Overview of the Hospital Safety Score September 24, Missy Danforth, Senior Director of Hospital Ratings, The Leapfrog Group
|
|
- William Little
- 6 years ago
- Views:
Transcription
1 Overview of the Hospital Safety Score September 24, 2013 Missy Danforth, Senior Director of Hospital Ratings, The Leapfrog Group
2 Presentation Overview Who is getting a Hospital Safety Score? Changes to the Scoring Methodology Since May 2013 New Measures Details of the data review process Important Dates Questions 2
3 What is the Hospital Safety Score? The Hospital Safety Score is an A, B, C, D, or F letter grade reflecting how safe hospitals are for patients. The Hospital Safety Score launched in June This October will be the fourth release. More information at 3
4 What Hospitals Will Receive a Hospital Safety Score? General, acute-care hospitals for which there is adequate public data Excluded Hospitals include: Specialty Hospitals (i.e. surgical centers, cancer hospitals, women s hospitals, etc.) Critical Access Hospitals Free Standing Pediatric Facilities Non-IPPS participating hospitals (hospitals from the state of MD) Hospitals Missing Too Much Data: More than 9 process measures More than 4 outcome measures 4
5 SCORING OVERVIEW 5
6 Measure Selection Criteria Measures are publicly-reported from national data sources, reflecting individual hospital results Leapfrog Hospital Survey Centers for Medicare and Medicaid Services data sets Measures are endorsed or in use by a national measurement entity Measures are linked to patient safety ( freedom from harm ) Directly quantifying patient safety events Assessing processes that lead to better outcomes Identified by experts as important to patient safety 6
7 Measures included in the Hospital Safety Score Measure Name Primary Data Source Secondary Data Source Process and Structural Measures (15) Computerized Physician Order Entry (CPOE) 2013 Leapfrog Hospital Survey* 2012 HIT Supplement I* ICU Physician Staffing (IPS) 2013 Leapfrog Hospital Survey* 2011 AHA Annual Survey i Safe Practice 1: Leadership Structures and Systems 2013 Leapfrog Hospital Survey* Safe Practice 2: Culture Measurement, Feedback and Intervention 2013 Leapfrog Hospital Survey* Safe Practice 3: Teamwork Training and Skill Building 2013 Leapfrog Hospital Survey* Safe Practice 4: Identification and Mitigation of Risks and Hazards 2013 Leapfrog Hospital Survey* Safe Practice 9: Nursing Workforce 2013 Leapfrog Hospital Survey* Safe Practice 17: Medication Reconciliation 2013 Leapfrog Hospital Survey* Safe Practice 19: Hand Hygiene 2013 Leapfrog Hospital Survey* Safe Practice 23: Care of the Ventilated Patient 2013 Leapfrog Hospital Survey* SCIP INF 1: Antibiotic within 1 Hour CMS Hospital Compare* SCIP INF 2: Antibiotic Selection CMS Hospital Compare* SCIP INF 3: Antibiotic Discontinued After 24 Hours CMS Hospital Compare* SCIP INF 9: Catheter Removal CMS Hospital Compare* SCIP VTE 2: VTE Prophylaxis CMS Hospital Compare* Outcome Measures (13) Foreign Object Retained CMS HACs* Air Embolism CMS HACs* Pressure Ulcer Stages 3 and 4 CMS HACs* Falls and Trauma CMS HACs* CLABSI 2013 Leapfrog Hospital Survey* CMS Hospital Compare* CAUTI 2013 Leapfrog Hospital Survey CMS Hospital Compare SSI: Colon CMS Hospital Compare PSI 4: Death Among Surgical Inpatients CMS AHRQ PSI PSI 6: Iatrogenic Pneumothorax CMS AHRQ PSI PSI 11: Postoperative Respiratory Failure CMS AHRQ PSI* PSI 12: Postoperative PE/DVT CMS AHRQ PSI PSI 14: Postoperative Wound Dehiscence CMS AHRQ PSI PSI 15: Accidental Puncture or Laceration CMS AHRQ PSI 7 [i] AHA Annual Survey 2011 Health Forum, LLC *Updated Since May 2013
8 Weighting Process Two (2) measure domains, each weighted 50%: 1. Process/structural measures 2. Outcome measures Three (3) criteria for weighting individual measures Strength of Evidence (rating of 1 or 2) Opportunity (rating of 1, 2, 3), based on coefficient of variation Impact (rating of 1, 2, or 3), based on no. of patients possibly affected by the event and severity of harm to individual patients Weight score: [Evidence + (Opportunity x Impact)] 8
