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The reports confirmed what had previously been found out about the connections between health and living conditions but more importantly, they suggested how improvements could be investigated. Chadwick’s work here was significant as these reports were published in the annual report of the Poor Law Commission and received official authorisation, bringing their conclusions to the attention of parliament, therefore leading to the Home Secretary asking for a further report to be completed. While still working with the Poor Law, Chadwick took up the question of sanitation in conjunction with Dr Thomas Smith. Their joint efforts provided a beneficial improvement in the public health. His report on The Sanitary Condition of the Labouring Population (1842) was researched and published at his own expense.
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The value-based purchasing rewards hospitals for their performance based on quality measures, which means that the hospital will be rewarded as it positively deviates from the baseline. Physician quality reporting is another way for providers to seek reimbursement as incentive for providing quality information to Centers for Medicare and Medicaid Services
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It stated that LTC facilities with EHRs will have a new competitive edge. This edge will help the LTC facilities communicate data with local acute care sites (Tabar, 2013). As our population ages the number of people seeking LTC facilities after an acute hospital stay has increased. Chronic diseases, which affect older adults disproportionately, contribute to disability; diminish quality of life and increased health and long-term care costs (Hall, 2013). The implementation of EHRs in LTC facilities or home health can manage patients care to promote improvements in the patients outcome and possible help decrease medical cost.