Academic journal article Journal of Healthcare Management

PRACTITIONER APPLICATION: Hospital Value-Based Purchasing Performance:Do Organizational and Market Characteristics Matter?

Academic journal article Journal of Healthcare Management

PRACTITIONER APPLICATION: Hospital Value-Based Purchasing Performance:Do Organizational and Market Characteristics Matter?

Article excerpt

As Spaulding, Edwardson, and Zhao note, performing well in the hospital value-based purchasing (HVBP) program of the Centers for Medicare & Medicaid Services (CMS) requires an infrastructure that can extract relevant data and enable timely action. Several years before CMS initiated the HVBP, many health systems adopted patient satisfaction surveys and clinical quality measures. However, improvement in satisfaction and quality was often not remarkable until the implementation of the HVBP, which promoted market transparency and a way for consumers to compare hospitals.

Specialty hospitals also can achieve favorable results in HVBP initiatives. In Irvine, California, the Hoag Orthopedic Institute's atypical organizational structure-a joint venture including orthopedic surgeons and a community-based nonprofit hospital- resulted in exceptionally high performance in multiple HVBP domains (Haas, Kaplan, Reid, Warsh, & West, 2015). Value-based data analytics and performance incentives were designed to ensure that all Hoag Orthopedic employees and physicians were hyperfocused on patient satisfaction, clinical quality, and outcomes. Education initiatives and best practices were developed internally (outside the parent health system) through synergy between empowered physicians and staff. As examples, medical staff bylaws and physician report cards were finely tuned to align clinicians with the organization's vision for a transition to value-based healthcare.

Earlier, along with more than 30 other orthopedic programs, Hoag Orthopedic participated in the Institute for Healthcare Improvement Joint Replacement Learning Community (Becker's Hospital Review, 2014; Institute for Healthcare Improvement, 2014). This early collaboration, centering on value-based data analytics and best practices at topperforming orthopedic hospitals, proactively addressed HVBP domains. …

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