9 Z-Score Methodology Standardizes data from individual measures with different scales Counts how many standard deviations a hospital s score on the measure is away from the mean Mean always equals 0; worse than mean = negative z-score ; better than mean = positive z-score Translate raw score on measure to z-score: Process/Structural Measures = [(Hospital Score Mean)/Standard Deviation] Outcome Measures = [(Mean Hospital Score)/Standard Deviation] 9
10 Overall Score Summation of z-score for each measure weight for each measure CPOE z-score CPOE weight + IPS z-score x IPS weight + CLABSI z-score CLABSI weight.... etc. If measure has missing data, then weight for that measure is re-apportioned to other measures within the same domain 3.0 was added to each hospital s final score to avoid possible confusion with interpreting negative patient safety scores 10
11 CHANGES TO THE SCORING METHODOLOGY SINCE MAY
12 Two New Measures CAUTI Primary Data Source: Leapfrog Hospital Survey Secondary Data Source: CMS HAI Data Element: SIR SSI: Colon Primary Data Source: CMS HAI Data Element: SIR 12
13 DETAILS OF THE DATA REVIEW PROCESS 13
14 Secure Website Details on what public reports were used to obtain source data. Links to source data with instructions. Hospitals must confirm their Medicare Provider Number before moving on to the next page. 14
15 Source Data Instructions for hospital to review their source data and a link to the help desk For each measure, hospitals are provided with the measure name, type of measure, data source (primary or secondary), reporting period, measure score (i.e. points, rate, SIR, etc) Hospitals are asked to confirm that each Measure Score matches their score (i.e. rate, SIR, etc) from the Data Source (i.e. Leapfrog Hospital Survey Results, CMS Hospital Compare, etc) 15
16 Where to Locate Source Data Hospitals That Submitted a Leapfrog Hospital Survey by August 31, 2013 CPOE: Visit find the column labeled prevent medication errors. Leapfrog score used to determine points towards safety score (i.e. 4 bars equals 100 points, 3 bars equals 50 points, etc). ICU Physician Staffing: Visit find the column labeled Appropriate ICU Staffing. Leapfrog score used to determine points towards safety score. CLABSI and CAUTI Standardized Infection Ratio (SIR): Visit find the column labeled prevent ICU infections. The SIR was used to calculate in the safety score calculation, and is located in the first sentence in the first paragraph above the table. 16
17 Where to find your hospital's CLABSI SIR on Leapfrog s results website 17
18 Where to Locate Source Data Hospitals That Did Not Submit a Leapfrog Hospital Survey by August 31, 2013 Safe Practice Points Log into your 2013 Leapfrog Hospital Survey 18
19 Where to find your hospital s CLABSI, CAUTI, SSI SIR on CMS results website 19
20 20
21 Where to Locate Source Data CMS Data for All Hospitals SCIP Measures: Hospital rates are published by CMS at Care-Measures-Surgical-Care-Im/iz5u-4mk2 HACs: Use the downloadable database on the Data Preview Website PSI 11: Use the downloadable database on the Data Preview Website Other PSIs: Hospital rates are published by CMS at Healthcare-Research-And-Quality-Measure/vs3q-rxc5 You can download your hospital s results into a CSV or XLS formatted file. 21
22 Where to Locate Source Data AHA Data for Hospitals That Did Not Complete a Leapfrog Hospital Survey by August 31, 2013 ICU Physician Staffing AHA Annual Survey CPOE 2012 HIT Supplement Please contact AHA Health Forum Please note: corrects will only be accepted to through October 7th 22
23 What if the Measure Score doesn t match the public report? Hospitals are asked to contact the help desk immediately once they have confirmed the measure and reporting period. Hospitals must provide a copy of the public report that shows a different score If we find a recording error, we will update the score and re-issue a numerical safety score 23
24 Preview Numerical Safety Score 24
25 Important Dates September Letter sent to CEOs of hospitals receiving a Hospital Safety Score. Letter included: Information about the Hospital Safety Score A username/password to a secure website where hospitals can review the source data that Leapfrog used to calculate their numerical safety score Links to the Hospital Safety Score help desk and helpful documents September 19 October 7- Courtesy Data Preview Period Mid-October Hospitals will be able to preview letter grades 48 hours prior to the pubic release ( Late October Letter Grades will be published at For more information about important dates, visit: 25
