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Better Measures

 

The quality information publically available to consumers, purchasers and other stakeholders on websites like Hospital Compare is increasingly focused on meaningful information, such as patient outcomes.  Additionally, federal Medicare programs like the Hospital Value-Based Purchasing Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Conditions Reduction Program are leveraging quality measures to inform provider reimbursement and reward higher-value health care.

While there has been much progress on this front, there remain significant gaps in hospital care qualtiy measurement, such as pairing measures of quality with cost information, and increasingly evaluating patient-reported outcomes and health care disparities.

C-P Alliance regularly advocates for the use of outcome measures, including patient-reported outcomes and measures of patient experience, to drive improvements in hospital and acute care quality through value-based purchasing. Value-based purchasing is a powerful tool for transforming the health care system from one that reimburses providers based on the volume of services they provider, to one that rewards them for the overall value of the care they deliver. A patient's care does not begin or end in the hospital setting, so moving forward it will be critical to align value-based purchasing with quality and payment programs targeting other settings across the continuum.

 
October 31, 2014
Hospital Payment Program Fact Sheets
Improving hospital quality and value is a complex endeavor. The federal government has taken a leadership role in such efforts through the initiation of several Medicare quality reporting programs tied to provider payment.  We have published new resources to help explain Medicare’s hospital inpatient quality reporting and payment programs. Follow the links below to download our fact sheets:
  • Hospital Readmissions Reduction Program (pdf)
  • Hospital Acquired Condition (HAC) Reduction Program (pdf)
  • Hospital Inpatient Quality Reporting (IQR) Program (pdf)
  • Hospital Value Based Purchasing (HVBP) (pdf)
 
June 30, 2014
Consumers and Purchasers Advocate for Continued Alignment  and Advancement across Federal Inpatient Quality and Reporting Programs
26 consumer, labor and employer organizations signed on to support C-P Alliance’s comments to CMS on the FY 2015 proposed rule for the Inpatient Prospective Payment System. The rule includes a wide range of programs and provisions that support improved patient care, including the Hospital Readmissions Reduction Program, the Hospital Inpatient Quality Reporting (IQR) Program, the Electronic Health Record "Meaningful Use Incentive Program, and more. 
 

May 12, 2013
Hospital Readmissions Programs: Are They Working?
The Wall Street Journal published CP Alliance co-chair Bill Kramer’s letter on hospital readmissions in the Affordable Care Act. In the letter, he argued that a recent critique of Medicare’s hospital readmissions program overlooked that the program is working.


March 26, 2013
CP Alliance Calls for Strengthened Patient Experience Tools
CP Alliance responded to a Request for Information regarding patient experience and patient reported outcome measures for ambulatory surgery centers and hospital outpatient surgery departments. In a letter to CMS, 29 consumer and purchaser organizations strongly supported CMS' efforts to improve these measures in these settings and offered suggestions, such as particular concepts to measure and methods for leveraging HIT in data collection.


September 4, 2012
Consumers and Purchasers Ask CMS to Make the Medicare Hospital Outpatient and Ambulatory Surgery Center Quality Reporting Programs More Meaningful
In a letter to CMS, 27 consumer, labor, and employer organizations expressed their concern that there was little effort made in this year's Outpatient Prospective Payment System (OPPS) proposed rule to expand and improve upon the Outpatient and Ambulatory Surgery Center Quality Reporting Programs (OQR and ASCQR respectively). The organizations provided CMS with suggested measures that would support the recommendations made by the Measure Applications Partnership (MAP), including additional clinician-based measures as well as measures related to supporting better health in communities, making care more affordable, and person- and family-centered care.


August 22, 2012
Saving Lives and Dollars by Reducing Preventable Readmissions
Every year, Medicare spends about one-third of its budget on paying for hospital admissions. Reducing readmissions requires all stakeholders to work together, including hospitals, other healthcare providers, communities, and patients and their families. CP Alliance co-chairs Debra Ness and Bill Kramer explain where we have made progress, and how we can take the next steps in this blog post.


June 25, 2012
CP Alliance Comments on Proposed Rule for the Medicare Inpatient Prospective Payment System (IPPS)
Enhancements to the Inpatient Quality Reporting (IQR) program will integrate quality metrics to identify and drive better health, better care, and lower costs. Although generally in support of the overall direction of the proposed rule, CP Alliance submitted this comment letter urging increased alignment with other purchasers' value-based efforts. In addition, CP Alliance supported the measures proposed by CMS while cautioning against the wholesale removal of granular patient safety information.


April 12, 2012
CP Alliance Urges Department of Health and Human Services to Set High Standards for Hospital Patient Safety Measures
With the annual rulemaking cycle for Medicare Hospital programs set to begin shortly, CP Alliance wrote this letter to HHS, urging it to set the highest possible standards for public reporting and accountability related to hospital patient safety measures. In this letter, CP Alliance provided examples of measures that are essential to support its efforts to provide meaningful information to consumers, purchasers, and providers.


March 18, 2011
CP Alliance Comments on CMS' Proposal to Curb Payment for Preventable Care-Related Conditions
In a letter to CMS, CP Alliance supported CMS'proposalto expand the current Medicare Hospital Acquired Conditions (HAC) non-payment program to include provider-preventable conditions (PPCs) and health care acquired conditions (HCACs) in the Medicaid program. In addition to supporting the proposed non-payment events, CP Alliance recommended additional conditions and measures for the program, improving the public reporting framework, and ensuring that payment methodology does not impede access to care.


March 8, 2011
Basing Medicare Hospital Payment on Performance
Twenty-eight consumers and purchasers voicedtheir strong support of CMS' proposal to begin tying Medicare hospital payments to how well hospitals care for their patients. They encouraged CMS to reward hospitals for high levels of performance, give greater weight to patient experience in determining payments, focus on measures that are meaningful to consumers and purchasers, and set an aggressive timetable for increasing the amount of payment that is based on performance.


August 31, 2010
Comments on CMS' proposed changes to the Hospital Outpatient Prospective Payment System
In a comment letter to CMS, 27 consumer, labor, and employer organizations supported the agency's plans to improve quality reporting in the hospital outpatient setting. Over the course of the next few years, CMS expects to expand the number of measures being reported by hospital outpatient facilities with a focus on many areas that are important to consumers and purchasers (e.g., overuse, efficiency, care coordination and transitions). CP Alliance also developed a backgrounder on the proposed changes.


June 24, 2008
Hospital Performance: The Expansion of Public Reporting, Performance-based Payment, and Quality Improvement in Public and Private Sectors
Resources & Background Material

Hospital Performance: The Expansion of Public Reporting, Performance-based Payment, and Quality Improvement in Public and Private Sectors
Peter V. Lee, Co-Chair, Consumer-Purchaser Alliance and National Policy Director, Pacific Business Group on Health

CMS' Progress Toward Implementing Value-Based Purchasing
Thomas B. Valuck, MD, Ph.D., Medical Officer & Senior Adviser, Center for Medicare Management, CMS

The Public Reporting and Payment Landscape
Barbara Rudolph, PhD, Director, Leaps and Measures, The Leapfrog Group

Consumer Decision Support: Challenges and Issues Related to Chooser Tools for Helping Individuals with Health Care Transactions
Ted von Glahn, Director, Performance Improvement and Consumer Engagement, Pacific Business Group on Health

Private Sector Reporting: Stakeholders Helping Consumers Manage Their Health
Christine Muldoon, MBA, Director of Product Management, WebMD Health Service

 

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