Educational Seminar – Q415 J. L. Morgan Educational Seminar – Q415 January 26, 2016 Finding the pulse of your business

Outline Latest CMS HCAHPS Top Box Results OAS CAHPS ED PEC New JLM Website Q & A

CMS HCAHPS Summary – Apr14 – Mar15 Released December 2015 4,193 Hospitals reported No changes in national averages for last three quarters Two composites increased from prior quarter Overall Rating – 75th (76% to 77%) Would Recommend – 90th (83% to 84%) One composite decreased from prior quarter Care Transition – 90th (61% to 60%)

CMS HCAHPS Percentile Tables Summary October 2013 – March 2015 * www.hcahpsonline.org

90th 75th 50th

CMS OAS CAHPS Survey

INTRODUCTION TO OAS CAHPS The Outpatient and Ambulatory Services CAHPS® (OAS CAHPS) survey Developed by the Agency for Healthcare Research and Quality (AHRQ) and its Consumer Assessment of Health Providers and Systems (CAHPS®) Consortium in 2012. Developed to provide a standardized survey instrument to assess patient experience Outpatient surgical care who visited a Medicare-certified hospital outpatient departments (HOPDs) Ambulatory surgery centers (ASCs) for a surgery or procedure. Critical Access Hospital Survey will be available on a voluntary basis beginning January 2016.

OAS CAHPS GOALS Produce comparable data on the patient’s perspective that allows objective and meaningful comparisons between HOPDs and free-standing ASCs on domains that are important to consumers. Public reporting will allow consumers to make more informed choices when choosing an HOPD or ASC. Public reporting of survey results will be used by HOPDs and ASCs for quality improvement initiatives. After four quarterly submissions to CMS Report overall average for each section

Reporting Measures and Results Three Composite Measures Did the HOPD or ASC staff give care in a professional way? Did the HOPD or ASC staff communicate with patients about what to expect during and after the procedure? Preparations for Discharge and Recovery – “Pain, nausea or vomiting, bleeding, or possible signs of infection…” Two Global Items How do patients rate the overall care from the HOPD or ASC? Would patients recommend the HOPD or ASC to friends and family? Responses on a 3-point scale “Yes, definitely”, “Yes, somewhat”, “No” The final composite score reported averages the proportion of those responding to each answer choice in all questions in the composite.

OAS CAHPS METHODOLOGY Methodology follows closely along with HCAHPS Target of 300 annual submissions per CCN ANYONE submitting < 300 will be reported noted with an “*” footnote Data submitted monthly to vendor for sampling Vendor must attempt to contact every patient in the sample Minimum of five calls attempted Calls at different times of the day and different days of the week Proxy’s are not permitted J. L. Morgan will use telephone mode only

Roles and Responsibilities – HOPD or ASC Contract with an approved OAS CAHPS survey vendor to conduct their survey on a monthly basis. Authorize the contracted survey vendor to collect and submit OAS CAHPS Survey data to the OAS CAHPS Survey Data Center on the facility’s behalf. Work with their approved vendor to determine a date each month by which the vendor will need the monthly patient information file allowing adequate time for vendor sampling and fielding the survey by the 21st of the month. Use a secure method to transmit monthly patient information files to the survey vendor, ensuring that data are encrypted prior to sending to the vendor. Review data submission reports to ensure that their survey vendor has submitted data to the OAS CAHPS Data Center on time and without data problems (allow ample time for this prior to the quarterly data submission deadlines because data cannot be corrected after the deadline has passed). Review OAS CAHPS Survey results prior to public reporting. Avoid influencing patients in any way about how to answer the OAS CAHPS Survey. For example, HOPDs and ASCs may not hand out any information to patients about how to answer the survey. (Please refer to the section below titled Communications With Patients About the OAS CAHPS Survey.)

