How Does QIS Accommodate End-Of-Life Care?

How Does QIS Accommodate End-Of-Life Care? Dr. Andy Kramer Provider Magazine - April 2015 In his recent book, "Being Mortal," Dr. Atul Gawande offers a current perspective on death and dying in the United States, highlighted by experiences with his dying patients and...

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How Can QIS Methods Improve Everyday Care?

How Can QIS Methods Improve Everyday Care? Dr. Andy Kramer Provider Magazine - February 2015 It is correct to assume that faithfully replicating the QIS may lead to identifying "deficient practice," but to improve care requires going beyond what is contained in the...

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Does QIS Provide Quality-Of-Care Benchmarks?

Does QIS Provide Quality-Of-Care Benchmarks? Dr. Andy Kramer Provider Magazine - December 2014 The answers yes, but not in the way that you might think. QIS provides a critical benchmark against which all nursing homes should be compared. This benchmark is the...

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Does QIS Make Five-Star Harder To ‘Game?’

Does QIS Make Five-Star Harder To ‘Game?’ Dr. Andy Kramer Provider Magazine - October 2014 The recent New York Times article entitled, “Medicare Star Ratings Allow Nursing Homes to Game the System,” caused quite a stir with the claim that the Five-Star Quality Rating...

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Does QIS Relate To Value-Based Purchasing?

Does QIS Relate To Value-Based Purchasing? Dr. Andy Kramer Provider Magazine - August 2014 While regulation offers an approach for enforcing a minimum standard of quality that nursing centers are expected to achieve, arguably there are other, better ways for policy to...

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Is QIS Consistent With Person-centered Care?

Is QIS Consistent With Person-Centered Care? Dr. Andy Kramer Provider Magazine - June 2014 Person-centered care represents the most essential feature of culture change in national models, such as the Eden Alternative. Advancing Excellence highlights the principle that...

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What Is The Right Hospital Readmission Rate?

What Is The Right Hospital Readmission Rate? Dr. Andy Kramer Provider Magazine - April 2014 Q: We get a different readmission rate for our nursing center from several sources, so how do I tell which rate is right? A: Currently, there is no standard method that is used...

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THE TRUE LEGACY OF QIS

The True Legacy of QIS Dr. Andy Kramer Provider Magazine - February 2014 While anecdotes and rumors abound regarding experience with the QIS process, little attention has been given to the first published study of QIS. It often takes several years to investigate the...

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The Four Cs: QIS Methods For QAPI Made Simple

The Four Cs: QIS Methods For QAPI Made Simple Dr. Andy Kramer Provider Magazine - December 2013 This column offers a bridge between Quality Assurance & Performance Improvement (QAPI) and QIS methods using what I now refer to as the four Cs of implementing QAPI....

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