26 More Information Hospital Safety Score Help Desk - scorehelp@leapfroggroup.org Hospital Safety Score Website Data Review Website
Overview of the Spring 2016 Hospital Safety Score March 7, Missy Danforth, Vice President of Hospital Ratings, The Leapfrog Group
Overview of the Spring 2016 Hospital Safety Score March 7, 2016 Missy Danforth, Vice President of Hospital Ratings, The Leapfrog Group Presentation Overview Who is getting a Hospital Safety Score? Scoring
More informationOVERVIEW OF THE SPRING 2018 LEAPFROG HOSPITAL SAFETY GRADE
OVERVIEW OF THE SPRING 2018 LEAPFROG HOSPITAL SAFETY GRADE February 26, 2018 Missy Danforth Vice President of Health Care Ratings, The Leapfrog Group Presentation Overview 2 About the Leapfrog Hospital
More informationOVERVIEW OF THE FALL 2017 LEAPFROG HOSPITAL SAFETY GRADE
OVERVIEW OF THE FALL 2017 LEAPFROG HOSPITAL SAFETY GRADE September 20, 2017 Missy Danforth Vice President of Health Care Ratings, The Leapfrog Group Presentation Overview 2 About the Leapfrog Hospital
More informationSCORING METHODOLOGY APRIL 2014
SCORING METHODOLOGY APRIL 2014 HOSPITAL SAFETY SCORE Contents What is the Hospital Safety Score?... 4 Who is The Leapfrog Group?... 4 Eligible and Excluded Hospitals... 4 Scoring Methodology... 5 Measures...
More informationScoring Methodology FALL 2016
Scoring Methodology FALL 2016 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 7 Process/Structural Measures... 7 Computerized Physician Order
More informationScoring Methodology FALL 2017
Scoring Methodology FALL 2017 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician Order
More informationScoring Methodology SPRING 2018
Scoring Methodology SPRING 2018 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 6 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician
More informationSafety Grade Review Instructions FALL 2018 SAFETY GRADE REVIEW PERIOD ( SEPTEMBER 18 OCTOBER 8, 2018)
Safety Grade Review Instructions FALL 2018 SAFETY GRADE REVIEW PERIOD ( SEPTEMBER 18 OCTOBER 8, 2018) CONTENTS Get Started... 2 Complete the Review Process... 3 Hospital Source Data... 3 Leapfrog Hospital
More informationSafety Grade Review Instructions SPRING 2018 SAFETY GRADE REVIEW PERIOD (FEBRUARY 20 MARCH 9, 2018)
Safety Grade Review Instructions SPRING 2018 SAFETY GRADE REVIEW PERIOD (FEBRUARY 20 MARCH 9, 2018) CONTENTS GET STARTED... 2 COMPLETE THE REVIEW PROCESS... 3 HOSPITAL SOURCE DATA... 3 LEAPFROG HOSPITAL
More informationNational Provider Call: Hospital Value-Based Purchasing
National Provider Call: Hospital Value-Based Purchasing Fiscal Year 2015 Overview for Beneficiaries, Providers, and Stakeholders Centers for Medicare & Medicaid Services 1 March 14, 2013 Medicare Learning
More informationFY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar
FY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar May 23, 2013 AAMC Staff: Scott Wetzel, swetzel@aamc.org Mary Wheatley, mwheatley@aamc.org Important Info on Proposed Rule In Federal Register
More informationAdditional Considerations for SQRMS 2018 Measure Recommendations
Additional Considerations for SQRMS 2018 Measure Recommendations HCAHPS The Hospital Consumer Assessments of Healthcare Providers and Systems (HCAHPS) is a requirement of MBQIP for CAHs and therefore a
More information(202) or CMS Proposals to Improve Quality of Care during Hospital Inpatient Stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE April 30, 2014 Contact: CMS Media
More informationThe Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey
The Leapfrog Hospital Survey Scoring Algorithms Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey 2017 Leapfrog Hospital Survey Scoring Algorithms Table of Contents 2017 Leapfrog Hospital
More informationHospital-Acquired Condition Reduction Program. Hospital-Specific Report User Guide Fiscal Year 2017
Hospital-Acquired Condition Reduction Program Hospital-Specific Report User Guide Fiscal Year 2017 Contents Overview... 4 September 2016 Error Notice... 4 Background and Resources... 6 Updates for FY 2017...
