RHRI Value-Based Indexing

RHRI Value-Based Indexing
RHRI Value-Based Indexing is a way to benchmark your hospital
against other rural hospitals in Oregon using the same metrics and
scoring methodologies as Urban hospitals use to determine their
Medicare Pay for Performance payment adjustment.
380001
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RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
Total Performance Score
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
Weighted Aggregate of domain scores
51.45%
FFY 2014 = (a *45% + b*30% + c*25%)
Total Performance Score Comparison to
All PPS Hospitals in the US
Comparative Statistics
Better than the
Median US Hospital
Better than the Median US Hospital indicates that this hospital's Total Performance
Score is greater than the median hospital in the US. Worse than the Median US
Hospital indicates that this hospital's Total Performance Score is lower than the
median hospital in the US.
Oregon RHRI Hospital Rank
3 out of 31
All data is gathered from publicly available databases maintained by
CMS. This has the advantage of requiring no new data collection or
reporting on your part.
380001
670068
RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
Total Performance Score
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
Weighted Aggregate of domain scores
51.45%
FFY 2014 = (a *45% + b*30% + c*25%)
Total Performance Score Comparison to
All PPS Hospitals in the US
Comparative Statistics
Better than the
Median US Hospital
Better than the Median US Hospital indicates that this hospital's Total Performance
Score is greater than the median hospital in the US. Worse than the Median US
Hospital indicates that this hospital's Total Performance Score is lower than the
median hospital in the US.
Oregon RHRI Hospital Rank
3 out of 31
A rank of 1 indicates that your hospital's Total Performance Score ranks at the top of
RHRI Hospitals in Oregon.
As data is reported to CMS and then made available publicly, the
data contained in this analysis will be older than may be desired and
smaller hospitals may have some of their data redacted due to small
volumes.
380001
670068
RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
Total Performance Score
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
Weighted Aggregate of domain scores
51.45%
FFY 2014 = (a *45% + b*30% + c*25%)
Total Performance Score Comparison to
All PPS Hospitals in the US
Comparative Statistics
Better than the
Median US Hospital
Better than the Median US Hospital indicates that this hospital's Total Performance
Score is greater than the median hospital in the US. Worse than the Median US
Hospital indicates that this hospital's Total Performance Score is lower than the
median hospital in the US.
Oregon RHRI Hospital Rank
3 out of 31
A rank of 1 indicates that your hospital's Total Performance Score ranks at the top of
When possible the lack of data is accounted for and does not affect
your hospital’s score. Still, this is not perfect and smaller hospitals
may find that their scores are lower due to the lack of data.
380001
670068
RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
Total Performance Score
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
Weighted Aggregate of domain scores
51.45%
FFY 2014 = (a *45% + b*30% + c*25%)
Total Performance Score Comparison to
All PPS Hospitals in the US
Comparative Statistics
Better than the
Median US Hospital
Better than the Median US Hospital indicates that this hospital's Total Performance
Score is greater than the median hospital in the US. Worse than the Median US
Hospital indicates that this hospital's Total Performance Score is lower than the
median hospital in the US.
Oregon RHRI Hospital Rank
3 out of 31
A rank of 1 indicates that your hospital's Total Performance Score ranks at the top of
RHRI Hospitals in Oregon.
Feedback has been gathered from RHRI hospitals indicating that the
use of more universally applicable rural data would be desirable.
Apprise is creating those analyses at this time, but did not want to
hold up publication of what was available.
380001
670068
RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
Total Performance Score
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
Weighted Aggregate of domain scores
51.45%
FFY 2014 = (a *45% + b*30% + c*25%)
Total Performance Score Comparison to
All PPS Hospitals in the US
Comparative Statistics
Better than the
Median US Hospital
Better than the Median US Hospital indicates that this hospital's Total Performance
Score is greater than the median hospital in the US. Worse than the Median US
Hospital indicates that this hospital's Total Performance Score is lower than the
median hospital in the US.
