Page 8 - Hoag Orthopedic Institute 2012 Outcomes Report
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A national movement toward more accountable care has led to the standardization of key performance measures. As an early adopter of these measures, HOI has tracked its outcomes against national benchmark data since opening its doors in November 2010. In this report, fiscal year 2012 data (October 2011 to September 2012) is presented along with fiscal year 2011 data (annualized from November 2010 to September 2011.)
HOI has invested in rigorous outcomes tracking systems and reporting to foster excellence in care, optimize outcomes and validate quality. Thus, Hoag Orthopedic Institute patients and payers have gained an unprecedented level of insight into
the community’s orthopedic care. Physicians and staff stay abreast of what has been accomplished, and what remains to be done, via distribution of performance dashboards.
The institute continues to expand its data collection efforts. As the field of outcomes assessments and national benchmarks continues to mature, HOI is well positioned to collect patients’ data and reap the benefits from this knowledge.
Under Medicare’s Hospital Value-Based Purchasing (VBP) “pay for performance” approach which began in October 2012, hospitals receive incentive payments based on how well they perform on
Seventy percent of these scores are based upon the process of care, such as the Centers for Medicare & Medicaid Services (CMS) Surgical Care Improvement Project (SCIP) measures. The remaining 30 percent focus on patient experience metrics from HCAHPS. The pie chart below illustrates what is weighted for VBP.
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Role in Value-Based Purchasing FY 2013
Lowest HCAHPS Score Additional 6%* Discharge Information 3%
Overall Rating 3%
Pain Management 3%
Clean/Quiet 3% Responsiveness 3% Communication RE: Meds 3% RN Communication 3%
Clinical Measures
70% MD Communication 3%
Source: American Hospital Association
* The hospital’s lowest HCAHPS score has a disproportionate weight to the others—30 of the 100 HCAHPS value-based-purchasing points are based on that one measure.

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