More informationMedicare Value Based Purchasing August 14, 2012
Medicare Value Based Purchasing August 14, 2012 Wes Champion Senior Vice President Premier Performance Partners Copyright 2012 PREMIER INC, ALL RIGHTS RESERVED Premier is the nation s largest healthcare
More informationHospital Inpatient Quality Reporting (IQR) Program Measures (Calendar Year 2012 Discharges - Revised)
The purpose of this document is to provide a reference guide on submission and Hospital details for Quality Improvement Organizations (QIOs) and hospitals for the Hospital Inpatient Quality Reporting (IQR)
More informationHospital Acquired Conditions: using ACS-NSQIP to drive performance. J Michael Henderson Jackie Matthews Nirav Vakharia
Hospital Acquired Conditions: using ACS-NSQIP to drive performance J Michael Henderson Jackie Matthews Nirav Vakharia Your Team: Quality & Patient Safety Institute Cleveland Clinic Mike Henderson: Chief
More informationFY 2014 Inpatient Prospective Payment System Proposed Rule
FY 2014 Inpatient Prospective Payment System Proposed Rule Summary of Provisions Potentially Impacting EPs On April 26, 2013, the Centers for Medicare and Medicaid Services (CMS) released its Fiscal Year
More informationInpatient Quality Reporting Program
Hospital Value-Based Purchasing Program: Overview of FY 2017 Questions & Answers Moderator: Deb Price, PhD, MEd Educational Coordinator, Inpatient Program SC, HSAG Speaker(s): Bethany Wheeler, BS HVBP
More information2018 LEAPFROG HOSPITAL SURVEY TOWN HALL CALL. April 25 & May 9. Missy Danforth, Vice President, Health Care Ratings, The Leapfrog Group
2018 LEAPFROG HOSPITAL SURVEY TOWN HALL CALL April 25 & May 9 Missy Danforth, Vice President, Health Care Ratings, The Leapfrog Group 2 Leapfrog Hospital Survey Overview Annual Survey Process Behind the
More informationObjectives. Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004
Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004 Session: C658 2013 ANCC National Magnet Conference Thursday, October 3, 2013
More informationJune 22, Leah Binder President and CEO The Leapfrog Group 1660 L Street, N.W., Suite 308 Washington, D.C Dear Ms.
Richard J. Umbdenstock President and Chief Executive Officer Liberty Place, Suite 700 325 Seventh Street, NW Washington, DC 20004-2802 (202) 626-2363 Phone www.aha.org Leah Binder President and CEO The
More informationConnecting the Revenue and Reimbursement Cycles
Connecting the Revenue and Reimbursement Cycles Tuesday, August 19 th, 2014 Toni G. Cesta, Ph.D., RN, FAAN Consultant and Partner Case Management Concepts New York Office And Bev Cunningham, MS, RN Vice
More informationAccreditation, Quality, Risk & Patient Safety
Accreditation, Quality, Risk & Patient Safety Accreditation The Joint Commission (TJC) Centers for Medicare & Medicaid Services (CMS) Wyoming Department of Health (DOH) Joint Commission: - Joint Commission
More information2017 LEAPFROG TOP HOSPITALS
2017 LEAPFROG TOP HOSPITALS METHODOLOGY AND DESCRIPTION In order to compare hospitals to their peers, Leapfrog first placed each reporting hospital in one of the following categories: Children s, Rural,
More informationQuality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment
Quality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment presented by Sherry Kwater, MSM,BSN,RN Chief Nursing Officer Penn State Hershey Medical Center Objectives 1. Understand
More informationThe Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle
The Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle Kim Charland, BA, RHIT, CCS Senior Vice President Clinical Innovation and Publisher VBPmonitor
More informationCMS Quality Program- Outcome Measures. Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018
CMS Quality Program- Outcome Measures Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018 Philosophy The Centers for Medicare and Medicaid Services (CMS) is changing
More informationExecuting a Patient Experience Measurement Initiative
Executing a Patient Experience Measurement Initiative Cathy Gorman Klug RN, MSN Director, Quality Service Line Nuance 2015 Nuance Communications, Inc. All rights reserved. Patient Experience Defined-The
More informationCompetitive Benchmarking Report
Competitive Benchmarking Report Sample Hospital A comparative assessment of patient safety, quality, and resource use, derived from measures on the Leapfrog Hospital Survey. POWERED BY www.leapfroggroup.org
More informationMedicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years
julian.coomes@flhosp.orgjulian.coomes@flhosp.org Medicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years 2018-2020 October 2017 Table of Contents Value Based Purchasing (VBP)
More informationTOWN HALL CALL 2017 LEAPFROG HOSPITAL SURVEY. May 10, 2017
2017 LEAPFROG HOSPITAL SURVEY TOWN HALL CALL May 10, 2017 Matt Austin, PhD, Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine 2 Leapfrog Hospital Survey Overview Annual Survey
More information1. Recommended Nurse Sensitive Outcome: Adult inpatients who reported how often their pain was controlled.
