hospital public reporting insert your name an overview
Download
Skip this Video
Download Presentation
Hospital Public Reporting & [insert your name] an Overview

Loading in 2 Seconds...

play fullscreen
1 / 25

Hospital Public Reporting & [insert your name] an Overview - PowerPoint PPT Presentation


  • 151 Views
  • Uploaded on

Hospital Public Reporting & [insert your name] an Overview. Arizona’s Hospital Public Reporting Pilot and the National Voluntary Hospital Reporting Initiative. Public Reporting is Not New. At least 36 Web sites provide hospital information — some sites charge the viewer

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Hospital Public Reporting & [insert your name] an Overview' - gerik


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
hospital public reporting insert your name an overview

Hospital Public Reporting &[insert your name]an Overview

Arizona’s Hospital Public Reporting Pilot

and the

National Voluntary Hospital Reporting Initiative

public reporting is not new
Public Reporting is Not New
  • At least 36 Web sites provide hospital information—some sites charge the viewer
  • Several states mandate public reporting, to a greater or lesser extent
  • CMS began public reporting with a three state pilot
what is new
What is New?
  • Public reporting sponsored by government and other prestigious stakeholders
    • Centers for Medicare & Medicaid Services (CMS)
    • American Hospital Association (AHA)
    • Federation of American Hospitals (FAH)
    • JCAHO
    • National Quality Forum (NQF)
    • AARP
    • AFL-CIO
three state pilot
Three State Pilot
  • Began November 2002
  • Involves 325 hospitals from Arizona, Maryland, and New York
  • Maryland and, to a lesser extent, New York have mandated public reporting in place
arizona s uniqueness
Arizona’s Uniqueness
  • Unlike other non-mandated states, Arizona has a high proportion of hospitals participating (47 hospitals—70%)
  • Hospitals actively participate in monthly meetings, provide feedback, offer suggestions, and support one another
the national voluntary hospital reporting initiative nvhri
The National Voluntary Hospital Reporting Initiative(NVHRI)
  • Program began December 2002
  • Supported by the AHA, AAMC, and CMS
  • Data reports are the same for NVHRI and the three state pilot
why now
Why Now?

This is CMS’s answer:

  • Stimulate QI activities
  • Provide patients with information to assist them in making health care decisions
  • “Hospitals should be leaders in sharing information with the public they serve”

April 2003, Recruitment Letter signed by CMS, AHA and AAMC

first step
First Step
  • Data publicly posted 10/9/2003
  • Posted to the CMS Web site for health care professionals (www.cms.hhs.gov)
  • 47 hospitals from Arizona are represented
  • 415 hospitals, nationally, have data posted
slide9

Of 69 AZ Hospitals

Hospital Participation

Of 4,143 U.S. Hospitals

47 (70%) volunteered

27 (40%)submitted data for Oct. 9

1,238 (30%) volunteered

415 (10%) submitted data for Oct. 9

interpretation is complex
Interpretation is Complex
  • Data is fragmentary
  • Data validation is minimal
  • Data is difficult to compare
      • First posting is JCAHO hospitals only
      • Limited indicators
data is fragmentary
Data is Fragmentary
  • 47 Arizona hospitals participate
  • Low participation by non-mandated states
    • New Mexico, 7 hospitals submitted data (18%)
    • Alabama, 2 hospitals submitted data (16%)
    • Minnesota, 9 hospitals submitted data (10%)
    • California, 74 hospitals submitted data (20%)
states that mandate reporting
States that Mandate Reporting
  • Connecticut, 31 out of 32 reported (97%)
  • Maryland, 48 out of 49 reported (98%)
  • Rhode Island, 11 out of 11 reported (100%)

Yet, Arizona—without mandating reporting—

has 70% of hospitals participating

slide13
Arizona is the only state where most hospitalshave freely volunteeredand where, as a result, there is little selection bias
selection bias
Selection Bias

Why are such a limited number of some states’ hospitals participating?

  • Possible reasons for lower participation . . .
    • Participation involves commitment to public reporting
    • Hospitals are not yet comfortable with publicly reporting data
    • Data results are not satisfactory to the hospitals
arizona participation
Arizona Participation
  • Arizona hospitals want to be involved
  • All Arizona hospitals collected and reported data for all indicators and all projects during the 6th Scope of Work
  • All but one Arizona hospital is participating in the 7th Scope of Work
validation is minimal
Validation is Minimal
  • The process for validating data is being implemented, but was not in place for the first posting of data
  • In the future, Arizona hospitals will have records randomly chosen for validation
  • Data will be considered valid at 80% accuracy
data is difficult to compare
Data is Difficult to Compare
  • First step was limited to JCAHO hospitals only
  • Hospitals with small sample sizes were not included
  • Hospitals were given the opportunity to not publish results during the first release of data
congratulations
Congratulations
  • [insert hospital name] has been actively participating since [insert date here]
  • Participation has included
    • Providing opinion on the Web site design
    • Advising the national program about recruitment and retention
    • Posting data
quality indicators
Quality Indicators
  • Three clinical conditions
      • Heart Attack (AMI)
      • Heart Failure (HF)
      • Pneumonia
  • Ten clinical indicators
quality indicators1
Heart Attack

Aspirin on arrival

Aspirin at discharge

ACE-I for LVSD

Beta blocker on arrival

Beta blocker at discharge

Heart Failure

LVEF assessment

ACE-I for LVSD

Pneumonia

Oxygen assessment

Pneumonia immunization

Antibiotic administered within 4 hours of admission

Quality Indicators
the future of public reporting
The Future of Public Reporting
  • Data is scheduled to be posted quarterly
  • National mandated reporting by all hospitals in 2005
  • Additional indicators
      • Coronary Artery Bypass Graft Surgery
      • Hip and Knee Replacement
      • Patient Satisfaction
  • Financial incentives may be tied to results
financial incentives from the premier hospital quality incentive demonstration project
Financial Incentivesfrom the Premier Hospital Quality Incentive Demonstration Project
  • Top Performers
    • Top 50% are recognized on the Web site
    • Top 10% rewarded with 2% bonus
    • Top 20%–10% rewarded with 1% bonus
financial incentives from the premier hospital quality incentive demonstration project1
Financial Incentivesfrom the Premier Hospital Quality Incentive Demonstration Project
  • Poor Performers
    • Lowest 10%, lose 2% if no improvement in 3 years
    • Next lowest, 20%–10%, lose 1% if no improvement in 3 years
final thoughts
Final Thoughts
  • Participation is an opportunity to prepare for mandatory reporting
  • This experience will prepare us for financial incentives
  • Arizona hospitals are working together for mutual benefit
ad