Measures

Hospital Value-Based Purchasing

A hospital’s performance in Hospital Value-Based Purchasing (HVBP) will be based on its performance according to the following:

Fiscal Year (FY) 2015

  • 12 Clinical Process of Care measures
  • 8 Patient Experience of Care dimensions (HCAHPS)
  • 3 - 30-Day Outcome Mortality measures:
    • Acute Myocardial Infarction (AMI)
    • Heart Failure (HF)
    • Pneumonia (PN)
  • 1 Agency for Healthcare Research and Quality (AHRQ) Composite measure:
    • Patient Safety Indicator (PSI-90)]
  • 1 Healthcare Associated Infection:
    • Central Line-Associated Blood Stream Infection (CLABSI)
  • 1 Efficiency measure:
    • Medicare Spending Per Beneficiary (MSPB)

FY 2016

  • 8 Clinical Process of Care measures
  • 8 Patient Experience of Care dimensions (HCAHPS)
  • 3 - 30-Day Outcome Mortality measures:
    • Acute Myocardial Infarction (AMI)
    • Heart Failure (HF)
    • Pneumonia (PN)
  • 1 Agency for Healthcare Research and Quality (AHRQ) Composite measure:
    • Patient Safety Indicator (PSI-90)
  • 4 Healthcare Associated Infection:
    • Central Line-Associated Blood Stream Infection (CLABSI)
    • Catheter-Associated Urinary Tract Infection (CAUTI)
    • Surgical Site Infection
      • Abdominal Hysterectomy
      • Colon Surgery
  • 1 Efficiency measure:
    • Medicare Spending Per Beneficiary (MSPB)

Clinical Process of Care Domain

Measure ID* Measure Description FY 2013 FY 2014 FY 2015 FY 2016
AMI-7a Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival Yes Yes Yes Yes
AMI-8a Primary PCI Received Within 90 Minutes of Hospital Arrival Yes Yes Yes No
HF-1 Discharge Instructions Yes Yes Yes No
IMM-2 Influenza Immunization No No No Yes
PN-3b Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital Yes Yes Yes No
PN-6 Initial Antibiotic Selection for CAP in Immunocompetent Patient Yes Yes Yes Yes
SCIP-Card-2 Surgery Patients on a Beta Blocker Prior to Arrival That Received a Beta Blocker During the Perioperative Period Yes Yes Yes Yes
SCIP-Inf-1 Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision Yes Yes Yes No
SCIP-Inf-2 Prophylactic Antibiotic Selection for Surgical Patients Yes Yes Yes Yes
SCIP-Inf-3 Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time Yes Yes Yes Yes
SCIP-Inf-4 Cardiac Surgery Patients with Controlled 6AM Postoperative Serum Glucose Yes Yes Yes No
SCIP-Inf-9 Postoperative Urinary Catheter Removal on Post Operative Day 1 or 2 No Yes Yes Yes
SCIP-VTE-1 Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered Yes Yes No No
SCIP-VTE-2 Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery Yes Yes Yes Yes

* Measure name:
   AMI = Acute Myocardial Infarction
   HF = Heart Failure
   IMM = Immunization
   PN = Pneumonia
   SCIP = Surgical Care Improvement Project

Patient Experience of Care for the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) Domain

Measure Description FY 2013 FY 2014 FY 2015 FY 2016

Communication with Nurses

Yes Yes Yes Yes
Communication with Doctors Yes Yes Yes Yes
Responsiveness of Hospital Staff Yes Yes Yes Yes
Pain Management Yes Yes Yes Yes
Communication about Medicines Yes Yes Yes Yes
Cleanliness and Quietness of Hospital Environment Yes Yes Yes Yes
Discharge Information Yes Yes Yes Yes
Overall Rating of Hospital Yes Yes Yes Yes

Outcome Domain

Measure ID** Measure Description FY 2013 FY 2014 FY 2015 FY 2016
MORT-30-AMI Acute Myocardial Infarction (AMI) 30-Day Mortality Rate No Yes Yes Yes
MORT-30-HF Heart Failure (HF) 30-Day Mortality Rate No Yes Yes Yes
MORT-30 PN Pneumonia (PN) 30-Day Mortality Rate No Yes Yes Yes
AHRQ Composite (PSI-90) Complication/Patient safety for selected indicators (Composite) No No Yes Yes
CAUTI Catheter-Associated Urinary Tract Infection No No No Yes
CLABSI Central Line-Associated Blood Stream Infection No No Yes Yes
SSI

SSI - Colon Surgery

SSI - Abdominal Hysterectomy

No No No Yes

** Measure names:
    MORT = Outcome Mortality Measure
    AHRQ = Agency for Healthcare Research and Quality
    PSI = Patient Safety Indicators
    SSI = Surgical Site Infection


Efficiency Domain

Measure ID Measure Description FY 2013 FY 2014 FY 2015 FY 2016
MSPB Medicare Spending Per Beneficiary No No Yes Yes

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