Part 2: community-based hospital systems: managing the costs of a dialysis program under the paradigm of affordable health care
McCloskey, M.; VanMeter, T.; McGinnis, C.; Feigal, M.
Nephrology News and Issues 26(8): 24-6 28-9
2014
ISSN/ISBN: 0896-1263 PMID: 25141470 Document Number: 13951
Last month in NN&l, we presented the case study of Western Maryland Regional Health System in Cumberland, Maryland, which opened a new, 275-bed comprehensive regional referral center in 2010 with a 12,722 sq. ft., 35-station outpatient dialysis facility. In 2011, WMHS entered an agreement with the Maryland Health Services Cost Review Commission to adopt the Total Patient Revenue System, which provides hospitals with a financial incentive to manage their resources efficiently and effectively in order to slow the rate of increasing health care costs. The basic concept embodied in the TPR constraint system is the assurance of a certain amount of revenue each year, independent of the number of patients treated and the amount of services provided to these patients. The hospital therefore has the incentive to reduce length of stay, ancillary testing, and unnecessary admissions and readmissions.
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