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QI Plan Part Two
Jessica Borgstedt
HCS 588 Measuring Performance Standards
January 19, 2015
Barbara Smith
University of Phoenix

QI Plan Part Two
The organization, that has been selected, is a Critical Access Hospital. A Critical Access Hospital also known as (CAH) is considered a hospital that is under a set of Medicare Conditions of Participation (CoP). With that being said, it is structured differently than the acute hospital CoP. With some of the requirements for the Critical Access Hospital certification that will include having not more than a 25 inpatient bed, while maintaining an annual average length of stay of no more than 96 hours for an acute inpatient care, while offering a 24 hour and 7 day a week emergency care. That being stated they are in a rural area, at least 35 miles away from any other hospital or CAH (What Are Critical Access Hospitals (CAH)?" n.d.).
The limited size and the short stay being allowed to CAH's is to encourage a focus on providing the care for common conditions and the outpatient care, meanwhile referring other conditions to larger hospitals (What Are Critical Access Hospitals (CAH)?", n.d.). . The certification will allow Critical Access Hospitals to receive cost-based reimbursement from Medicare instead of the standard fixed payment rate, this compensation has been shown to enhance the financial performance of the small rural hospitals that have been losing money prior to the CAH conversion and has reduced to the hospital closure rates (What Are Critical Access Hospitals (CAH)?” n.d.). According to "What Are Critical Access Hospitals (CAH)?” CAH is not considered to be ideal for every hospital and that each hospital should look over its financial situation, the population that is serves and the care being provided to determine if the certification would be advantageous (n.d.).

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