Testimony of Judith Shindul-Rothschild, Ph.D., RNPC Associate Professor William F. Connell School of Nursing, Boston College ICU Nurse Staffing Regulations October 29, 2014 Good morning members of the
More informationLearning Objectives. Medicare P4P Programs. How to Interpret Medicare s Hospital Pay for Performance Reports
1 How to Interpret Medicare s Hospital Pay for Performance Reports Richard D. Pinson, MD, FACP, CCS Principal Pinson & Tang, LLC Houston, TX Learning Objectives At the completion of this educational activity,
More informationHospital Value-Based Purchasing (VBP) Program
Healthcare-Associated Infection (HAI) Measures Reminders and Updates Questions & Answers Moderator Maria Gugliuzza, MBA Project Manager, Hospital Value-Based Purchasing (VBP) Program Hospital Inpatient
More informationNational Patient Safety Goals & Quality Measures CY 2017
National Patient Safety Goals & Quality Measures CY 2017 General Clinical Orientation 2017 January National Patient Safety Goals 1. Identify Patients Correctly 2. Improve Staff Communication 3. Use Medications
More informationLeapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS
Leapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS Welcome to the 2018 Leapfrog Hospital Survey... 6 Important Notes about the 2018 Survey... 6 Overview
More informationMedicare Value Based Purchasing Overview
Medicare Value Based Purchasing Overview South Carolina Hospital Association DataGen Susan McDonough Bill Shyne October 29, 2015 Today s Objectives Overview of Medicare Value Based Purchasing Program Review
More informationInpatient Hospital Compare Preview Report Help Guide
Inpatient Hospital Compare Preview Report Help Guide The target audience for this publication is hospitals. The document scope is limited to instructions for hospitals on how to access and understand the
More informationImproving quality of care during inpatient hospital stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Communications FACT SHEET FOR IMMEDIATE RELEASE Contact:
More informationK-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2
Outcome Measure for Any One of the Following: Outcome Measures Meeting Either A or B: Adverse Drug Events (ADE) All measures are surveillance data Hospital Collected Anticoagulant (ADE-12) Opioid (ADE-111)
More informationJune 27, Dear Ms. Tavenner:
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 27, 2014 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid
More informationHospital Quality Reporting Program Updates: An Overview of the CMS Final IPPS Rule for 2017
Hospital Quality Reporting Program Updates: An Overview of the CMS Final IPPS Rule for 2017 Presented by Vicky Mahn-DiNicola RN, MS, CPHQ VP Clinical Analytics & Research, Midas+, A Xerox Company Accessing
More informationAugust 1, 2012 (202) CMS makes changes to improve quality of care during hospital inpatient stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE Contact: CMS Media Relations
More informationClinical Documentation: Beyond The Financials Cheryll A. Rogers, RHIA, CDIP, CCDS, CCS Senior Inpatient Consultant 3M HIS Consulting Services
Clinical Documentation: Beyond The Financials Cheryll A. Rogers, RHIA, CDIP, CCDS, CCS Senior Inpatient Consultant 3M HIS Consulting Services Clinical Documentation: Beyond The Financials Key Points of
More informationGHS Quality and Safety Report
GHS Quality and Safety Report January 2012 Core Measures Background The Center for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) have developed process of care measures for Acute
More informationLeapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS
Leapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS Welcome to the 2017 Leapfrog Hospital Survey... 6 Important Notes about the 2017 Survey... 6 Overview
More informationJune 24, Dear Ms. Tavenner:
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 24, 2013 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid
More informationSUMMARY OF CHANGES TO THE 2018 LEAPFROG HOSPITAL SURVEY & RESPONSES TO PUBLIC COMMENTS
SUMMARY OF CHANGES TO THE 2018 LEAPFROG HOSPITAL SURVEY & RESPONSES TO PUBLIC COMMENTS PUBLISHED MARCH 23, 2018 Each year, The Leapfrog Group s team of researchers, in conjunction with the Armstrong Institute
More informationWelcome and Instructions
Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code 56350822# Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.
