Value-based incentive payment percentage 3

Transcription

1 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 Scores Domain Unweighted Domain Score Weighting Weighted Domain Score Clinical Process of Care % Patient Experience of Care % Outcome % Value-Based Percentage Payment Summary - Fiscal Year 2014 Base operating DRG payment amount reduction 2 Value-based incentive payment percentage 3 Net change in base operating DRG payment amount 4 Value-based incentive payment adjustment factor 5 Exchange function slope % % % The Data As Of Date is the date of the last time data were updated for the hospital. 2 The percent by which base operating DRG payment amounts will be reduced. This percent will be 1.25% in FY 2014 and will gradually increase over time. Note: Also called the applicable percent. 3 The percentage of the total base operating DRG payment amount that a hospital has earned back based on its Total Score (TPS) for the fiscal year. 4 The percent that FY 2014 base operating DRG payment amounts will be changed due to the Hospital VBP program. It is computed as the value-based incentive payment percentage minus the base operating DRG payment amount reduction. A positive number indicates that the hospital will receive higher FY 2014 base operating DRG payment amounts under the Hospital VBP Program. A negative number indicates that the hospital will receive lower FY 2014 base operating DRG payment amounts under the Hospital VBP program. 5 The number by which the hospital's FY 2014 base operating DRG payment amount for each discharge will be multiplied under the Hospital VBP program. A value greater than 1 indicates that the hospital will have higher FY 2014 base operating DRG payment amounts under the Hospital VBP program. A value less than 1 indicates that the hospital will have lower FY 2014 base operating DRG payment amounts under the Hospital VBP program. 6 A Linear exchange function with this slope was used to distribute the estimated available amount of value-based incentive payments to hospitals, based on their Total Scores.

2 Report Run Date: 07/12/2013 Hospital Value-Based Purchasing Value-Based Percentage Payment Summary Report Page 2 of 5 Clinical Process of Care Measures Detail Report FY 2014 Baseline Period Totals FY 2014 Period Totals Clinical Process of Care Measures Numerator Denominator Baseline Numerator Denominator Acute Myocardial Infarction (AMI) AMI-7a - Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival N/A N/A - N/A N/A - AMI-8a - Primary PCI Received Within 90 Minutes of Hospital Arrival N/A N/A - N/A N/A - Healthcare-Associated Infections (HAI) SCIP-Inf-1 - Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision SCIP-Inf-2 - Prophylactic Antibiotic Selection for Surgical Patients SCIP-Inf-3 - Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time SCIP-Inf-4 - Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Blood Glucose N/A N/A - N/A N/A - SCIP-Inf-9 - Postoperative Urinary Catheter Removal on Postoperative Day 1 or Heart Failure (HF) HF-1 - Discharge Instructions Pneumonia (PN) PN-3b - Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital PN-6 - Initial Antibiotic Selection for CAP Immunocompetent Patient Surgical Care Project (SCIP) SCIP-Card-2 - Surgery Patients on Beta-Blocker Therapy Prior to Arrival Who Received a Beta-Blocker During the Perioperative Period SCIP-VTE-1 - Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered SCIP-VTE-2 - Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery **Note: N/A indicates no data were available or submitted for this measure.

3 Report Run Date: 07/12/2013 Hospital Value-Based Purchasing Value-Based Percentage Payment Summary Report Page 3 of 5 Clinical Process of Care Measures Detail Report HVBP Metrics Clinical Process of Care Measures Measure Score Condition/ Procedure Score Acute Myocardial Infarction (AMI) AMI-7a - Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival AMI-8a - Primary PCI Received Within 90 Minutes of Hospital Arrival Healthcare-Associated Infections (HAI) SCIP-Inf-1 - Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision SCIP-Inf-2 - Prophylactic Antibiotic Selection for Surgical Patients SCIP-Inf-3 - Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time SCIP-Inf-4 - Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Blood Glucose SCIP-Inf-9 - Postoperative Urinary Catheter Removal on Postoperative Day 1 or Heart Failure (HF) HF-1 - Discharge Instructions Pneumonia (PN) PN-3b - Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital PN-6 - Initial Antibiotic Selection for CAP Immunocompetent Patient Surgical Care Project (SCIP) SCIP-Card-2 - Surgery Patients on Beta-Blocker Therapy Prior to Arrival Who Received a Beta-Blocker During the Perioperative Period SCIP-VTE-1 - Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered SCIP-VTE-2 - Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery Eligible Clinical Process of Care Measures: 8 out of 13 Unweighted Clinical Process of Care Domain Score: Weighted Clinical Process of Care Domain Score 7 : The Weighted Clinical Process of Care Domain Score is calculated by multiplying the Unweighted Clinical Process of Care Domain Score by a weight of 45%.

4 Report Run Date: 07/12/2013 Hospital Value-Based Purchasing Value-Based Percentage Payment Summary Report Page 4 of 5 Patient Experience of Care Dimensions Detail Report Patient Experience of Care Dimensions Baseline Floor Dimension Score 9 Communication with Nurses 84.06% 84.83% 42.84% 75.79% 84.99% Communication with Doctors 90.32% 88.46% 55.49% 79.57% 88.45% Responsiveness of Hospital Staff 77.94% 75.88% 32.15% 62.21% 78.08% Pain Management 78.29% 77.47% 40.79% 68.99% 77.92% Communication about Medicines 66.93% 70.15% 36.01% 59.85% 71.54% Cleanliness and Quietness of Hospital Environment 77.10% 76.53% 38.52% 63.54% 78.10% Discharge Information 78.60% 84.35% 54.73% 82.72% 89.24% Overall Rating of Hospital % 68.00% 30.91% 67.33% 82.55% HCAHPS Base Score10: 59 HCAHPS Consistency Score: 20 Unweighted Patient Experience of Care Domain Score: Weighted Patient Experience of Care Domain Score 11 : HCAHPS Surveys Completed During the Period: The Overall Rating of Hospital HCAHPS Dimension in bold italic font was used to calculate the HCAHPS Consistency Score. 9 Dimension Scores are the higher of the improvement and achievement points for the HCAHPS Dimensions. 10 The HCAHPS Base Score is the sum of the HCAHPS Dimension Scores. 11 The Weighted Patient Experience of Care Domain Score is calculated by multiplying the Unweighted Patient Experience of Care Domain Score by a weight of 30%.

5 Report Run Date: 07/12/2013 Hospital Value-Based Purchasing Value-Based Percentage Payment Summary Report Page 5 of 5 Outcome Measures Detail Report Baseline Period: 07/01/ /30/2010 Period: 07/01/ /30/2012 FY 2014 Baseline Period Totals FY 2014 Peformance Period Totals HVBP Metrics Mortality Measures 12 Number of Eligible Discharges Baseline Period Rate Number of Eligible Discharges Measure Score Acute Myocardial Infarction (AMI) Heart Failure (HF) Pneumonia (PN) Eligible Mortality Measures: 2 out of 3 Unweighted Outcome Domain Score: Weighted Outcome Domain Score 13 : The mortality measures displayed are the survival rates for each mortality measure. The Hospital Value-Based Purchasing Program utilizes the patient survival rate to measure a hospital's quality of care performance for the program. 13 The Weighted Outcome Domain Score is calculated by multiplying the Unweighted Outcome Domain Score by a weight of 25%.