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Scenarios like this illustrate the importance of interoperability and ensuring patient records transfer seamlessly across providers and plans. To address these gaps, the Centers for Medicare & Medicaid Services (CMS) now mandates the use of FHIR-based APIs for data sharing.
Maintain RegulatoryCompliance Non-compliance with just one regulation can put patients’ health and organizational operations at risk. It can also result in costly fines, a tarnished reputation, and exclusion from essential federal programs like Medicare.
It emphasizes conducting activities transparently, ethically, and in a manner that secures the trust of patients, staff, and stakeholders alike. This holistic approach to governance ensures that decisions are informed by a comprehensive understanding of the hospital’s overall performance and its implications for patient care.
The “thumb on the scale” QPA presumption may have less of an impact on providers that are “must-haves” for a plan based on clinical importance, or high patient-satisfaction scores. But for other providers and facilities, the impact is likely to be greater. 2] See 86 Fed.
Hospital-at-Home: A Growing Trend in Healthcare Hospital-at-Home programs allow patients to receive acute care services in the comfort of their own homes, often leading to better outcomes and higher patientsatisfaction. Increased PatientSatisfaction: Greater comfort and convenience for patients receiving care in their homes.
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