Next for VBP: Urinary Tract Infections

Home Health Care, Resources for Physicians

 

Efficiency scoring measures will directly affect CMS reimbursement per DRG in a formulary scoring model.

Efficiency scoring measures will directly affect CMS reimbursement per DRG in a formulary scoring model.

Outcomes for urinary tract infections targeted by CMS are based on spending.

Urinary tract infections accounted for 56,900 readmissions of Medicare beneficiaries within 30 days of hospital discharge, analysts with the Healthcare Cost and Utilization Project determined recently, which ranks UTIs No. 6 in hospital readmissions for this population. Urinary Tract Infections Outcomes to be measured under VBP

In FY 2016, CMS will expand the number of infection measures under the outcomes domain, including two for surgical site infections and one for catheter-associated urinary tract infections.

The biggest changes for Hospitals in FY 2015, Efficiency Scoring:

*Spending per beneficiary, a care efficiency metric that will measure all part A and B spending in a patient encounter from 3 days post- admission to 30 days post-discharge, including care delivered in the post-acute arena.

*These efficiency scoring measures will directly affect CMS reimbursement per DRG in a formulary scoring model.

Your Patients Are At Risk

People shouldn’t die from a UTI, but if sepsis begins to take over and develops to severe sepsis and then to septic shock, this is exactly what can happen.

*Approximately 20 percent of hospital-acquired bacteremias arise from the urinary tract, and the mortality associated with this condition is about 10 percent.

• More than half the cases of urosepsis among older adults are caused by a UTI.

• Worldwide, one-third of people who develop sepsis die.

• Many patients who do survive are left with organ dysfunction and/or amputations.

How Home Health Can Help

Home health care services provide transitional care and overall care coordination for at-risk patients with chronic conditions such as urinary tract infections to reduce emergency care and improve outcomes.