Transcript Document
HCAHPS And Value
Based Purchasing 101
Truths of Current Healthcare
Climate
• HCAHPS/VBP are not going away.
• Healthcare is a business-All organizations must
generate a profit.
• Reimbursement is based on outcomes not effort.
• Patients are our mission and the mission ALWAYS
comes first.
• The Golden Rule applies to all situations.
• Nursing staff now has the unique opportunity to
become a revenue generator instead of a cost
center.
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What is CAHPS?
Consumer Assessment of Healthcare Providers and Systems
Produces comparable data for public reporting
Creates incentive for organizations to improve
Enhances public accountability and transparency
Hospital CAHPS
Home Health Care CAHPS
Clinician and Group CAHPS
… more to come!
CAHPS provides an apples to apples metric for public
reporting—additional measurement may be needed for ongoing
quality improvement activities and monitoring.
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4 Objectives of HCAHPS
• Standardization permits meaningful comparisons across
hospitals for public reporting
• Increased hospital accountability and incentives for quality
improvement
• Pay-for-performance (Hospital VBP)
• Enhanced public accountability
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Why is CAHPS ® Important?
Consumers have access to the data
®
Consumers relate more easily to CAHPS data than to clinical
data
®
Some use CAHPS data to choose hospitals
®
CAHPS is in the public eye
Media coverage
Promotion by hospitals themselves
Participation linked to reimbursement
Will have volume, revenue, and reputation implications down the
road
http://www.medicare.gov/hospitalcompare/search.html
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HCAHPS Survey
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HCAHPS Content: Seven
Composites
• 1.Communication with nurses
•
- Nursing related questions comprise about 50% of Survey
• 2.Communication with doctors
• 3. Responsiveness of hospital staff
• 4. Pain management
• 5.Communication about medicines
• 6. Discharge information
• 7. Care Transition
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Other Questions You Impact
Hospital Environment
During this hospital stay, how often were your room & bathroom kept
clean?
Never, sometimes, usually, always
During this hospital stay, how often was the area around your room quiet at
night?
Never, sometimes, usually, always
Global Rating
Using any number from 0 to 10, where 0 is the worst hospital possible and
10 is the best hospital possible, what number would you use to rate this
hospital during your stay?
0-worst—10-best possible hospital
Would you recommend this hospital to your friends & family?
Definitely no, probably no, probably yes, definitely yes
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General Survey Guidelines
Patient Eligibility
Adult (18+)
Medical, surgical or maternity care
Overnight stay, or longer
Alive at discharge
Excludes hospice discharge, prisoner, foreign address, “nopublicity” patients, patients excluded due to state regulations,
and patients discharged to nursing homes, SNF swing bed
within hospital, and skilled nursing facilities
HCAHPS encompasses ~80-85% of inpatients
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Communication Guidelines
Hospitals SHOULD
Encourage response to the survey
“It is permissible to notify the patient while in the hospital or at discharge
that they may receive a survey after discharge.”
Improve the patient experience
Distribute the communication guidelines
Hospitals SHOULD NOT
Ask patients for a certain score
Indicate that their goal is to receive a certain score
New: Show the HCAHPS survey or cover letter to the patient prior to
survey administration
New: Mail pre-notification letter or postcards
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Value Based
Purchasing
Value-Based Purchasing
Common Terminology: Pay for performance or Pay for quality
Health Reform Updates
Value Based Purchasing started in fiscal 2013
Current hospital VBP program will transition from “Pay-for-Reporting” to “Pay-for
Performance”
Up to 2% of your Medicare reimbursement will be at stake
Hospitals will lose reimbursement unless their performance is at benchmark
levels
Includes HCAHPS performance and Core Measures
Will start at 1% and this will be ramped up to 2% by 2017
Who will be reimbursed for HCAHPS performance?
Top performing healthcare providers
Greatest improving healthcare providers
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Hospital Value Based Purchasing - Measures
Future Measures
AHRQ patient safety indicators, inpatient quality indicators and composite
measures
Nursing sensitive care
AMI, heart failure and pneumonia mortality rates
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Thank you for
attending!
http://www.medicare.gov/hospitalcompare/search.htm
ww.cms.gov
www.hcahpsonline.org
www.pressganey.com