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How the Patient’s Experience Determines our Success. The business case for Patient Centered Care. Value Based Purchasing is when healthcare providers are held accountable for both cost and quality of care. Value Based Purchasing.

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How the patient s experience determines our success

How the Patient’s Experience Determines our Success

The business case for

Patient Centered Care


Value Based Purchasingis when healthcare providers are held accountable for both cost and quality of care.


Value based purchasing
Value Based Purchasing

Creates a distinct relationship between Patient Centered Care and a hospital’s reimbursement

Transition from pay for reporting to pay for performance

Points are earned for: Achievement, Improvement, and Consistency in Hospital Consumer Assessment of Healthcare Providers and Systems ( HCAHPS)

Moving toward rewarding better value, outcomes, and innovations instead of mere volume


Plans for vbp adoption 2013
Plans for VBP Adoption: 2013

Clinical Process of Care Domain: 70%of score

17 measures, including:

--AMI

--Heart Failure

--Pneumonia

--Surgical Care improvement

--Healthcare Associated infections

Patient Experience of Care Domain: 30% of score

8 measures, including:

--HCAHPS measures

--7 composites and 1 global measure

--Does Not include ‘Likelihood to recommend’

--Quiet at night and cleanliness rolled into one composite


Vbp has hospital leader s attention
VBP Has Hospital Leader’s Attention

Today, hospitals only lose money for failing to report Hospital Compare Measures

Starting FY 2013, Performance will translate into dollars

In FY 2013, hospital funding will be reduced by 1% (up to 2% by 2017)

VBP provides opportunity to earn that $ back

Performance on quality measures will be used to generate FY 2013 DRG payments (starting Oct. 1, 2012)


This is not a future concern vbp matters now
This is not a future concern;VBP Matters NOW

FY 2013 payments based on hospital’s performance from July 1, 2011 to March 31, 2012

Baseline period for comparative purposed: July 1, 2009 to March 31, 2010


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