Pay-for-Performance Dashboard
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The Pay-for-Performance Dashboard supports three key programs.
As regulations change and pay-for-performance plans expand, Premier’s Pay-for-Performance Dashboard helps you manage the reimbursement impact to your organization. Multiple hospital pay-for-performance calculations are consolidated into an intuitive, user-friendly dashboard format with drill-down capabilities.
Value-Based Purchasing (VBP)
Combining clinical outcomes, efficiency, safety, and patient and caregiver experience, the data is collected for one year and organizations receive their reward or penalty two years later.
Hospital-Acquired Condition Reduction Program (HACRP)
Has a goal of lowering rates of hospital-acquired conditions (HACs) by lowering inpatient reimbursement by 1% for hospitals with HAC scores that place them in the bottom 25%.
Hospital Readmissions Reduction Program (HRRP)
Measures hospital performance by calculating excess readmission ratios (ERRs) for: acute myocardial infarction (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), coronary artery bypass graft (CABG) surgeries, and elective primary total hip and/or total knee arthroplasty (THA/TKA). More than 2,500 hospitals will be penalized in FY 2019, with reductions totaling over $560 million.
Key Features:
For VBP—Pay-for-Performance Dashboard drills down to specific program metrics, identifies key drivers of payment impact, accurately models 30-day mortality (using Yale/CMS 30-Day Risk Standardized Mortality algorithm), compares results across hospitals within a system and predicts national performance.
For HACRP—Pay-for-Performance Dashboard trends individual performance measures across performance periods, predicts penalty and at-risk cutoff scores and offers access to infection data pulled directly from the National Healthcare Safety Network (NHSN).
For HRRP—Pay-for-Performance Dashboard applies a statistical model that accurately projects total readmissions, not just readmissions to the same facility, and calculates readmissions value approximating the Centers for Medicare and Medicaid Services (CMS) model.