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Hospital Tiered Program Requirements
The Blue Cross and Blue Shield of Alabama Hospital Tiered Network is being updated effective January 1, 2010. Historically, there have been three primary components of the tiered hospital criteria: Fiscal, Quality, and Patient Safety. In 2010 a new component is being added for Patient Experience. Within each of these components, various indicators will be measured and scored. Every hospital will be measured against the same criteria and a composite score will determine the hospital’s tiered designation.
Overview
Program ComponentsFiscal Component
Quality Components
- Inpatient Admission Criteria (InterQual®)
- Alabama Hospital Quality Initiative Participation
- Patient Outcomes Performance
- Quality Forum Participation
Quality Forum Presentations
- Quality Forum/AHQI Meeting Fall 2009
Patient Safety
- Performance Results based on CMS Core Measures
- Expanded Letter of Agreement on Adverse Events
- World Health Organization (WHO) Surgical Safety Checklist Survey
Patient Experience
For additional information contact your Network Services Representative or e-mail us at networkanalysis@bcbsal.org.
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