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Improving Patient Experience remains top of mind for most healthcare executives, but strategies and best practices are still being discovered and vary between organizations.  Two evidence based strategies often used to increase low patient experience scores are Hourly Rounding and Bedside Shift Reports.

The Federal Reserve has given mortgage servicers a long and gradual runway to adapt to the realities of a higher interest rate environment. As consumers experience an increasing cost to carry debt, are faced with the inability to refinance into a lower interest rate mortgage, or find themselves faced with an increasing adjustable rate mortgage payment, we can expect to see a rise in delinquency, default and loss mitigation activity. 

Interest rate increases, natural disasters, and seasonal changes can cause dramatic swings in delinquencies, oftentimes making it difficult for servicers to accurately forecast an uptick in foreclosure volume ahead of time. An annual September spike in mortgage delinquencies is one of the more predictable industry trends; however, this September’s figures, which were published a few weeks ago, may have caught some servicers by surprise, and could indicate a hefty ramp up in loss mitigation efforts is on the horizon.

Tis the season for cooler temps, pumpkin spice, time spent with friends and family….and the flu.  It’s the dreaded three letter word that we all want to avoid this season. According to the CDC, over 80,000 Americans died of influenza and its complications during the 2017-18 season.¹  This surpassed a previous recorded all-time high dating back more than three decades at 56,000 deaths.²

Nearly 21,000 U.S. healthcare organizations and programs are accredited and certified by The Joint Commission, making it a recognized symbol of quality nationwide.  It’s their vision that providers deliver safe, quality healthcare at the best value for all.  They determine this through regular, unannounced accreditation surveys¹. Think the comprehensiveness of a final exam with a pop quiz schedule.  How do you cram for that?  You don’t.  You plan!

Is hurricane season over? Not if you’re a loan servicer. Given the skyrocketing amount of devastation caused by hurricanes, wildfires, flooding and other natural disasters, loan servicers are faced with developing a complete process for relief that begins when disaster strikes. Historically, disaster relief was an infrequent and isolated issue, allowing servicers to manage assistance on a manual, ad hoc or one-off basis. In today’s environment, the volume of natural disasters, the geographic breadth, and extent of recent changes to investor requirements, make this approach a risky venture.

There are many issues defining the landscape of healthcare for 2018. According to the PwC Health Research Institute, strategic patient experience and tackling the opioid crisis are among the top 12.¹ Opioid use has been a hot topic of concern for decades. However, with the latest staggering statistics on opioid addiction and related deaths, finding a solution to the crisis has come front and center.

With the rise in value based models driving hospital reimbursements, a patient’s perception of care can have an impact to a hospital’s bottom line. There is concern that in tackling the opioid crisis there could be a negative impact on survey scores. So how do healthcare providers handle these two issues when they become competing priorities?

What does it mean to be disaster ready? As a servicer you’re already juggling a variety of change initiatives at any given time, with unreasonably thin margins and minimal resources. Beyond basic system enhancements to your loan servicing system…

The end of this year’s hurricane season is less than two months away; however, with hurricane Florence barely in our rearview, are your operational processes in check to meet disaster relief requirements? If not, they should be.

Last year’s federal aid for natural disasters was nearly tenfold that of the previous year. Hurricanes Harvey, Irma and Maria alone are said to have affected approximately eight percent of the population in the U.S. The Federal Emergency Management Agency (FEMA), who provides assistance in the event of all natural disasters, reported that more than 25 million people were impacted by hurricanes, flooding, or wildfire in 2017, and close to five million households applied for FEMA’s Individual Assistance program requesting direct support.

One can only begin to imagine how many homeowners have contacted their mortgage servicer for information and participation in relief programs. Although the servicers' phones start to ring as soon as there’s a Presidential Disaster Declaration, the real test of readiness occurs when borrowers are unable to make payments and need to understand their options for financial assistance.

Waking up each morning after a restful night’s sleep, is a great way to start the day.  You’re energized and ready to tackle what comes your way.  However, if you are a nurse leader the stresses of the job may make getting a good night’s sleep a little harder.  We’ve asked nurse leaders what’s keeping them up at night and here’s what we’ve heard.

Despite the fact that OAS CAHPS are still voluntary, their eventual mandate could be right around the corner.  To achieve top scores, it’s not as straight forward as just focusing on clinical outcomes.  When patients are looking at where to have a procedure, they are looking beyond just competency.

While nearly all government-backed mortgage guarantors provide a wide range of disaster relief programs, perhaps none are quite as unique and diverse in their offering as the Small Business Administration (SBA). Most mortgage lenders and servicers have been working hard to stay abreast of updated disaster relief requirements for Fannie Mae, Freddie Mac, the Federal Housing Administration (FHA), the Department of Veterans Affairs (VA) and the US Department of Agriculture (USDA), but not as many are aware of the extensive options available to SBA customers, not to mention that the SBA administers their programs directly.

