track your fy2018 hvbp progress€¦ · erik zabel, phd, mph lake superior quality innovation...
TRANSCRIPT
-
Track Your FY2018 HVBP ProgressVicki Tang Olson, RN, MSErik Zabel, PhD, MPH
Lake Superior Quality Innovation NetworkSeptember 14, 2016
1
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
-
2
FY2018 VBP
3
VBP Fact Sheet
https://www.lsqin.org/wp-content/uploads/2015/11/FY2018-VBP-Fact-Sheet 11.10.pdf
-
4
FY2018
CTM-3 is New
PC-01 moved to Safety domain
5
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
-
6
FY2018 Worksheet
7
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
-
8
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
9
Accept Messages and Enable Content
-
10
Tabs in Excel Spreadsheet
Three tabs in Excel spreadsheet• Baseline instructions• Performance instructions• VBP worksheet
11
Preparation for using the FY2018 VBP Worksheet
-
12
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
13
Access HVBP Baseline Report
-
14
Access HVBP Baseline Report
15
FY2018 Baseline Report
-
16
Access IQR Preview Report
17
Assess IQR Preview Report
-
18
IQR Preview Report
1234 OAK STANYTOWN, USA 12345
THE BEST(111) 123-6789
xxxxxx MY HOMETOWN HOSPITAL
19
MSPB Report
MY TOWN HOSPITALPROVIDER ID: XXXXXX (CCN #)
ANY STATE
Pushed to hospitals annually via QualityNet Secure File Exchange:
-
20
Clinical Care Domain
21
Clinical Care - Eligibility
-
22
Baseline Report
Need 25 cases
23
Inpatient Preview Report
-
24
Small PPS Example
Y changed to N since
-
26
Patient Experience Domain
27
-
28
Pt Experience - Eligibility
29
Baseline Report
-
30
Inpatient Preview Report
Use % Always column
31
Inpatient Preview Report
Use % Always column
-
32
Small PPS Example
Baseline report combines cleanliness and quietness so performance data calculates average as a proxy for the measure
33
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.
-
34
35
Large PPS Example
-
36
Safety Domain
37
Safety - Eligibility
-
38
Baseline Report
39
Inpatient Preview Report
Ignore NA – there is no information about eligibility. Need to assume if you have a result, that you had enough cases
-
40
Inpatient Preview Report
Order is not the same as the baseline report so need to be careful about entry into the worksheet
41
Inpatient Preview Report
-
42
Small PPS Example
43
Large PPS Example
-
44
Efficiency and Cost Reduction Domain
45
Efficiency - Eligibility
-
46
Baseline Report
47
MSPB Report
-
48
Small PPS Example
Proxy using 2014 data
49
MSPB Percentiles
20142015
-
50
Overall Calculation
51
Total Performance Score
26.67 x 25% + 39 x 25% + 40 x 25% + 40 x 25% =
6.6675 + 9.75 + 10 + 10 = 36.4175
-
52
Reallocation
53
Looking back
FY2017 HVBP Final Report(Reports available July 31, 2016)
-
54
Value-Based Incentive Payment Percentage by Program Fiscal Year
Fiscal Year Percent Reduction2013 1.02014 1.252015 1.52016 1.752017 2.0
55
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.
-
56
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
57
-
58
59
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
-
60
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
61
FY2017 Lake Superior Quality
Innovation Network (QIN)Reports
-
62
Lake Superior QIN Reports
FY 2017 VBP Comparison Report• Available late this fall• State and regional comparison of VBP domains
and measures
63
Report Example – Total Performance Score
-
64
Looking forward
FY2019 VBP
65
FY2019
25%
25%25%
25%
Person and CommunityEngagementClinical Care
Safety
Efficiency and Cost
-
66
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?
67
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
-
68
Questions?
State contacts:Minnesota: Vicki Tang [email protected]: Donna Modras [email protected]: Ross [email protected]
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