Presentation on theme: "HCAHPS and Hospital Value-Based Purchasing (Hospital VBP) Agency for Healthcare Research and Quality Centers for Medicare and Medicaid Services."— Presentation transcript:
1 HCAHPS and Hospital Value-Based Purchasing (Hospital VBP) Agency for Healthcare Research and Quality Centers for Medicare and Medicaid Services June 28, 2012
2 AcknowledgementsThis Web conference program is supported by the U.S. Agency for Healthcare Research and Quality (AHRQ) through a contract with the Health Research and Educational Trust (HRET).AHRQ is a federal agency whose mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. AHRQ is a sister agency of CMS within the U.S. Department of Health and Human Services.HRET is a charitable and educational organization affiliated with the American Hospital Association, whose mission is to transform health care through research and education.AHRQ is a federal agency within the U.S. Department of Health and Human Services (DHHS) whose mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans.HRET is a charitable and educational organization affiliated with the American Hospital Association whose mission is Transforming health care through research and education. HRET’s vision is to leverage research and education to create a society of healthy communities, where all individuals reach their highest potential for health.
3 AHRQ/HRET Patient Safety Learning Network (PSLN) Project AHRQ hired HRET to partner with state hospital associations and others to create 25 Patient Safety Learning Networks (PSLNs).This year the project will provide over 30 workshops and 100 Web conferences and teleconferences to support hospitals in implementing HCAHPS, Project RED (to reduce preventable readmissions), Medication Reconciliation, AHRQ’s Quality Indicators, and the “Door to Doc” ED flow method.We want hospitals in the 25 PSLNs to learn together and share strategies across State lines. In May we hosted a Web conference on the patient-centered discharge process, and today’s Web conference is intended to answer hospital staff’s questions about how HCAHPS fits into the VBP program.
4 Hospitals are Focusing on the Relationship between HCAHPS, Value-based Purchasing, and Care TransitionsTop four HCAHPS Priorities of over hospitals participating in 18 PSLNs:RN CommunicationResponsivenessMedication Communication*Discharge Information** HCAHPS domains that can be improved by a patient-centered discharge process such as Project RED
5 Staff Always Explained About Medicines: U.S. Benchmarks by Type of Hospital
6 Patients Given Information About Recovery At Home: U.S. Benchmarks by Type of Hospital
7 Today’s SpeakersChristine Crofton, Ph.D., Center for Quality Measurement and Improvement, Agency for Healthcare Research and Quality (AHRQ)Elizabeth Goldstein, Ph.D., Centers for Medicare and Medicaid Services (CMS)
9 HCAHPS and Hospital VBP Hospital VBP links a portion of CMS payment to hospitals based on performance on a set of quality measuresInpatient Prospective Payment System (IPPS) hospitals onlyEstablished by the Patient Protection and Affordable Care Act of 2010 (Public Law )Affects payment for patients discharged October 1, 2012 (FY 2013) and forward
11 Patient Experience Domain Score Sum ofHCAHPS Base Score (0 – 80 points)PLUSHCAHPS Consistency Points (0 – 20 points)Patient Experience Domain Score: 0 to 100 pointsComprises 30% of Hospital VBP Total Performance Score
12 HCAHPS and Hospital VBP Scoring Eight HCAHPS Dimensions in Hospital VBPCommunication with NursesCommunication with DoctorsStaff ResponsivenessPain ManagementCommunication about MedicinesDischarge InformationCleanliness & Quietness of Hospital Environment (combined)Overall Rating of HospitalPercent of patients who chose “Top-box” response
13 Hospital VBP Time Periods, FY 2013 Two time periods in Hospital VBP:FY 2013 Baseline Period:July March 2010FY 2013 Performance Period:July March 2012IPPS hospitals must have at least 100 completed HCAHPS surveys in the Performance Period to be included in Hospital VBP
14 HCAHPS and Hospital VBP Scoring For each HCAHPS Dimension, both Improvement points and Achievement points are calculatedImprovement Points (0-9 for each Dimension):Amount of change from Baseline to Performance PeriodsAchievement Points (0-10 for each Dimension):Difference between a Hospital’s Dimension score and the national median scorein the Performance Period
15 HCAHPS Base ScoreThe first component of the Patient Experience Domain in Hospital VBP is the HCAHPS Base ScoreFor each of the Eight HCAHPS Dimensions:Improvement Points (0-9) and/or Achievement Points (0-10) are calculatedThe larger of the Improvement Points or Achievement Points for each DimensionAre summed to create the HCAHPS Base Score0 to 80 points
16 HCAHPS Consistency Points The second component of the Patient Experience Domain in Hospital VBP is HCAHPS Consistency PointsConsistency Points0 to 20 pointsTarget hospital’s lowest performing HCAHPS DimensionDuring the Performance Period
17 HCAHPS Consistency Points (cont’d) If the lowest scoring Dimension is below the national median,Then the hospital earns between 0 and 19 Consistency PointsCalculation of Consistency Points is explained thoroughly on the CMS Hospital VBP Web site
18 Patient Experience Domain Score Sum ofHCAHPS Base Score (0 – 80 points)PLUSHCAHPS Consistency Points (0 – 20 points)Patient Experience Domain Score: 0 to 100 pointsComprises 30% of Hospital VBP Total Performance Score
19 Hospital IQR vs. Hospital VBP Hospital VBP FY 2013Four quarter roll-upThree quarter roll-upTen HCAHPS MeasuresEight HCAHPS Dimensions“Cleanliness” and “Quietness” combinedNo “Recommend”Non-IPPS hospitals can participateIPPS hospitals onlyMinimum of 100 completed surveys in Performance Period
24 Base Points Patient Experience of Care Domain Score equals (Greater of Improvement or Achievement Points for each HCAHPS dimension) plus Consistency PointsUp to 80 Base Points are possible based on each of the eight HCAHPS dimensions:For each of the eight dimensions, determine the greater of the Achievement Points or the Improvement Points.Add these 8 values to arrive at the total HCAHPS Base Points.
40 HCAHPS Consistency Points Patient Experience of Care Domain Score equals(Greater of Improvement or Achievement Points for each dimension) plus Consistency PointsConsistency Points encourage hospitals to meet or exceed the Achievement Threshold in all HCAHPS dimensions
41 HCAHPS Consistency Points Up to 20 Consistency Points may be earned based on the LOWEST dimension:20 points are awarded if all dimension rates are greater than or equal to the Achievement ThresholdIf any dimension rate is less than the Achievement Threshold, then Consistency Points are awarded based on the lowest dimension’s location relative to the Floor
56 Information on HCAHPS and Hospital VBP Information about Hospital VBP available at new CMS Web siteHospital VBP slide set can be found at:Summary of the “Patient Experience of Care” domain (HCAHPS) and how this score will be calculated is on slides 35-61