Patient Eligibility Requirements Upon receipt of the data, JLM will apply the following CMS eligibility requirements At least one outpatient surgery/procedure; At least 18 years of age when they received their outpatient surgery or procedure; Patients regardless of insurance or method of payment; Patients whose outpatient surgery or procedure was given in an HOPD or ASC as defined by the project; Patient’s surgery or procedure meets project eligibility definitions, which are as follows: A procedure is OAS CAHPS-eligible if it has a G-Code of G0104, G0105, G0121 or G0260, or A surgery, diagnostic procedure, or other type of procedure is OAS CAHPS-eligible if it has a CPT-4 code in the 10021– 69990 range, was performed in an outpatient surgery department or ambulatory surgery center Was not billed as Laboratory, Radiology, Physical Therapy, Respiratory Therapy, or Diagnostic studies and if it has no accompanying modifier 53 (d/c procedure) Also note that a facility may assign more than one code to a surgery or procedure. The presence of one eligible G-code or CPT code is all that is needed to make it OAS CAHPS-eligible. Patients must have a domestic U.S. mailing address; not deceased; do not reside in a nursing home or hospice “No publicity” patients and certain diagnosis such as HIV/AIDS are removed

Surgical Categories Assigned Surgical Category Assigned Type Description Category 1 Gastrointestinal CPT code(s) in range 40000–49999 or G-code(s) G0105, G0121, or G0104 Category 2 Orthopedic CPT code(s) in range 20000–29999 or G-code is G0260 Category 3 Ophthalmology CPT code(s) in range 65000–68899 Category 4 Other CPT code(s) or G codes not in the range for surgical categories 1, 2 or 3

Next Steps? Work with vendor to determine monthly sample they want to use (if greater than the minimum of 25). Data department will work with hospital on standardized data file submissions protocols. Approve J. L. Morgan as their OAS CAHPS vendor (https://oascahps.org) Surveys for January patients must be received by the 10th of each month Data will be sampled and surveyed Results will be available in real-time via eMedsurvey Submitted quarterly to CMS (publically reported after 4 submission in succession – January 2018)

IN SUMMARY New CAHPS® survey to evaluate patient experience for Outpatient Surgery and Ambulatory Services. Voluntary in 2016, 2017 undetermined Will follow methodology closely with HCAHPS Will be publically reported in 2018

Emergency Department Patient Experience of Care (EDPEC) Updated January 2016

ED PEC Formerly EDCAHPS (Now Patient Experience of Care or EDPEC) Will provide patient experience data that enables comparison of EDs across the nation and promotes effective communication and coordination. A field test is currently underway for the first quarter (Jan- Mar) 2016 discharges. Test the impact on response rates of four novel data collection methods compared to standard data collection strategies. There is no fee to participate in the test.

Survey Instruments Discharged to Community: 35 questions regarding ED experience, plus 18 questions regarding the respondent’s characteristics Admitted Stand Alone: 29 questions regarding ED experience, plus 18 questions regarding the respondent’s characteristics Admitted HCAHPS Add-on: 10 questions regarding ED experience that should be inserted into a full HCAHPS instrument, using the most recently available version of the instrument, immediately preceding the “About You”

Participation Hospitals can NOT volunteer for field test CMS field testing included approximately 50-75 hospitals JLM expects EDPEC update by 3rd quarter 2016. Visit https://www.cms.gov/Research-Statistics-Data- and-Systems/Research/CAHPS/ed.html

J. L. Morgan Website Update

J. L. Morgan has a New Website!

Contact Us: Jeff Morgan, President 205-408-8774 Office Jeff.morgan@jlmassoc.com DeAnna Bagwell Marketing / Sales 205-995-7153 Deanna.Bagwell@jlmassoc.com Tanya Harris-Haynes CMS CAHPS Director 205-995-7144 Office tanya.harris@jlmassoc.com Wendy Dew HR/Pat Sat Program Director 205-995-7108 Office Wendy.dew@jlmassoc.com Latrice Lawson Data Manager 205-995-7139 Office Latrice.lawson@jlmassoc.com Shanna Tucker-Cashatt Preventative Care Program Director 205-995-7140 Shanna.tucker@jlmassoc.com J. L. Morgan & Associates 7057 Meadowlark Drive| Birmingham, Al 35242 205-995-4226 | Fax: 205-995-7141 www.Jlmorganandassociates.com