title: Discharge planning takes spotlight as VBP focuses on efficiency.
abstract: Hospital efficiency of care, a new domain in the Centers for Medicare & Medicaid Services Value-based Purchasing Program, bases hospital scores on spending three days before admission through 30 days after discharge. Case managers need to take the time to develop a discharge plan that works and look at cost-effectiveness as well as appropriateness of the level of care, experts say. Because the data used for this measure is risk-adjusted, it's crucial for the documentation in the medical record to clearly and accurately reflect the patient's severity of illness. Become familiar with all the potential discharge destinations and spend time with each provider, experts recommend.
mesh_terms: D019090:Case Management / Q000191:economics* / Q000592:standards; D014487:Centers for Medicare and Medicaid Services, U.S. / Q000191:economics* / Q000592:standards; D059019:Clinical Coding / Q000191:economics / Q000592:standards; D003362:Cost-Benefit Analysis; D006801:Humans; D008499:Medical Records / Q000191:economics / Q000592:standards; D010351:Patient Discharge / Q000191:economics* / Q000592:standards; D010359:Patient Readmission / Q000191:economics / Q000592:standards; D012051:Reimbursement Mechanisms / Q000592:standards* / Q000639:trends; D012720:Severity of Illness Index; D059039:Standard of Care; D014481:United States; D062505:Value-Based Purchasing / Q000191:economics* / Q000592:standards