How the Patient’s Experience How the Patient’s Experience Determines our SuccessDetermines our Success

How the Patient’s Experience How the Patient’s Experience Determines our SuccessDetermines our Success

The business case for The business case for

Patient Centered CarePatient Centered Care

Value Based PurchasingValue Based Purchasingis when healthcare providers is when healthcare providers are held accountable for both are held accountable for both

cost and quality of care. cost and quality of care.

Value Based Purchasing Value Based Purchasing

Creates a distinct relationship between Patient Creates a distinct relationship between Patient Centered Care and a hospital’s reimbursementCentered Care and a hospital’s reimbursement

Transition from Transition from pay for reporting pay for reporting to to pay for pay for performanceperformance

Points are earned for: Achievement, Points are earned for: Achievement, Improvement, and Consistency in Hospital Improvement, and Consistency in Hospital Consumer Assessment of Healthcare Providers Consumer Assessment of Healthcare Providers and Systems ( HCAHPS)and Systems ( HCAHPS)

Moving toward rewarding better value, outcomes, Moving toward rewarding better value, outcomes, and innovations instead of mere volumeand innovations instead of mere volume

Plans for VBP Adoption: 2013Plans for VBP Adoption: 2013

Clinical Process of Care Clinical Process of Care

DomainDomain: 70%: 70% of scoreof score

17 measures, including:17 measures, including:

--AMI--AMI

--Heart Failure--Heart Failure

--Pneumonia--Pneumonia

--Surgical Care improvement--Surgical Care improvement

--Healthcare Associated infections--Healthcare Associated infections

Patient Experience of Patient Experience of Care DomainCare Domain: 30% of : 30% of scorescore8 measures, including:8 measures, including:

--HCAHPS measures--HCAHPS measures--7 composites and 1 global --7 composites and 1 global

measuremeasure--Does Not include --Does Not include

‘Likelihood to recommend’‘Likelihood to recommend’--Quiet at night and --Quiet at night and

cleanliness rolled into one cleanliness rolled into one compositecomposite

VBP Has Hospital Leader’s AttentionVBP Has Hospital Leader’s Attention

Today, hospitals only lose money for failing Today, hospitals only lose money for failing to report Hospital Compare Measuresto report Hospital Compare Measures

Starting FY 2013, Performance will translate Starting FY 2013, Performance will translate into dollarsinto dollars– In FY 2013, hospital funding will be reduced by 1% (up to 2% by 2017)In FY 2013, hospital funding will be reduced by 1% (up to 2% by 2017)

– VBP provides opportunity to earn that $ backVBP provides opportunity to earn that $ back

– Performance on quality measures will be used to generate FY 2013 DRG Performance on quality measures will be used to generate FY 2013 DRG payments (starting Oct. 1, 2012)payments (starting Oct. 1, 2012)

This is not a future concern;This is not a future concern;VBP Matters NOWVBP Matters NOW

FY 2013 payments based on hospital’s FY 2013 payments based on hospital’s performance from July 1, 2011 to March 31, performance from July 1, 2011 to March 31, 20122012

Baseline period for comparative purposed: Baseline period for comparative purposed: July 1, 2009 to March 31, 2010July 1, 2009 to March 31, 2010