HCAHPS Scores = hospital pay

  1. 0
    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 will pay the hospital.

    " Scoring in the Hospital Value Based Purchasing Program will be based on whether a hospital meets or exceeds the performance standards established with respect to the measures. By adopting this program, we will reward hospitals based on actual quality performance on measures, rather than simply reporting data for those measures."

    All the articles I find on this are pretty dense... here's the most basic I can find..

    http://www.hhs.gov/news/press/2011pr...20110429a.html

    How do you think this will effect us?
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  4. 37 Comments so far...

  5. 2
    Some of these measures will assess whether hospitals:

    • Ensure that patients who may have had a heart attack receive care within 90 minutes;
    • Provide care within a 24-hour window to surgery patients to prevent blood clots;
    • Communicate discharge instructions to heart failure patients; and
    • Ensure hospital facilities are clean and well maintained.
    Looks similar to Quality Initiatives I've seen at hospitals I've rotated through. Others I've seen include proper antibiotics given before surgery, EKG/Aspirin w/in x amount of time of arrival with chest pain, beta blocker prescribed for new MI on discharge, etc...
    tewdles and herring_RN like this.
  6. 10
    Call me jaded and paranoid, but I don't trust it. While I agree with high quality care, the definition of "high quality care" is usually different to someone who makes up these rules and someone who is actually giving care. I just get the vibe that SOMEHOW patient satisfaction scores would factor into this and that would be truly wretched in the wrong hands....
    Texasnurse81, nicurn001, Elvish, and 7 others like this.
  7. 17
    Quote from TheMoonisMyLantern
    Call me jaded and paranoid, but I don't trust it. While I agree with high quality care, the definition of "high quality care" is usually different to someone who makes up these rules and someone who is actually giving care. I just get the vibe that SOMEHOW patient satisfaction scores would factor into this and that would be truly wretched in the wrong hands....

    It's great in theory but is this just another way to refuse reimbursement???
    KeyMaster, Texasnurse81, opossum, and 14 others like this.
  8. 6
    Quote from Esme12
    It's great in theory but is this just another way to refuse reimbursement???

    Exactly.
    TraceyRN_CEN, ChristaRN, nola1202, and 3 others like this.
  9. 3
    I read it as stating increased reimbursement requires that certain criteria are met.
    Yes patient satisfaction scores are one item.

    http://www.healthcare.gov/news/facts...04292011b.html
    wooh, ChristaRN, and lindarn like this.
  10. 1
    Are patient satisfaction scores gathered from Press Gainey? The questions look the same. I thought PG was a private company. Have they partnered with the government? Just curious
    lindarn likes this.
  11. 7
    Quote from gettingbsn2msn
    Are patient satisfaction scores gathered from Press Gainey? The questions look the same. I thought PG was a private company. Have they partnered with the government? Just curious
    No. Remember, this is just Medicare reimbursement, so these scores are from the surveys that CMS (Centers for Medicare & Medicaid - a division of HHS) sends to their patient population.

    However ... Press Ganey is contracted with 50% of U.S. hospitals. That's about enough to keep me awake at night.
    opossum, JacknSweetpea, wooh, and 4 others like this.
  12. 7
    HCAHPS is the customer service survey that I'm sure we're all familiar with by now. Regardless of what company is collecting the data, the survey contains the same 27 questions. Many companies are certified to collect HCAHPS data for CMS including Press-Ganey, NRC Picker, Gallup, and Rand. In the near future, a hospital's medicare reimbursement will be tied to these scores which will be collected by these private companies.
    wooh, ChristaRN, Batman25, and 4 others like this.
  13. 0
    When I was assigned to work a LA county recently they were emphazing HCAHPS and even made all the registry staff take a customer service class which to us was a bit of a joke since it seemed obvious that the regular staff needed to be there more. But they have reason to be worried since a good portion of the staff would explain things to patients along the lines of "Oh honey this s county" So I figure once payment gets tired to customer service they will be making approximately zero.


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