More informationMedicare Value Based Purchasing Overview
Medicare Value Based Purchasing Overview Washington State Hospital Association Apprise Health Insights / Oregon Association of Hospitals and Health Systems DataGen Susan McDonough Lauren Davis Bill Shyne
More informationMinnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Statewide
More informationTOWN HALL CALL 2017 LEAPFROG HOSPITAL SURVEY. April 26, 2017
2017 LEAPFROG HOSPITAL SURVEY TOWN HALL CALL April 26, 2017 Missy Danforth, Vice President, Hospital Ratings, The Leapfrog Group Matt Austin, PhD, Armstrong Institute for Patient Safety and Quality, Johns
More informationMedicare Payment Strategy
Data and Analytics Medicare Payment Strategy CMS Inpatient Pay For Performance Program Update Eric Fontana, Practice Manager, Data and Analytics Group analytics@advisory.com 2011 THE ADVISORY BOARD COMPANY
More informationGHS Quality and Safety Report
GHS Quality and Safety Report April 2012 Core Measures Background The Center for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) have developed process of care measures for Acute Myocardial
More informationInpatient Hospital Compare Preview Report Help Guide
Inpatient Hospital Compare Preview Report Help Guide The target audience for this publication is hospitals. The document scope is limited to instructions for hospitals on how to access and interpret the
More informationP4P Programs 9/13/2013. Medicare P4P Programs. Medicaid P4P Programs
P4P Programs Medicare P4P Programs Hospital Quality Reporting Programs (IQR and OQR) Hospital Value-Based Purchasing (VBP) Program Hospital Readmissions Reduction Program (HRRP) Hospital-Acquired Conditions
More informationPerformance Scorecard 2013
NORTHWESTERN LAKE FOREST HOSPITAL Performance Scorecard 2013 updated May 2013 Northwestern Lake Forest Hospital is committed to providing the communities we serve the highest quality health care through
More informationThe Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2018 Leapfrog Hospital Survey
The Leapfrog Hospital Survey Scoring Algorithms Scoring Details for Sections 2 9 of the 2018 Leapfrog Hospital Survey 2018 Leapfrog Hospital Survey Scoring Algorithms Table of Contents 2018 Leapfrog Hospital
More informationMastering the Mandatory Elements of the Affordable Care Act. Melinda Hancock Walter Coleman
Mastering the Mandatory Elements of the Affordable Care Act Melinda Hancock Walter Coleman 1 ACA Gains through 2019 Amounts in Billions Source:CBO and Joint Committee on Taxation, 2010 Projection 2 Current
More information2018 LEAPFROG HOSPITAL SURVEY ORGANIZATIONAL BINDER
2018 LEAPFROG HOSPITAL SURVEY ORGANIZATIONAL BINDER TABLE OF CONTENTS Section # Tab # Overview 1 Section 1: Basic Hospital Information 2 Section 2: Medication Safety CPOE 3 Section 3: Inpatient Surgery
More informationHealthcare- Associated Infections in North Carolina
2018 Healthcare- Associated Infections in North Carolina Reference Document Revised June 2018 NC Surveillance for Healthcare-Associated and Resistant Pathogens Patient Safety Program NC Department of Health
More informationThe dawn of hospital pay for quality has arrived. Hospitals have been reporting
Value-based purchasing SCIP measures to weigh in Medicare pay starting in 2013 The dawn of hospital pay for quality has arrived. Hospitals have been reporting Surgical Care Improvement Project (SCIP) measures
More informationStar Rating Method for Single and Composite Measures
Star Rating Method for Single and Composite Measures CheckPoint uses three-star ratings to enable consumers to more quickly and easily interpret information about hospital quality measures. Composite ratings
More informationOHA HEN 2.0 Partnership for Patients Letter of Commitment
OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information
More informationIncentives and Penalties
Incentives and Penalties CAUTI & Value Based Purchasing and Hospital Associated Conditions Penalties: How Your Hospital s CAUTI Rate Affects Payment Linda R. Greene, RN, MPS,CIC UR Highland Hospital Rochester,
More informationTroubleshooting Audio
Welcome! Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines
More informationPatient Experience of Care Survey Results Hospital Consumer Assessment of Healthcare Providers and Systems (Inpatient)
