WHA Improvement Forum For November “Building the Business Case for Quality” Tom Kaster. Courtesy Reminders: Please place your phones on MUTE unless you are speaking (or use *6 on your keypad) Please do not take calls and place the phone on HOLD during the presentation.
Increase Quality = Increase Value
Decrease Cost = Increase Value
Increase Quality and Decrease Cost = Accelerated Increase in Value
The scope of poor quality of care (3 forms)
Overuse occurs when a drug or treatment is given without medical justification.
Both examples can have a negative impact to the patients and to costs:
Underuse is when doctors or hospitals neglect to give patients medically necessary care or to follow proven health care practices
Misuse occurs when a patient does not fully benefit from a treatment because of a preventable problem, or when a patient is harmed by a treatment.
May 2, 2012 (San Francisco, California)—
A house-wide hourly rounding initiative…
…Requires the improvement of overall efficiencies:
… Which is shown to improve patient and family satisfaction on HCAHPS scores
… Which will positively effect Value Based Purchasing factors
... Which will reduce average length of stay for our Medicare patients
… Which in turn will improve profit margins for fixed payment patients
Total wages per admission
(Worked hours per patient day)
(Average wage per hour)
(Patient days per admission)
Average wage per hour:
Worked hours per patient day:
Patient days per admission:
Average cost per dose:
Number of doses per admission:
Reduction in overall SSI:
The Financial Impact of Quality
Medicare Fixed Payments--Diagnosis Related Groups (DRG)
Slide provided by the Hospital Association of New York State
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