The roots of patient rounding can be traced back to a medical center in Birmingham, AL in the late 1980s². After many years of this concept in practice, studies have shown that it has a direct correlation to improving patient experience. With patient experience scores having an impact on hospital revenue, conducting daily patient rounding is becoming a priority. However, simply completing the round isn’t enough.

Two years ago, the Bureau of Consumer Financial Protection (BCFP) finalized an expansion of successors in interest (SII) protections as part of a larger package of new mortgage servicing rules. While the majority of the final rule required implementation last year, the successors in interest provisions only took effect a few months ago. The BCFP completely re-envisioned the coverage of SII and it is imperative mortgage servicers understand their extended compliance responsibilities in order to avoid having costly errors uncovered in regulatory supervision.

Just last week, Freddie Mac issued a press release advising mortgage servicers to prepare to assist borrowers whose homes or places of employment were impacted by Hurricane Florence. Likewise, they directed homeowners to pursue disaster relief once out of harm’s way. Freddie Mac said, “We strongly encourage homeowners … to call their mortgage servicer … to learn about available relief options,” adding, “we stand ready to ensure that mortgage relief is made available.”  

Post-discharge calls aid in safe patient transitions, help prevent readmissions, and improve patient satisfaction.¹  In addition, academic studies show that there is a positive correlation between post-discharge calls and HCAHPS scores.² Furthermore, a study from the Beryl Institute shows that advanced analytics can provide robust information allowing hospital systems to take actionable steps for operational improvements, resulting in improved patient outcomes.³ Based on these findings, we know that post-discharge follow-ups are a key part of not just the patient experience model, but the entire continuum of care.

As Hurricane Florence tests the preparedness of state and local governments up and down the East Coast, Fannie Mae servicers must similarly ask themselves if they are prepared for revamped disaster relief requirements this hurricane season and beyond. Fannie Mae’s disaster assistance requirements span more than a dozen chapters of the Seller/Servicer Guide.  

From loan origination to loan payoff, there are multiple paths that a loan can take throughout its lifecycle.  The best performing loans will follow a clear, straight path with no hiccups along the way.  All payments are made on time.  This path is the easy street for loans, and the servicers servicing them.

Hospital systems, post-acute care providers and physicians are all participants in today’s world of value based healthcare. The Centers for Medicare and Medicaid Services (CMS) has established specific models to encourage all participants to work together to improve quality and coordination of care from the pre-surgery process through recovery¹. In order to receive maximum bundled payment reimbursements, they must meet recognized patient outcomes.

When a disaster strikes, the United States Department of Agriculture (USDA) is ready to respond to the needs of American farmers with a vast toolbox of disaster assistance programs, from emergency loans to crop insurance. In the mix of a wide range of programs, it can be difficult for servicers of Rural Development (RD) mortgages to see where they fit into the ‘farm safety net.’

In the last several years, our bedside heroes have taken on a much more demanding role.  Long gone are the days of just delivering quality care and attending to our every need.  Now they must handle a much larger administrative part of our care too.

When it comes to disaster response, the Departments of Veterans Affairs (VA) is one of the more responsive federal agencies. Servicers of VA loans should be prepared to closely monitor the needs of distressed homeowners in disaster-stricken areas and provide timely and flexible relief.

Did you know that 20% of the Medicare patients discharged from hospitals are readmitted within 30 days?  Even more surprising, that rate increases to 25% when patients are discharged to skilled nursing homes.¹  This is a costly statistic to both the taxpayers and hospitals.  So how do you make sure that you are referring your patients to long-term care facilities with top notch care?  Check out their survey results and make sure they are up to date on the latest changes. Help them help you!

Three of the top five costliest hurricanes on record occurred last year, according to the National Oceanic and Atmospheric Administration (NOAA), resulting in an estimated $306.2 billion worth of property damage. That shatters the previous record of $214.8 billion worth of damages in 2005¹. In a world of billion-dollar weather events, mortgage servicers face the challenge of managing hundreds of thousands of hazard insurance claims, repairs, foreclosure moratoriums and relief programs. The Federal Housing Administration (FHA) is particularly vigilant in managing its portfolio and exposure to loss, and expects servicers to stay on top of fluctuating timelines, priorities and policies that apply to recovery areas.

One size does not fit all.  Ensuring a positive experience for children and their parents/guardians is essential for strategically building patient trust.  Today, building that trust is also financially imperative. How do parents and guardians view their child’s care?