Boosting Quality Process Measures: Steps to Success for Your Hospital

Become a Leader and Strengthen Your Reimbursement Level

This is Part 2 of the series: Mastering Hospital Value-Based Purchasing

About the Webinar

Program Objectives

Webinar Will Answer These Questions

Attend from your desktop or conference room. Invite your whole team to attend at one low price.

Rates: $329 per location, unlimited viewers per location (a special rate is also available for solo practitioners and the military). Please call 301-354-1769 for promo code for a price reduction if you qualify.

Each registration comes with access to the archived version of the program and the materials until December 31, 2012.

Continuing Professional Education: This program is approved for 1.5 contact hour for, nurses, social workers, and certified case managers,

For acute care hospitals, the tectonic plates are shifting. No longer are payments solely dependent on the bulk number of patients seen. Today, quality care is emerging as an important determinant in the amount of money you stand to gain in reimbursement.

With the Affordable Care Act, value-based purchasing burst onto the scene. And it is here to stay. Value-based purchasing targets two key factors in determining reimbursement rates: 1) clinical processes of care and 2) patient satisfaction (represented by HCAHPS).

This training session will equip you with the background information you need to understand the full range of value-based purchasing, and it will provide you with actionable strategies to improve your level of clinical care measures to ultimately move the needle on bottom-line reimbursement levels.

Ed. Note: Part 1 of this series focuses on patient satisfaction scores and what hospitals must know to stay ahead of the curve and ensure paramount levels of federal reimbursement. Learn more here: Improving HCAHPS: Satisfying Patients – and Your Bottom Line.

Join us on July 25, 2012, for the second of a two-part series on Hospital Value-Based Purchasing, where our experienced faculty will share knowledge, tactics and tools to understand value-based purchasing and increase your facility’s bottom-line rate of return.

About the Webinar

When it comes to the emerging trend of value-based purchasing (VBP), several questions come immediately to mind. First of all, what is value-based purchasing?

“The Hospital Value-Based Purchasing (VBP) Program is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to people with Medicare,” according to a FAQ from CMS [PDF].

“Through the Hospital Value-Based Purchasing Program, CMS is changing the way it pays hospitals, rewarding hospitals for the quality of care they provide to Medicare patients, not just the quantity of procedures they perform. Hospitals are rewarded based on how closely they follow best clinical practices and how well hospitals enhance patients’ experiences of care. When hospitals follow proven best practices, patients receive higher quality care and see better outcomes.”

The second question is, what do facilities need to know about their quality-of-care measures and how can they improve their outcomes to reap the most lucrative financial benefits available?

The easy answer is that acute care organizations must achieve better-than-average outcomes for specific clinical process of care measures, such as heart failure, pneumonia, healthcare-associated infections and certain surgery-related concerns.

This training session will equip you with the background information you need to understand the full range of value-based purchasing, and it will provide you with actionable strategies to improve your level of clinical care measures to ultimately move the needle on bottom-line reimbursement levels.

Background on VBP and HCAHPS

According to the Centers for Medicare and Medicaid Services:

CMS will assess each hospital’s total performance by comparing its achievement and improvement scores for each applicable Hospital VBP measure and awarding the higher score for each measure. CMS will then aggregate each hospital’s scores into the appropriate domain.

The Fiscal Year (FY) 2013 Hospital VBP Program consists of two domains: 1) Clinical Process of Care and 2) Patient Experience of Care. The Clinical Process of Care score is simply the sum of measure scores in that domain. The Patient Experience of Care score is the sum of a hospital’s Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) base score and that hospital’s HCAHPS Consistency score.

CMS will then multiply each domain score by domain-specific weights. For FY 2013, these weighted values are 70 percent for Clinical Process of Care and 30 percent for Patient Experience of Care. After each domain score is multiplied by its percentage value, CMS will add the weighted domain scores to reach a hospital’s Total Performance Score.

Each hospital’s Total Performance Score will be converted into a value-based incentive payment adjustment percentage using a mathematical formula. In FY 2013, CMS will use a specific formula that translates hospitals’ scores into incentive payment adjustment percentages by ranking all hospitals based on their scores. CMS will ensure that the total incentive payments do not exceed the total amount estimated to be withheld in FY 2013 under Social Security Act Section 1886(o)(7)(B).

Program Objectives

Define value-based purchasing and its impact on acute care facilities.
Identify what leading hospitals are doing to improve their adherence to quality care measures that are affected by value-based purchasing.
Learn what is in store for acute care facilities in the coming months and years as value-based purchasing continues to expand.

