HQIP Report to OAB August 25, 2015 Katie Brookler, HCPF Nancy - PowerPoint PPT Presentation

HQIP Report to OAB August 25, 2015 Katie Brookler, HCPF Nancy Griffith, CHA 1

Discussion Topics • Update on 2014 readmission error • 2016 recommended measures • Quality payment analysis 2

2014 Readmission Error Update • Emailed letter to hospitals June 26 • 15 of 86 hospitals requested patient-specific readmissions data • Payment adjustments done 3

2015 Measures Base Measures ER process measure Early elective deliveries Cesarean births 30-day hospital readmissions HCAHPS top box score (patient satisfaction) Optional Measures (used if base measures do not apply to hospital services) Culture of Safety Active Participation with RCCO Advance Care Planning Tobacco Screening Maintenance Measures CLABSI (central line infections) PPE/DVT (blood clots after surgery) 4

2016 Measures 2015 Recommended 2016 Base Measures ER process measure ER process measure Early elective deliveries Culture of Safety Cesarean births Cesarean births 30-day hospital readmissions 30-day hospital readmissions HCAHPS top box score HCAHPS top box score Optional Measures (used if base measures do not apply to hospital services) Culture of Safety Active Participation with RCCO Active Participation with RCCO Advance Care Planning Advance Care Planning Tobacco Screening Tobacco Screening Maintenance Measures CLABSI CLABSI PPE/DVT PPE/DVT Early elective deliveries 5

Selected Measure Trending 2015 Measure Name 2012 2013 2014 2.5% Early elective deliveries** 6.81% 1.52% 2.24% Preliminary # 21.4% Cesarean section** N/A 24.69% 22.05% Preliminary # **as reported to HCPF by the hospital (majority but not all hospitals reporting) 6

HQIP Payment Calculation Total $ per Quality Adjusted Incentive Discharge Points Discharges Payments Point 7

2014 HQIP payment and Quality Points 2014 Payout Quality Points Earned $7,000,000 40 35 $6,000,000 30 Quality Points Earend $5,000,000 Avg Quality 2014 Payout 25 Score is 23 $4,000,000 20 $3,000,000 15 $2,000,000 10 $1,000,000 5 $0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Selected Hospitals 8

2014 HQIP payment and Adjusted Discharges Medicaid Adjusted Discharges x 100 2014 Payout 7000000 Payment and Adjusted Discharges 6000000 5000000 4000000 3000000 2000000 1000000 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Selected Hospitals 9

Thank You! 10