The  H ospital  C onsumer A ssessment of  H ealthcare  P roviders and  S ystems Survey H.C.A.H.P.S. -at-a-glance
New HCAHPS Mandatory Survey 27 Questions 22 Performance  rated questions Adopted May 12, 2005 Roll Out Spring 2007 Publicl...
The Most important question <ul><li>“ Using any number from  0 to 10,   where 0 is the worst hospital possible and 10 is t...
300 Patients/Year <ul><li>Random survey of 300 patients  per year, to be reported quarterly  </li></ul><ul><li>to www.hosp...
2% Penalty <ul><li>Hospitals face a  penalty of two percentage points  if they fail to report results of 27 questions (plu...
HCAHPS Rating System <ul><li>With HCAHPS,  patient expectations will shift from  </li></ul><ul><li>“ Top Box”  </li></ul><...
<ul><li>March 2008 – First public reporting of HCAHPS results </li></ul>
www.HospitalCompare.hhs.gov Example “ Frequency of good pain control?” – 63% Hospital A Hospital B Hospital C
HCAHPS <ul><li>& Value Based Purchasing </li></ul><ul><li>Pay for Performance! </li></ul>
Premiere Hospital Quality Incentive Pilot <ul><li>250 Hospitals </li></ul><ul><li>October 2003 – September 2006 </li></ul>...
Premiere -Hospital Quality Incentive Demonstration (HQID) Source: Centers for Medicare & Medicaid Services/May 2008 Thomas...
Value Based Purchasing Update & Model Results <ul><li>Deficit Reduction Act of 2005 </li></ul><ul><ul><li>Congress ordered...
Value Based Purchasing Update  & Model Results <ul><li>CMS proposal required no new funding </li></ul><ul><ul><li>2% to 5%...
Translating Performance Score into Incentive Payment: Example Curvilinear Payment Scenario Source: Centers for Medicare & ...
FY 2009 Candidate Measures: HCAHPS 7 Dimensions <ul><li>Communication with Doctors </li></ul><ul><li>Communication with Nu...
CMS Advertises Consumer Shopping
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Brian Winningat Hcahps Slidesfor W Bs

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Brian Winningat Hcahps Slidesfor W Bs

  1. 1. The H ospital C onsumer A ssessment of H ealthcare P roviders and S ystems Survey H.C.A.H.P.S. -at-a-glance
  2. 2. New HCAHPS Mandatory Survey 27 Questions 22 Performance rated questions Adopted May 12, 2005 Roll Out Spring 2007 Publicly Reported Spring 2008
  3. 3. The Most important question <ul><li>“ 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?” </li></ul>0 5 10
  4. 4. 300 Patients/Year <ul><li>Random survey of 300 patients per year, to be reported quarterly </li></ul><ul><li>to www.hospitalcompare.hhs.gov </li></ul>
  5. 5. 2% Penalty <ul><li>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) </li></ul>
  6. 6. HCAHPS Rating System <ul><li>With HCAHPS, patient expectations will shift from </li></ul><ul><li>“ Top Box” </li></ul><ul><li>5 out of 5 to “Always” </li></ul>- 4 out of 4, or 10 out of 10
  7. 7. <ul><li>March 2008 – First public reporting of HCAHPS results </li></ul>
  8. 8. www.HospitalCompare.hhs.gov Example “ Frequency of good pain control?” – 63% Hospital A Hospital B Hospital C
  9. 9. HCAHPS <ul><li>& Value Based Purchasing </li></ul><ul><li>Pay for Performance! </li></ul>
  10. 10. Premiere Hospital Quality Incentive Pilot <ul><li>250 Hospitals </li></ul><ul><li>October 2003 – September 2006 </li></ul><ul><li>3 rd Year 112 received incentives </li></ul><ul><li>$24.5 million payouts </li></ul><ul><li>Saved 2,500 lives from heart attacks </li></ul>
  11. 11. Premiere -Hospital Quality Incentive Demonstration (HQID) Source: Centers for Medicare & Medicaid Services/May 2008 Thomas B. Valuck, MD. JD, Medical Officer & Senior Adviser
  12. 12. Value Based Purchasing Update & Model Results <ul><li>Deficit Reduction Act of 2005 </li></ul><ul><ul><li>Congress ordered CMS to report on ways to enhance Value-Based Purchasing (VBP) in the Medicare Inpatient Hospital PPS (IHPPS) </li></ul></ul><ul><li>CMS responded with a proposal to phase-in VBP over three years </li></ul><ul><ul><li>Starting in FFY 2009 </li></ul></ul><ul><li>Congressional approval of CMS proposal is required before CMS can proceed </li></ul>
  13. 13. Value Based Purchasing Update & Model Results <ul><li>CMS proposal required no new funding </li></ul><ul><ul><li>2% to 5% of Medicare IHPPS payments to be set aside & redistributed to “quality” hospitals </li></ul></ul>
  14. 14. Translating Performance Score into Incentive Payment: Example Curvilinear Payment Scenario Source: Centers for Medicare & Medicaid Services/May 2008 Thomas B. Valuck, MD. JD, Medical Officer & Senior Adviser
  15. 15. FY 2009 Candidate Measures: HCAHPS 7 Dimensions <ul><li>Communication with Doctors </li></ul><ul><li>Communication with Nurses </li></ul><ul><li>Responsiveness of Hospital Staff </li></ul><ul><li>Pain Management </li></ul><ul><li>Communication about Medicines </li></ul><ul><li>Discharge Information </li></ul><ul><li>Overall Rating </li></ul>Source: Centers for Medicare & Medicaid Services/May 2008 Thomas B. Valuck, MD. JD, Medical Officer & Senior Adviser
  16. 16. CMS Advertises Consumer Shopping

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