Hospital Value-Based Purchasing Case Study

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Introduction The Hospital Value Based Purchasing Program is a program by the Centers for Medicare and Medicaid Services (CMS). The initiative is intended to reward the acute care hospitals with incentive payments for the quality of the health care they give to individuals with Medicare. Through the HBV program, CMS has constantly changed the payment modal of hospitals, rewarding them for the quality of health care services they provide to Medicare patients and not only just the quantities of the procedures hospitals perform. They are rewarded based on how well they enhances patients' experiences of health care and how closely they adhere to best clinical practices. When they adhere to the standard guidelines and follow set best clinical practices, …show more content…

In the quest for better and quality services, we have taken the following steps. First, integrating performance into our strategic objectives. We acknowledge that health care is definitely a complex, and adaptive systems where relationships and interactions of many different components simultaneously are affected and shaped by the system. As described, it is imperative to integrate performance improvements within the strategic objectives of the health care organization. Strategic objectives like focusing on populations health management, developing a center of excellence for cardiovascular services or even being an accountable health care organization (ACO), all need performance improvement so as to be …show more content…

It is noted that to streamline operations and improve clinical outcomes successfully, you require a strong organizational structure and commitment, culture change, work flow processes and continuous staff education – what Health Catalyst refers to as an 'adoption system'. Our facility has embarked on this improvement journey and have assessed its readiness for change. Some examples of the criteria we have evaluated in assessing our readiness for change include, our shared vision, clinical leadership readiness, administrative support (such as outcome analyst availability, data manager) and data

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