Page 9 - Hoag Orthopedic Institute 2012 Outcomes Report

“SPECIALTY ORTHOPEDIC HOSPITALS
HAVE BETTER PATIENT OUTCOMES, AS MEASURED BY MEDICARE ADMINISTRATIVE DATA, THAN GENERAL HOSPITALS.”
Source: Journal of Bone and Joint Surgery August 2007
12 Clinical Process of Care Measures and 8 Patient Experience of Care Measures, or on how much their performance improves relative to a baseline performance.
In October 2012 all hospitals began receiving their first VBP scores. HOI was well above the state and national scores.
HOI Hospital’s Value-Based Purchasing Score 2013
In October 2012 through the Patient Protection
and Affordable Care Act, Medicare began 100
Percent (Higher is Better)
rewarding hospitals that provide high-quality care for their patients using its new Hospital Value-Based Purchasing Program. The concept of value-based healthcare purchasing is that buyers should hold providers of health care accountable for both cost and quality of care.
VBP brings together statistics on the quality of health care, including patient outcomes and health status, with data on the dollar outlays going towards health. It focuses on managing the use of the healthcare system to reduce inappropriate care and to identify and reward the best-performing providers. This strategy contrasts with more limited efforts to negotiate price discounts, which reduce costs but do little to ensure that quality of care is improved.
In a value-based purchasing system, employers and other purchasers contract selectively
with plans or provider organizations based on demonstrated performance. In this manner, the best performing plans and providers are rewarded with a greater volume of patients.
90
80
70
60
50
40
30
20
10
0
73%
53%
55%
Hoag Orthopedic Institute
State of CA
National
Source: QualityNet.org (CMS-approved website for secure communications and healthcare quality data exchange) for performance period of 07/1/2011 to 03/31/12
2012 OUTCOMES REPORT | 9