Hospital Value-Based Purchasing (HVBP)
A hospitals performance in Hospital Value-Based Purchasing (HVBP) is based on measures/dimensions for the domains per fiscal year (FY). The hospitals Total Performance Score (TPS) is composed of the following:
FY 2015 Scoring
|Clinical Process of Care||20%|
|Patient Experience of Care||30%|
FY 2016 Scoring
|Clinical Process of Care||10%|
|Patient Experience of Care||25%|
Weighting for FY 2015
For FY 2015, the TPS will be re-weighted proportionately to the scored domains for hospitals with at least two (2) out of four (4) domain scores. The TPS will be scored out of a possible 100 points, and the relative weights for the scored domains will remain equivalent.
For example, when a hospital meets the minimum case and measure requirements for the Clinical Process of Care, Patient Experience of Care and Outcome domains but does not meet the minimum case requirements for the Efficiency domain, the weighting will be reallocated to the remaining applicable domains.
As noted above, the weight of the Efficiency domain is 20 percent; therefore, the total weight between the remaining applicable domains—Clinical Process of Care (20 percent), Patient Experience of Care (30 percent) and Outcome (30 percent)—is 80 percent.
In this example, the reallocated weighting for the remaining applicable domains is:
- Clinical Process of Care = 25%
- Patient Experience of Care = 37.5%
- Outcome = 37.5%
The formula to calculate the re-weighting of the measures is as follows:
Original weight of each remaining domain ÷ total weight of remaining domains x 100
The reallocated weights must total 100 percent.
See the HVBP FY 2015 Overview resources from the March 14, 2013, National Provider Call for details regarding measure re-weighting.