Post on 30-Oct-2014
description
The Hospital Consumer
Assessment of Healthcare
Providers and Systems Survey
The Hospital Consumer
Assessment of Healthcare
Providers and Systems Survey
H.C.A.H.P.S. -at-a-glance
New HCAHPSMandatory Survey
27 Questions27 Questions
22 Performance 22 Performance
rated questionsrated questions
AdoptedAdopted
May 12, 2005May 12, 2005
Roll OutRoll Out
Spring 2007Spring 2007
Publicly ReportedPublicly Reported
Spring 2008Spring 2008
27 Questions27 Questions
22 Performance 22 Performance
rated questionsrated questions
AdoptedAdopted
May 12, 2005May 12, 2005
Roll OutRoll Out
Spring 2007Spring 2007
Publicly ReportedPublicly Reported
Spring 2008Spring 2008
The Most important question
“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?”
00 55 1010
300 Patients/Year
Random survey of 300 patients per year, to be reported quarterly
to www.hospitalcompare.hhs.gov
2% Penalty
Hospitals face a penalty of two percentage points if they fail to report results of 27 questions (plus 30 day mortality rates for heart attack and heart failure; and care for surgical patients)
HCAHPS Rating System
With HCAHPS, patient expectations will
shift from
“Top Box”
5 out of 5 to “Always”
- 4 out of 4, or 10 out of 10
- 4 out of 4, or 10 out of 10
March 2008 – First public reporting of HCAHPS results
www.HospitalCompare.hhs.govwww.HospitalCompare.hhs.govwww.HospitalCompare.hhs.govwww.HospitalCompare.hhs.gov
“Frequency of good pain control?” – 63%
Hospital AHospital A
Hospital BHospital B
Hospital CHospital C
Example
HCAHPS& Value Based Purchasing
Pay for Performance!
Premiere Hospital Quality Incentive Pilot
• 250 Hospitals• October 2003 – September 2006• 3rd Year 112 received incentives• $24.5 million payouts• Saved 2,500 lives from heart attacks
Premiere -Hospital Quality Incentive Demonstration (HQID)
Source: Centers for Medicare & Medicaid Services/May 2008Thomas B. Valuck, MD. JD, Medical Officer & Senior AdviserSource: Centers for Medicare & Medicaid Services/May 2008Thomas B. Valuck, MD. JD, Medical Officer & Senior Adviser
Value Based Purchasing Update & Model Results
• Deficit Reduction Act of 2005
– Congress ordered CMS to report on ways to enhance Value-Based Purchasing (VBP) in the Medicare Inpatient Hospital PPS (IHPPS)
• CMS responded with a proposal to phase-in VBP over three years
– Starting in FFY 2009
• Congressional approval of CMS proposal is required before CMS can proceed
Value Based Purchasing Update & Model Results
• CMS proposal required no new funding– 2% to 5% of Medicare IHPPS
payments to be set aside & redistributed to “quality” hospitals
Translating Performance Score into Incentive Payment: Example
Curvilinear Payment Scenario
Source: Centers for Medicare & Medicaid Services/May 2008Thomas B. Valuck, MD. JD, Medical Officer & Senior AdviserSource: Centers for Medicare & Medicaid Services/May 2008Thomas B. Valuck, MD. JD, Medical Officer & Senior Adviser
FY 2009 Candidate Measures: HCAHPS 7 Dimensions
• Communication with Doctors
• Communication with Nurses
• Responsiveness of Hospital Staff
• Pain Management
• Communication about Medicines
• Discharge Information
• Overall Rating
Source: Centers for Medicare & Medicaid Services/May 2008Thomas B. Valuck, MD. JD, Medical Officer & Senior AdviserSource: Centers for Medicare & Medicaid Services/May 2008Thomas B. Valuck, MD. JD, Medical Officer & Senior Adviser
CMS Advertises Consumer Shopping