Caldwell Memorial Hospital Beats NC & US Rates for Value-Based Purchasing Scores
In an effort to increase quality of healthcare while lowering its cost, the Affordable Care Act introduced Value-Based Purchasing to the American healthcare market. Value-Based Purchasing is designed to reward hospitals with incentive payments for having higher quality rates in specific areas of measurement known as Core Measures, and for having better reported rates of patient care experiences. To cover the cost of the incentives, standard Medicare inpatient reimbursements to hospitals will be reduced by 1% across the board.
Earlier this month the Federal Government released its first Value-Based Purchasing scores. Caldwell Memorial Hospital demonstrated a remarkably higher score over both the state and U.S. averages. CMH scored 66.32; North Carolina scored 60.15; and the national average was 55.45.
“The rate of Caldwell Memorial’s Value-Based Purchasing score is a testament to the quality work that happens here every day,” said CMH President & CEO Laura Easton. “Our physicians, staff, and administration are dedicated to the Triple AIM goals of increasing quality of, and access to, healthcare while lowering its cost. This report demonstrates both the caliber of that commitment at Caldwell Memorial, and our opportunities to continue improvement into the future.”
According to the website www.Healthcare.gov, “Hospitals will be scored based on their performance on each measure relative to other hospitals and on how their performance on each measure has improved over time. The higher of these scores on each measure will be used in determining incentive payments. By rewarding the higher of achievement or improvement on measures, Hospital Value-Based Purchasing gives hospitals the financial incentive to continually improve how they deliver care.”
Examples of Core Measures included in the current Value-Based Purchasing calculations are:
• Percent of Heart Attack Patients Given PCI (Percutaneous Coronary Interventions) Within 90 Minutes Of Arrival;
• Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision;
• Initial Antibiotic Selection for CAP in Immunocompetent Patient;
• Percent of Heart Failure Patients Given Discharge Instructions;
• Patient Experience of Care.