Oregon RHRI Hospital Rank
3 out of 31
A rank of 1 indicates that your hospital's Total Performance Score ranks at the top of
Your hospital’s Value-Based Indexing score is determined by the
weighting of three different quality domains.
•
•
•
Clinical Processes
Patient Experience
Clinical Outcomes
380001
670068
RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
Total Performance Score
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
Weighted Aggregate of domain scores
51.45%
FFY 2014 = (a *45% + b*30% + c*25%)
Total Performance Score Comparison to
All PPS Hospitals in the US
Comparative Statistics
Better than the
Median US Hospital
Better than the Median US Hospital indicates that this hospital's Total Performance
Score is greater than the median hospital in the US. Worse than the Median US
Hospital indicates that this hospital's Total Performance Score is lower than the
median hospital in the US.
Oregon RHRI Hospital Rank
3 out of 31
A rank of 1 indicates that your hospital's Total Performance Score ranks at the top of
ndexing Analysis
pital VBP Program Rules Established by CMS for the FFY 2014 Program
Clinical Processes are 45% of your hospital’s score
t quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
Patient Experience is 30% of your hospital’s score
RHRI VBI Program Patient Outcomes are 25% of your hospital’s score
Medical Center
o
41.00%
60.00%
60.00%
51.45%
Better than the
Median US Hospital
is hospital's Total Performance
Worse than the Median US
nce Score is lower than the
3 out of 31
mance Score ranks at the top of
380001
670068
RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
Total Performance Score
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
Weighted Aggregate of domain scores
51.45%
FFY 2014 = (a *45% + b*30% + c*25%)
Total Performance Score Comparison to
All PPS Hospitals in the US
Comparative Statistics
Each of these colored rows
represents the percent of total
points possible for that domain
that your hospital earned.
Better than the
Median US Hospital
Better than the Median US Hospital indicates that this hospital's Total Performance
Score is greater than the median hospital in the US. Worse than the Median US
Hospital indicates that this hospital's Total Performance Score is lower than the
median hospital in the US.
Oregon RHRI Hospital Rank
3 out of 31
A rank of 1 indicates that your hospital's Total Performance Score ranks at the top of
RHRI Hospitals in Oregon.
Notes:
This analysis is intended to provide hospitals with a first look at the potential impact of pay for performance programs on rural hospital in Oregon based on
currently available quality data and program rules established by CMS for the Value-Based Purchasing Program in FFY 2014.
* This analysis evaluates hospital performance using the most recent quality data published on the Hospital Compare Web site. The process and patient
380001
670068
RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
Total Performance Score
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
Weighted Aggregate of domain scores
51.45%
FFY 2014 = (a *45% + b*30% + c*25%)
Total Performance Score Comparison to
All PPS Hospitals in the US
Comparative Statistics
The three domains are
then weighted and added
to determined the Total
Performance Score
Better than the
Median US Hospital
Better than the Median US Hospital indicates that this hospital's Total Performance
Score is greater than the median hospital in the US. Worse than the Median US
Hospital indicates that this hospital's Total Performance Score is lower than the
median hospital in the US.
Oregon RHRI Hospital Rank
3 out of 31
A rank of 1 indicates that your hospital's Total Performance Score ranks at the top of
RHRI Hospitals in Oregon.
Notes:
This analysis is intended to provide hospitals with a first look at the potential impact of pay for performance programs on rural hospital in Oregon based on
currently available quality data and program rules established by CMS for the Value-Based Purchasing Program in FFY 2014.
* This analysis evaluates hospital performance using the most recent quality data published on the Hospital Compare Web site. The process and patient
380001
670068
RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
Total Performance Score
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
Weighted Aggregate of domain scores
51.45%
FFY 2014 = (a *45% + b*30% + c*25%)
Total Performance Score Comparison to
All PPS Hospitals in the US
Comparative Statistics
Better than the
Median US Hospital
Better than the Median US Hospital indicates that this hospital's Total Performance
Score is greater than the median hospital in the US. Worse than the Median US
Hospital indicates that this hospital's Total Performance Score is lower than the
median hospital in the US.