Patient Experience of Care Survey Results Hospital Consumer Assessment of Healthcare Providers and Systems (Inpatient) HCAHPS QUESTION DESCRIPTION (April 2016 - March 2017) Patients who reported that their
More informationValue Based Purchasing
Value Based Purchasing Baylor Health Care System Leadership Summit October 26, 2011 Sheri Winsper, RN, MSN, MSHA Vice President for Performance Measurement & Reporting Institute for Health Care Research
More informationImpacting Quality Initiatives through Documentation Improvement. Fran Jurcak, MSN, RN, CCDS Vice President of Clinical Innovation Iodine Software
Impacting Quality Initiatives through Documentation Improvement Fran Jurcak, MSN, RN, CCDS Vice President of Clinical Innovation Iodine Software Objectives The learner will be able to: Articulate the goals
More informationUnderstanding HSCRC Quality Programs and Methodology Updates
Understanding HSCRC Quality Programs and Methodology Updates Kristen Geissler, MS, PT, CPHQ, MBA Managing Director Beth Greskovich - Director Berkeley Research Group August 19, 2016 Maryland Waiver and
More informationQuality Based Impacts to Medicare Inpatient Payments
Quality Based Impacts to Medicare Inpatient Payments Overview New Developments in Quality Based Reimbursement Recap of programs Hospital acquired conditions Readmission reduction program Value based purchasing
More informationQuality Based Impacts to Medicare Inpatient Payments
Quality Based Impacts to Medicare Inpatient Payments Brian Herdman Operations Manager, CBIZ KA Consulting Services, LLC July 30, 2015 Overview How did we get here? Summary of IPPS Quality Programs Hospital
More informationCatherine Porto, MPA, RHIA, CHP Executive Director HIM. Madelyn Horn Noble 3M HIM Data Analyst
1 Catherine Porto, MPA, RHIA, CHP Executive Director HIM Madelyn Horn Noble 3M HIM Data Analyst University of New Mexico Hospitals» The state s only academic medical center» The primary teaching hospital
More informationLeapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS
Leapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS Welcome to the 2016 Leapfrog Hospital Survey... 6 Important Notes about the 2016 Survey... 6 Overview
More informationHospital Value-Based Purchasing (VBP) Program
Fiscal Year (FY) 2018 Percentage Payment Summary Report (PPSR) Overview Questions & Answers Moderator Maria Gugliuzza, MBA Project Manager, Hospital VBP Program Hospital Inpatient Value, Incentives, and
More informationInpatient Hospital Compare Preview Report Help Guide
Inpatient Hospital Compare Preview Report Help Guide The target audience for this publication is hospitals. The document scope is limited to instructions for hospitals to access and interpret the data
More informationHealthcare- Associated Infections in North Carolina
2012 Healthcare- Associated Infections in North Carolina Reference Document Revised May 2016 N.C. Surveillance for Healthcare-Associated and Resistant Pathogens Patient Safety Program N.C. Department of
More informationPROPOSED CHANGES TO THE 2018 LEAPFROG HOSPITAL SURVEY
PROPOSED CHANGES TO THE 2018 LEAPFROG HOSPITAL SURVEY OPEN FOR PUBLIC COMMENT Each year, The Leapfrog Group s team of researchers reviews the literature and convenes expert panels to ensure the Leapfrog
More informationMinnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Statewide
More informationBuilding a Culture That Lasts
Building a Culture That Lasts Establishing a Leadership Legacy Quality Texas Foundation June 28, 2016 M. Michael Shabot, MD, FACS, FCCM, FACMI Executive Vice President System Chief Clinical Officer V2
More informationAnalysis of 340B Disproportionate Share Hospital Services to Low- Income Patients
Analysis of 340B Disproportionate Share Hospital Services to Low- Income Patients March 12, 2018 Prepared for: 340B Health Prepared by: L&M Policy Research, LLC 1743 Connecticut Ave NW, Suite 200 Washington,
More informationFinancial Policy & Financial Reporting. Jay Andrews VP of Financial Policy
Financial Policy & Financial Reporting Jay Andrews VP of Financial Policy 1 Members & Groups Supported Center for Healthcare Excellence Hospital Leadership & Quality Departments Hospital Finance Departments
More informationCare Coordination What Matters
Care Coordination What Matters Researchers, Improvers, Providers, Patients and Caregivers Jane Brock, MD, MSPH Telligen 2 A little background how did we get here? Transitional care/care coordination A
