

Method

We incorporated a b

SUBMITTER: Oke O 

PROVIDER: S-EPMC10868014 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature