Measuring Outcomes And Efficiency In Medicare Value-Based Purchasing

Tompkins, Christopher P.; Higgins, Aparna; Ritter, Grant

doi:10.1377/hlthaff.28.2.w251

Cited by 45 publications

(28 citation statements)

References 5 publications

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“…17 Concurrently, the Centers for Medicare and Medicaid Services are implementing a value-based purchasing program that starts with a 5% withhold in reimbursement that institutions need to earn back through a combination of mortality, process, and patient satisfaction metrics. 18 The administration also reserved $19 billion to promote improvement of health IT for American medicine. 19 Using health IT investment to help hospitals is an appealing concept, but for many institutions the infrastructure required to make that transition directly competes with other patient needs, including bedside patient care.…”

Section: A Possible Stimulus: Investing In Quality Initiatives At Fismentioning

confidence: 99%

Hospitals during recession and recovery: Vulnerable institutions and quality at risk

Sussman¹,

Halasyamani²,

Davis³

2010

Journal of Hospital Medicine

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Disclosure: Nothing to report.For generations, American hospitals have been considered recession-proof, but there is reason to believe the current economic crisis is an exception. Hospitals have shown declining financial margins and decreased admissions. The severe recession has adversely affected many hospitals' finances, creating a risk of closure and constraining plans for expansion. We believe there is also a risk of harming clinical quality, through decreased staffing that may limit the momentum of the hospital quality movement, especially in fiscally vulnerable institutions. We consider ways the federal government could aid hospitals by promoting hospital quality while providing employment.

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Section: A Possible Stimulus: Investing In Quality Initiatives At Fismentioning

confidence: 99%

Hospitals during recession and recovery: Vulnerable institutions and quality at risk

Sussman¹,

Halasyamani²,

Davis³

2010

Journal of Hospital Medicine

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“…The study identified 7 dimensions for the HVBP model and 33 components. As the results of the study showed, an important dimension for the identified model was quality of clinical care that included the components or measures such as acute myocardial infarction (AMI), heart failure (HF), pneumonia (PN), surgical care improvement project (SCIP), and Healthcare Associated infections (HAI), similar to the HVBP model in the US (18,(34)(35)(36)(37).…”

Section: Discussionmentioning

confidence: 99%

“…The HVBP is computed using the following four dimensions (9,18,34,37,47,48): -Efficiency (E) In the US model of HVBP, the weights of the HVBP dimensions are expressed in terms of TPS (4,18,37,48). TPS in VBP is calculated based on four dimensions including quality of clinical care 20%, patient experience 30%, outcome 30%, and efficiency 20% of TPS in 2016 -2017 (18,37,(48)(49)(50):…”

Section: Discussionmentioning

confidence: 99%

Proposing a Model of “Hospital Value-Based Purchasing” in Selected Teaching Hospitals in Isfahan, Iran: 2015 - 2016

Mousavi

Gorji

Delgoshaei

2017

Iran Red Crescent Med J

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Background: Recently, HVBP has been a tool for improving the quality of healthcare services and managing costs. This study was conducted to identify and propose an appropriate model of HVBP in the general selected teaching hospitals in Isfahan, Iran. Objectives: The purpose of this study was to propose an Iranian model of HVBP in the selected teaching hospitals in Isfahan, Iran, 2015 -16. Methods: This study was a theoretical and qualitative study. It was cross-sectional and prospective in terms of time, direction, and trend. The sample was determined purposefully in Delphi methods. Three types of Delphi methods were conducted including: theory, policy, and implementation Delphi. The sample size in Delphi methods respectively included 9, 13, and 21 that were selected in type of experts sampling and cascading in 2015 -16. Inclusion and exclusion criteria were designated to select sample in all three types of Delphi methods. Results: According to the results of the study, the proposed Iranian model of HVBP had seven dimensions including structure, process, outcome, patient experience, quality of clinical care, sensitivity of care team, and efficiency with the weight percentages of 5,5,25,20,15,15, and 15, respectively. Each of the dimensions had 5, 6, 5, 7, 5, 4, and 1 components/component, respectively. Conclusions: This study identified and proposed a model of HVBP in the Isfahan selected general teaching hospitals. The practical application of the findings was to determine the dimensions and components of HVBP in Isfahan general teaching hospitals. According to the findings of this study, it is suggested that a series of related research be conducted to complete the identification process of HVBP in Iran in other types of hospital settings.

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“…11 The IOM report provided momentum to legislatively mandate "pay for performance," prompting the emergence of new programs. 12 One of these, the Physician Quality Reporting System (PQRS), was established as the Physician Quality Reporting Initiative under the 2006 Tax Relief and Health Care Act (TRHCA), based on the notion that health care providers should be able to provide quality and outcome information not otherwise readily available from existing Medicare claims. 13 Early data suggested limited eligible provider participation.…”

Section: Selected Historymentioning

confidence: 99%