![]() CMS reports information about the quality of care at over 4,000 Medicare-certified hospitals across the country. Participation in Hospital Compare significantly expands VA’s outreach to Veterans and their families and offers direct comparisons of our facilities with private sector counterparts. VA has adopted healthcare transparency as a strategy to enhance public trust and to help Veterans make informed choices about their health care. Approximately 50 percent of Veterans enrolled in the VA healthcare system are eligible for Medicare and therefore have some choice in how and where they receive inpatient services. The Veterans Health Administration (VHA) has now collaborated with the Centers for Medicare & Medicaid Services (CMS) to present information to consumers about the quality and safety of health care in VHA. Overview of VA Transparency and Public Reporting on CMS Hospital Compare Medicare Provider Cost Report Public Use Files.Provider statistical & reimbursement report.Medicare fee for service for Parts A & B.Medicare Claims Synthetic Public Use Files (SynPUFs).Health Care Information System (HCIS) data file.Medicare Provider Utilization and Payment Data.Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information Files for Download.Next Generation ACO Model (NGACO) Public Use Files.Medicare Advantage/Part D Contract and Enrollment Data. ![]() Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model Public Use Files.Outcomes: HF, PN, MI, 30-day mortality, CLABSI, and PSI-90.Patient Experience: a subset of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey questions.Clinical Process: selected heart failure (HF), pneumonia (PN), myocardial infarction (MI), and surgical care measures.For the years noted above, the VBP program metrics are as follows: Unlike the HACRP and the Hospital Readmissions Reduction Program, which are pure penalty programs, VBP has hospitals at risk for 1.5% (for 2015) of Medicare payments, but they may earn back some, all, or an amount in excess of the 1.5% based on performance. See Table 1 for a breakdown of the program for the next two years. The Hospital VBP program continues to evolve. The report noted that reductions in adverse drug events and pressure ulcers were the largest contributors to a reported 50,000 fewer in-hospital deaths over the 2010-2013 period. Hospital-acquired conditions are defined somewhat differently in the PfP than in the HACRP, with PfP targeting certain hospital-acquired infections, pressure ulcers, falls, and adverse drug effects. declined 9% over a one-year period (2012 to 2013) and 17% over a three-year period (2010 to 2013). The agency reported that the number of hospital-acquired conditions in the Partnership for Patients (PfP) program in the U.S. hospitals and their performance in the HACRP and the Hospital Value-Based Purchasing (VBP) program is available at Just two weeks prior to the CMS announcement, AHRQ announced some major accomplishments in efforts to address patient safety at U.S. The 65% weight domain will change in FY16 with the addition of surgical site infections (colon, hysterectomy) and in FY17 with the addition of MRSA and Clostridium difficile infections. The HACRP program, which debuted in October 2014, will continue at least through 2020. These are clinically derived metrics, currently central line-associated blood stream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI). 65%, CDC National Health Safety Network measures.This is a composite of eight claims-based harm measures. ![]()
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