HCAHPS Scores = hospital pay - page 2
by A&OxNone | 18,246 Views | 37 Comments
Not sure if anybody else's facility has started stressing this (I'm sure mine isn't the only one...) but I wanted to see what nurses thought about this change, basically that the HCAHPS scores will determine how much Medicare... Read More
- 3Jun 8, '11 by Esme12, BSN, RN Senior ModeratorQuote from herring_RNI haven't met a government agency yet that didn't use every excuse in the book to weasel out of paying. This is nothing but a bait and switch ponzi scheme to continue to reimburse as little as possible and shift more responsibility on the average american and legalize excuses on why they can't and won't pay.....I read it as stating increased reimbursement requires that certain criteria are met.
Yes patient satisfaction scores are one item.
- 11Jun 8, '11 by jones.rnMy hospital is obsessed with HCAHPS. Everything they do seems to be focused around it. And believe me, the outcomes are not always good for the nurses. They allow patients to abuse us and the system because they want to be reimbursed. It's craziness.
- 1Jun 8, '11 by RhinoRocketRNQuote from jones.rnSame hereMy hospital is obsessed with HCAHPS. Everything they do seems to be focused around it. And believe me, the outcomes are not always good for the nurses. They allow patients to abuse us and the system because they want to be reimbursed. It's craziness.
- 0Jun 8, '11 by MunoRNI know it sucks but it could be worse; Imagine if the title of this thread was HCAHPS scores = Nurse Pay.
That's exactly what one of my area Hospitals is proposing with their next contract. On top of proposing a 16% pay cut across the board for Nurses, they are proposing additional pay cuts based on Nursing sensitive indicators on the HCAHPS.
- 0Jun 9, '11 by freemiriniI actually wonder if linking the scores to reimbursement will cause hospitals to adjust their staffing ratios. In general, I have noticed that hospitals with better scores tend to have better nurse-to-patient ratios. --I imagine that some "flogging" of staff will go on, but if hospitals are losing money they may just adjust their policies.
- 0Jun 10, '11 by A&OxNoneI will say that yes, it is just Medicare reimburstment, BUT, in my hospital, as many as 70% of our admitted patients are on Medicare. So this is a lot of money we're talking about.
Also, It drives me crazy about the patient satisfaction survey. They ask things like,"How often did your nurse respond to your call light" and "How often was your pain controlled" which ARE important, YES. But from what I understand, the only choices the pt gets are ,"Always, Usually, Never." or something to that extent. Well, as a patient, I would think "usually" would be a good response, but the only the we will get paid for are the "Always" responses.
At least that's how it's been explained at my facility. Somebody correct me if I'm wrong... I love a dose of education.