McGuire Facilities Go Live With Avoidable Hospitalizations Initiative

McGuire Facilities Go Live With Avoidable Hospitalizations Initiative

For More Information, Please Contact: Dawn Harsch, Communications Director, (716) 479-3865

She's always there for her patientsThe month of November marked an important milestone for 60 nursing facilities and more than 200 practitioners across New York State, including four Erie County health care facilities owned by The McGuire Group: Autumn View Health Care Facility in Hamburg, Garden Gate Health Care Facility in Cheektowaga, Harris Hill Nursing Facility in Williamsville and Seneca Health Care Center in West Seneca.

The facilities are beginning a new phase of the Greater New York Hospital Association, GNYHA, Foundation’s project to reduce avoidable hospitalizations. Under this program, select providers are permitted to bill for special payments to incentivize better care for long-term residents. The McGuire Group is the only operator in the Western New York area taking part in this initiative.

Participation in the project, titled New York-Reducing Avoidable Hospitalization (NY-RAH), is available in New York State only through the GNYHA Foundation. Earlier this year, the foundation received an award from the Centers for Medicare & Medicaid Service, CMS, regarding its phase two initiative to reduce avoidable hospitalizations among nursing facility residents. The basis of the program focuses on providing new Medicare part B incentive payments to nursing facilities and practitioners to provide cost-effective, appropriate treatment for certain qualifying conditions at the nursing facility. The goal of the program is to reduce the potential for an avoidable transfer to a hospital.

Phase one focused on clinical and process-oriented interventions but did not address existing payment policies that could impact quality of care and lead to avoidable hospitalizations. CMS added payment reform interventions for phase two for practitioners to treat nursing facility residents in place for six qualifying conditions: pneumonia, dehydration, congestive heart failure, urinary tract infection, skin ulcers/cellulitis and chronic obstructive pulmonary disease/asthma.

GNYHA Foundation, in collaboration with the Icahn School of Medicine at Mount Sinai, is one of 6 organizations nation-wide currently working on the CMS initiative.

The McGuire Group’s Erie County facilities, which comprise more than 760 nursing and rehabilitation beds, are among the highest rated nursing facilities in the country. “The foundation’s phase two initiative focuses on progressive hospital alternatives that have the residents’ best interests in mind including the ability to treat them in place and in a familiar environment,” stated Stephen Mercurio, RNMS, LNHA, CAS, president of The McGuire Group. “The GNYHA initiative compliments the staffing and clinical protocols we currently have in place and will help an even greater number of residents avoid unnecessary transfers.”

In addition to avoiding unnecessary transfers, The McGuire Group facilities also offer an Appropriate Level of Care, ALOC, program which focuses on hospital alternatives. The program provides short-term rehabilitative care options for patients with illnesses or injuries that do not necessitate a hospital stay. Patients can be admitted directly into the program from a physician’s office, an urgent care center or from home.

Over the last 40 years, The McGuire Group’s programs have grown in scope and complexity from traditional long-term skilled nursing care to subacute and outpatient rehabilitation, structured memory care programs, palliative care programs and respite/short-term care.

For the past three years the New York State Department of Health has issued a nursing home quality initiative that evaluates more than 600 facilities based on quality performance. The McGuire Group’s 6 facilities are among an elite list of 33 facilities state-wide that have achieved the top quintile status for three consecutive years (2013-2015), with The McGuire Group being the only multi-facility provider in the state to have achieved this milestone. Additionally, in the most recent list published in January of 2016, The McGuire Group’s Autumn View Health Care Facility in Hamburg scored the highest among all Western New York facilities and its Brookhaven Health Care Facility on Long Island scored the highest in Suffolk County. Of 33 facilities that made the three-year list, four of the six Erie County facilities are owned by The McGuire Group and one of the two Niagara County facilities is owned by McGuire.

In addition, The McGuire Group has invested millions in the redevelopment and expansion of its facilities creating state-of-the-art environments for intensive healing and care.  For more information visit www.mcguiregroup.com or call 826-2010.

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