Matthew Ferrari PPP WK 12

1. HOWWE GET
REIMBURSED
Presentation by: Matthew Ferrari RN

2. What are HCAHPS?

4. Patient-Centered Outcomes Research
Institute
■ “The vast majority of PCORI funding supports comparative clinical effectiveness
research, or CER, which compares the benefits and harms of two or more healthcare
options to answer specific research questions” (http://www.pcori.org/research-results-
home).
■ PCORI shows very accurate points that can help increase the effectiveness of
healthcare and strives to improve the patient experience.

5. Commentary

6. Changing Healthcare
■ “To meet its mission, and to have the greatest societal and health care impact, PCORI
intends to prioritize and fund research that meets several key criteria, including
whether the results will be likely to change practice and whether the research
addresses an important question from the perspective of patients, their caregivers,
and their clinicians” (Fleurence, Selby, Odom-Walker, Hunt, Meltzer, Slutsky &Yancy
2013).
■ PCORI works to help better treatments that are particularly focused on what the
patients and families want. This article talks about patients being treated with
outcomes that fail to meet goals and standards with today’s healthcare. Using
patient-centered outcomes research we are able to present ways of treatment that
are effective and closely effective for the patient, their families, and the healthcare
professionals

7. ■ It is very true, talking about an issue without knowing both sides can limit your vision
and the real reason why these decisions are being made. Today I am happy to know
these programs are in place not only for patients, but for the healthcare providers as
well. I just wish there was a better way to provide reimbursement measures that
didn’t hurt hospitals. I am lucky to have a one nurse to five patient ratio, which is still a
handful on a medical-surgical unit. I came from a hospital where I had one nurse to ten
patients ratio. Making these patients happy was close to impossible with all the labor
involved. Instead of focusing on these reimbursement statures, we should focus on
ways to improve healthcare internally that provides growth for hospitals, patients, and
the healthcare workers who work very hard to provide excellent healthcare.

8. References
■ Fleurence, R., Selby, J.V., Odom-Walker, K., Hunt, G., Meltzer, D., Slutsky, J. R., &Yancy, C.
(2013). How the patient-centered outcomes research institute is engaging patients
and others in shaping its research agenda. Health Affairs, 32(2), 393-400. Retrieved
from http://search.proquest.com/docview/1318754860?accountid=14375
■ Hospital. Content last reviewed March 2016. Agency for Healthcare Research and
Quality, Rockville, MD. http://www.ahrq.gov/cahps/surveys-
guidance/hospital/index.html
■ PCORI. (n.d.). Retrieved September 23, 2016, from http://www.pcori.org/research-
results-home
■ Quality Improvement. Content last reviewed June 2016. Agency for Healthcare Research
and Quality, Rockville, MD. http://www.ahrq.gov/cahps/quality-
improvement/index.html