Baseline and Performance Periods

Hospital Value-Based Purchasing

In developing Hospital Value-Based Purchasing (HVBP), the Centers for Medicare & Medicaid Services (CMS) conducted extensive research and stakeholder outreach. Information outlining HVBP was published in the CMS Final Rules.

Among other topics, these final rules include details on:

  • program structure, including quality measure categories (“domains”)
  • quality measures selected for the program
  • criteria for participating and non-participating hospitals
  • periods of performance for quality measurement
  • performance standards for all quality measures
  • scoring methodology

Fiscal Year (FY) 2019 Baseline and Performance Periods


Domain Baseline Period Performance Period
Clinical Care: 30-Day Mortality Measures July 1, 2009 – June 30, 2012 July 1, 2013 – June 30, 2017
Clinical Care: THA/TKA Complication Measure July 1, 2010 – June 30, 2013 Jan. 1, 2015 – June 30, 2017
Person and Community Engagement Jan. 1, 2015 – Dec. 31, 2015 Jan. 1, 2017 – Dec. 31, 2017
Safety: AHRQ PSI-90 Composite
July 1, 2011 – June 30, 2013 Jul. 1, 2015 – June 30, 2017
Safety: Healthcare Associated Infections (HAI)
Jan. 1, 2015 – Dec. 31, 2015 Jan. 1, 2017 – Dec. 31, 2017
Safety: PC-01 Jan. 1, 2015 – Dec. 31, 2015 Jan. 1, 2017 – Dec. 31, 2017
Efficiency and Cost Reduction
Jan. 1, 2015 – Dec. 31, 2015 Jan. 1, 2017 – Dec. 31, 2017

FY 2018 Baseline and Performance Periods


Domain Baseline Period Performance Period
Clinical Care Oct. 1, 2009 – June 30, 2012 Oct. 1, 2013 – June 30, 2016
Patient- and Caregiver- Centered Experience of Care/Care Coordination Jan. 1, 2014 – Dec. 31, 2014 Jan. 1, 2016 – Dec. 31, 2016
Safety: AHRQ PSI-90 Composite
July 1, 2010 – June 30, 2012 July 1, 2014 – Sep. 30, 2015
Safety: Healthcare Associated Infections (HAI)
Jan. 1, 2014 – Dec. 31, 2014 Jan. 1, 2016 – Dec. 31, 2016
Safety: PC-01 Jan. 1, 2014 – Dec. 31, 2014 Jan. 1, 2016 – Dec. 31, 2016
Efficiency and Cost Reduction
Jan. 1, 2014 – Dec. 31, 2014 Jan. 1, 2016 – Dec. 31, 2016

FY 2017 Baseline and Performance Periods


Domain Baseline Period Performance Period
Clinical Care – Process Jan. 1, 2013 – Dec. 31, 2013 Jan. 1, 2015 – Dec. 31, 2015
Clinical Care – Outcomes Oct. 1, 2010 – June 30, 2012 Oct. 1, 2013 – June 30, 2015
Patient- and Caregiver- Centered Experience of Care/Care Coordination Jan. 1, 2013 – Dec. 31, 2013 Jan. 1, 2015 – Dec. 31, 2015
Safety: AHRQ PSI-90 Composite
Oct. 1, 2010 – June 30, 2012 Oct. 1, 2013 – June 30, 2015
Safety: Healthcare Associated Infections (HAI)
Jan. 1, 2013 – Dec. 31, 2013 Jan. 1, 2015 – Dec. 31, 2015
Efficiency and Cost Reduction
Jan. 1, 2013 – Dec. 31, 2013 Jan. 1, 2015 – Dec. 31, 2015

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