ABSTRACT

Engineering and reengineering to identify and remove waste has continued to be a principal focus. The Academy will continue to lead much of the work in cost-effective analysis and comparative economics. One of the biggest gaps in care takes place when patients leave the hospital. Patients can have difficulty remembering or following instructions from physicians. Transitional case management programs serve as a bridge between the hospital inpatient admission and discharge to home for individuals and their caregivers. The medical home care delivery model effectively designates a single clinician or medical practice as the responsible entity for organizing patient information and coordinating care. The value-based purchasing (VBP) incentive is calculated as a percentage of the diagnosis-related groups (DRGs) payment with the percentage allocated to the VBP incentive payment established annually. The advantage of DRGs is the ability to link diagnoses to a specific set of services.