Our Webinar Will Answer These Questions

What is value-based purchasing?
What do recent changes to value-based purchasing mean for hospitals?
When do deadlines begin to kick in for value-based purchasing?
Who has taken the lead in efforts to meet value-based purchasing requirements?
How does care coordination improve value-based purchasing efforts?
What changes are coming to value-based purchasing?
How can my facility improve our adherence to value-based purchasing standards?
What is the relationship between value-based purchasing and patient satisfaction?
Why is value-based purchasing crucial to my facility’s bottom line?
How can my department promote awareness of value-based purchasing?

Faculty

Katy Pugh, RN, MBA, CPHQ, is the President and Consultant, Hanna & Associates Inc., experts with experience in Value-Based Purchasing, Pay for Performance, Quality and Systems Improvement, Case Management and Discharge Planning and Accreditation Readiness.

Highlights of Katy’s career include successful performance as Associate Director of CQI at UNC Healthcare in Chapel Hill, North Carolina and also as Director of Clinical Resource Management at WakeMed Health and Hospitals in Raleigh, North Carolina. In these organizations, Katy was instrumental in coordinating systems improvements in quality and case management with measureable improvements in quality indicator performance and efficiency. At WakeMed, Katy led efforts to decrease the Medicare length of stay, implement a community case management program, implement Emergency Department Case Management, and improved patient flow. After leaving WakeMed in 2004, Katy has shared her expertise with hospitals in the United States and abroad.

Joanna L. Bokovoy, DrPH, RN, is Assistant Vice President, Healthcare Improvement & Research at Adventist Health in Roseville, CA. In this role, she directs the clinical analytics team and works closely with clinical quality, information technology, accounting and other groups on Healthcare Knowledge Management as part of a larger Business Intelligence platform. She is actively involved in activities and projects designed to address Value Based Purchasing, Meaningful Use and Process Improvement. She oversees a safety culture initiative begun in 2008, working with AH 17 hospitals and a world renowned safety researcher from Duke University to improve safety, teamwork and spiritual climate scores at all sites. She is also involved in an innovations team addressing clinical costs and one focusing on grant funding for simulation education.

Susan Plough, MSN, APRN, BC, CCM, has a diverse background in nursing and case management. She is a Clinical Nurse Specialist in Community Health. Currently she is the Director of Case Management for St Vincent Indianapolis and Adjunct Faculty for Indiana University School of Nursing. She is also President of the Central Indiana Chapter of Case Management Society of America.

Moderator:
Anne Llewellyn RN-BC, MS, BHSA, CCM, CRRN
Editor in Chief, Case Management Products
Dorland Health, a division of Access Intelligence

Who Should Attend

Physicians
Nurse Practitioners
Physician Assistants
Pharmacists
Case Managers
Social Workers

Quality Improvement Professionals
Behavioral Health Professionals
Managed Care Directors
Benefit Design Professionals
Practice Management Professionals
Patient Centered Medical Home Consultants

Purchase Options

$329 per location, unlimited viewing per location (a special rate is available for solo practitioners and the military. Please call 301-354-1769 for promo code for a price reduction if you qualify.
Live Webinar Registration – $329 (per-site fee)
Webinar Recording on CD-ROM – $329
Live Webinar and CD-ROM – $379

Continuing Professional Education

Nurses: This program is approved for 1.5 contact hours for nurses by Commonwealth Educational Seminars (CES). As an approved provider by the California Board of Registered Nursing (Provider Number CEP 15567), CES Programs are accepted by every State Board of Nursing with the exception of Delaware.

Certified Case Managers: This program is approved for 1.5 contact hours for case managers through the Commission for Case Manager Certification.

Social Workers: This program is approved for 1.5 CE hours for Social Workers. Commonwealth Educational Seminars (CES) is approved as a provider for Social Work Continuing Education (ACE Provider #1117) by the Association of Social Work Boards (ASWB, 400 South Ridge Parkway, Ste B, Culpepper, VA 22701) www.aswb.org. ASWB Approval Period: 10/6/09-10/5/12.

Questions?

For questions regarding the Webinar or to register by phone, contact Hope Kabik at 301-354-1769.

For content questions regarding this Webinar, contact Anne Llewellyn at 954-254-2950 or email allewellyn@dorlandhealth.com.

*Dorland Health does not offer any refunds for the webinar. All sales are final.

For technical support questions, you can contact the Webex technical support line at 1.866.229.3239.

How Does the Webinar Work?

The live audio is delivered to your location over the telephone or your computer speakers. The Power-Point presentations are presented over the Internet and are available to print out before the program. This is like a talk-radio program with visuals on the Web. You and your team will be able to have a live Q&A with all the speakers.

More details on webinar equipment and connections