More informationThe Iowa Healthcare Collaborative - HEN Measure Descriptions
The Iowa Healthcare Collaborative - HEN Measure Descriptions Yellow Pink Purple Green Blue Legend Readmissions and Care Transitions Healthcare-associated Infections Hospital Acquired Conditions Safety
More informationValue-based incentive payment percentage 3
Report Run Date: 07/12/2013 Hospital Value-Based Purchasing Value-Based Percentage Payment Summary Report Page 1 of 5 Percentage Summary Report Data as of 1 : 07/08/2013 Total Score Facility State National
More informationCMS in the 21 st Century
CMS in the 21 st Century ICE 2013 ANNUAL CONFERENCE David Saÿen, MBA Regional Administrator Centers for Medicare & Medicaid Services San Francisco November 15, 2013 The strategy is to concurrently pursue
More informationCY 2012 Medicare Outpatient Prospective Payment System (OPPS) Final Rule
CY 2012 Medicare Outpatient Prospective Payment System (OPPS) Final Rule Lori Mihalich-Levin, J.D. (lmlevin@aamc.org; 202-828-0599) Jennifer Faerberg (jfaerberg@aamc.org; 202-862-6221) Jane Eilbacher (jeilbacher@aamc.org;
More informationQuality Reporting in the Public Domain
Quality Reporting in the Public Domain Disclaimer This material is designed and provided to communicate information about inpatient coding, clinical documentation, and/or compliance in an educational format
More informationQuality Measures in Healthcare Facilities for Patient Family Advisory Council members
Quality Measures in Healthcare Facilities for Patient Family Advisory Council members Maura Collins Feldman Director, Hospital Performance Measurement & Improvement June 11, 2014 Today s Agenda What are
More information2014 Inova Fairfax Medical Campus Quality Report
2014 Inova Fairfax Medical Campus Quality Report Overview Inova Fairfax Medical Campus is comprised of Inova Fairfax Hospital and Inova Children s Hospital. Inova Fairfax Hospital is a top-rated tertiary
More informationReplication analysis of the validity and comparability of Patient Safety Indicators (PSI): the impact of AHRQ exclusions
Replication analysis of the validity and comparability of Patient Safety Indicators (PSI): the impact of AHRQ exclusions by Vladimir Stevanovic and Lihan Wei The OECD HCQI Expert Group Meeting Paris, 3
More informationHealthInsight HIIN Onboarding Event: DATA, DATA, DATA. April 12, a.m. to noon PT Noon to 1 p.m. MT
HealthInsight HIIN Onboarding Event: DATA, DATA, DATA April 12, 2017 11 a.m. to noon PT Noon to 1 p.m. MT Welcome So glad you are able to join us! This session is being recorded and a copy of the slides
More informationUnderstanding Hospital Value-Based Purchasing
VBP Understanding Hospital Value-Based Purchasing Updated 12/2017 Starting in October 2012, Medicare began rewarding hospitals that provide high-quality care for their patients through the new Hospital
More informationQuality Health Indicators: Measure List. Clinical Quality: Monthly
Clinical Quality: Monthly Healthcare Associated Infections per 100 Inpatient Days *Core Measure* Unassisted Patient Falls per 100 Inpatient Days *Core Measure* Readmission within 30 days (All Cause) -
More informationPharmacy Round Table Tuesday, August 20, 2013
Florida Hospital Association Hospital Engagement Network (HEN) Pharmacy Round Table Tuesday, August 20, 2013 Audio for today s presentation is broadcast via phone access only: Please Dial-in - 866.740.1260
More informationNEW JERSEY HOSPITAL PERFORMANCE REPORT 2014 DATA PUBLISHED 2016 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES
NEW JERSEY HOSPITAL PERFORMANCE REPORT 2014 DATA PUBLISHED 2016 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health Health Care Quality Assessment
More informationHAI, NHSN and VBP: What s New and What You Need To Know
HAI, NHSN and VBP: What s New and What You Need To Know Christine Martini-Bailey RN, BSN, CSSGB Director, Quality Improvement and Patient Safety Health Services Advisory Group (HSAG) April 27, 2017 Objectives
More informationMedicare Value-Based Purchasing for Hospitals: A New Era in Payment
Medicare Value-Based Purchasing for Hospitals: A New Era in Payment Daniel J. Hettich March, 2012 I. Introduction: Evolution of Medicare as a Purchaser Cost reimbursement rewards furnishing more services
More information