track your fy2018 hvbp progress€¦ · erik zabel, phd, mph lake superior quality innovation...

Track Your FY2018 HVBP ProgressVicki Tang Olson, RN, MSErik Zabel, PhD, MPH

Lake Superior Quality Innovation NetworkSeptember 14, 2016

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Objectives

• Understand the purpose for FY2018 value-based purchasing (VBP) worksheet

• Review the reports and data that are used to populate the baseline and performance periods on the VBP worksheet

• Describe how the measures or domain percentages are reallocated if there is low volume that affects eligibility of a measure or domain

• Look for opportunities for improvement in future years

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FY2018 VBP

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VBP Fact Sheet

https://www.lsqin.org/wp-content/uploads/2015/11/FY2018-VBP-Fact-Sheet 11.10.pdf

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FY2018

CTM-3 is New

PC-01 moved to Safety domain

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FY2018

Quality Reporting CenterOverview of the Hospital Value-Based Purchasing

(VBP) Fiscal Year (FY) 2018 - 1 C.E.Date: February 23, 2016http://www.qualityreportingcenter.com/wp-content/uploads/2016/02/VBP_FY2018_BaselineOverview_February2016_01272016_FINAL-5081.pdf

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FY2018 Worksheet

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FY2017 VBP Worksheet

• Proxy for FY2018 results you will receive next summer (July 2017)

• Way for you to track your progress as you go through this year

• Enter your hospital data in green cells

• Baseline results are accurate and static so are only entered once

• Performance results can be updated quarterly as you get more current data

Clinical Care

PatientExperience

Safety

Efficiency

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Purpose of VBP Worksheet

• Monitor progress for FY2018 VBP performance• Identify priorities for improvement• Answer questions from senior leadership as to how you

might do when you get results next summer – understand risk and get support

• Understand the measure and domain calculations• Understand the differences between achievement,

improvement points and what happens if you are not eligible for a measure or domain

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Accept Messages and Enable Content

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Tabs in Excel Spreadsheet

Three tabs in Excel spreadsheet• Baseline instructions• Performance instructions• VBP worksheet

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Preparation for using the FY2018 VBP Worksheet

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Need 3 Reports

FY2018 Baseline report• Run report and download from QualityNet

Inpatient Preview report – most current• Run report and download from QualityNet

Medicare Spending per Beneficiary report – most current is calendar year 2015

• Download from secure file transfer area in QualityNet

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Access HVBP Baseline Report

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Access HVBP Baseline Report

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FY2018 Baseline Report

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Access IQR Preview Report

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Assess IQR Preview Report

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IQR Preview Report

1234 OAK STANYTOWN, USA 12345

THE BEST(111) 123-6789

xxxxxx MY HOMETOWN HOSPITAL

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MSPB Report

MY TOWN HOSPITALPROVIDER ID: XXXXXX (CCN #)

ANY STATE

Pushed to hospitals annually via QualityNet Secure File Exchange:

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Clinical Care Domain

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Clinical Care - Eligibility

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Baseline Report

Need 25 cases

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Inpatient Preview Report

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Small PPS Example

Y changed to N since

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Patient Experience Domain

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Pt Experience - Eligibility

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Baseline Report

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Inpatient Preview Report

Use % Always column

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Inpatient Preview Report

Use % Always column

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Small PPS Example

Baseline report combines cleanliness and quietness so performance data calculates average as a proxy for the measure

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Consistency Points

HCAHPS Consistency Score The HCAHPS Consistency Score reflects points that were awarded based on a

hospital’s lowest HCAHPS dimension score during the performance period. The higher a hospital’s lowest dimension score is above the “floor” (i.e., the worst-performing hospital’s dimension rate from the baseline period), the more consistency points the hospital will receive. A hospital can earn between 0 and 20 points towards its PCCEC/CC domain as follows:

20 points: If all of a hospital’s dimension rates during the performance period is greater than or equal to their respective achievement thresholds.

0 points: If any of a hospital’s dimension rates during the performance period are less than or equal to the worst-performing hospital’s dimension rate (floor) from the baseline period.

0–19 points: If any of a hospital’s dimension rates are greater than the worst-performing hospital’s rate (floor) but less than the achievement threshold from the baseline period.

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Large PPS Example

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Safety Domain

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Safety - Eligibility

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Baseline Report

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Inpatient Preview Report

Ignore NA – there is no information about eligibility. Need to assume if you have a result, that you had enough cases

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Inpatient Preview Report

Order is not the same as the baseline report so need to be careful about entry into the worksheet

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Inpatient Preview Report

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Small PPS Example

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Large PPS Example

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Efficiency and Cost Reduction Domain

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Efficiency - Eligibility

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Baseline Report

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MSPB Report

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Small PPS Example

Proxy using 2014 data

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MSPB Percentiles

20142015

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Overall Calculation

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Total Performance Score

26.67 x 25% + 39 x 25% + 40 x 25% + 40 x 25% =

6.6675 + 9.75 + 10 + 10 = 36.4175

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Reallocation

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Looking back

FY2017 HVBP Final Report(Reports available July 31, 2016)

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Value-Based Incentive Payment Percentage by Program Fiscal Year

Fiscal Year Percent Reduction2013 1.02014 1.252015 1.52016 1.752017 2.0

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Payments

A hospital may earn back a value-based incentive payment percentage that is less than, equal to or more than the applicable reduction for that program year.

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Access HVBP Report

• Available on QualityNet

• Only Active QualityNet Users

• Both the Hospital Reporting Feedback Inpatient Role and the File Exchange & Search Role are required

• Sign in to QualityNet Secure Portal

• Select “Run” under My Reports

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How to Read Your Reports

Quality Reporting Center

Hospital VBP: FY 2017 Percentage Payment Summary Report - 1.5 C.E.

Date: July 26, 2016http://www.qualityreportingcenter.com/wp-content/uploads/2016/07/VBP_FY2017_PPSROverview_NPC_07122016-GHI-7-17-2016.508.pdfFind

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How to Read Your Reports

QualityNet Find instructions for how to read your fiscal year

hospital VBP payment summary report here:How to Read Your FY 2017 Hospital Value-Based Purchasing (VBP) Program Percentage Payment Summary Report (PPSR), PDF-1.5 MB

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FY2017 Lake Superior Quality

Innovation Network (QIN)Reports

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Lake Superior QIN Reports

FY 2017 VBP Comparison Report• Available late this fall• State and regional comparison of VBP domains

and measures

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Report Example – Total Performance Score

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Looking forward

FY2019 VBP

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FY2019

25%

25%25%

25%

Person and CommunityEngagementClinical Care

Safety

Efficiency and Cost

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FY2019

• New! Hospital-Level Risk –Standardized Complication Rate(RSCR) Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA)

• CLABSI and CAUTI will include nonICU locations and will use new standard population data

• PSI 90 will be proposed to be removed in future rulemaking to allow for the modified PSI 90 in future years

• HCAHPS Pain Management?

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Future years

FY2021• AMI Episode Payment• Heart Failure Episode Payment• 30 Day Mortality Pneumonia (updated cohort)• 30 Day Mortality COPD

FY2022• 30 Day Mortality CABG

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Questions?

State contacts:Minnesota: Vicki Tang Olsonvolson@stratishealth.org952-853-8554Michigan: Donna Modras dmodras@mpro.org248-465-7407Wisconsin: Ross Gatzkergatzke@metastar.com608-441-8292

Follow us online @LakeSuperiorQIN

Thank you!

This material was prepared by the Lake Superior Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The materials do not necessarily reflect CMS policy. 11SOW-MI/MN/WI-D1-16-47 091216