Oregon RHRI Hospital Rank
3 out of 31
The Total Performance
Score is then compared to
all rural hospitals across
the US and then against
RHRI hospitals in Oregon
A rank of 1 indicates that your hospital's Total Performance Score ranks at the top of
RHRI Hospitals in Oregon.
Notes:
This analysis is intended to provide hospitals with a first look at the potential impact of pay for performance programs on rural hospital in Oregon based on
currently available quality data and program rules established by CMS for the Value-Based Purchasing Program in FFY 2014.
* This analysis evaluates hospital performance using the most recent quality data published on the Hospital Compare Web site. The process and patient
The calculation of individual domain percentages is shown on the
the final three pages of the analysis so that your hospital can focus
its efforts on the areas that can provide the greatest improvement.
RHRI Value Based Indexing Analysis
Process Domain: Score Calculations
FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012)
FFY 2014 Program
Measure
ID
Performance Period
Analyzed (1):
Baseline Period
Analyzed (2):
July 1, 2011 - June 30, 2012
Jan. 1, 2010 - Dec. 31, 2010
Hospital Performance
Hospital Performance
National Performance
Standards Established
by CMS (3)
Achievement
Points
Earned (4)
Improvement
Points
Earned (5)
Final Points
Earned (6)
Measure Name
Case Count
Measure Score
Case Count
Measure Score
Threshold
Benchmark
AMI_7a
Fibrinolytic Therapy Received Within 30 Minutes of
Hospital Arrival
0
Insufficient
Data
1
0%
80.66%
96.30%
Not
Computed
Not
Computed
Not
Computed
AMI_8a
Primary PCI Received Within 90 Minutes of Hospital
Arrival
0
Insufficient
Data
0
Insufficient
Data
93.44%
100.00%
Not
Computed
Not
Computed
Not
Computed
Discharge Instructions
59
98%
45
100%
92.66%
100.00%
7
0
7
PN_3b
Blood Cultures Performed in the Emergency
Department Prior to Initial Antibiotic Received in
Hospital
77
97%
88
95%
97.30%
100.00%
0
4
4
PN_6
Initial Antibiotic Selection for CAP in
Immunocompetent Patient
45
93%
57
96%
94.46%
100.00%
0
0
0
SCIP_INF_ Prophylactic Antibiotic Received Within One Hour Prior
1
to Surgical Incision
181
98%
166
99%
98.07%
100.00%
0
0
0
SCIP_INF_
Prophylactic Antibiotic Selection for Surgical Patients
2
181
99%
167
100%
98.13%
100.00%
5
0
5
SCIP_INF_ Prophylactic Antibiotics Discontinued Within 24 Hours
3
After Surgery End Time
181
99%
165
96%
96.63%
99.96%
7
7
7
0
Insufficient
Data
0
Insufficient
Data
96.34%
100.00%
Not
Computed
Not
Computed
Not
Computed
SCIP_INF_ Postoperative Urinary Catheter Removal on Post
9
Operative Day 1 or 2
140
94%
116
97%
92.86%
99.89%
2
0
2
Surgery Patients on a Beta Blocker Prior to Arrival That
SCIP_CARD
Received a Beta Blocker During the Perioperative
_2
Period
61
93%
55
100%
95.65%
100.00%
0
0
0
SCIP_VTE_ Surgery Patients with Recommended Venous
1
Thromboembolism Prophylaxis Ordered
210
99%
86
100%
94.62%
100.00%
8
0
8
HF_1
SCIP_INF_ Cardiac Surgery Patients with Controlled 6AM
4
Postoperative Serum Glucose
What’s next?
You have provided us with feedback indicating that you would like
to move away from the use of publicly available CMS data to
populate this and other analyses. Apprise is currently restructuring
our analyses to take advantage of the unique proprietary hospital
dataset that we manage. We expect to be able to roll out new
reports with new data elements soon.
380001
670068
RHRI Value Based Indexing Analysis
Scores and Comparisons for Oregon RHRI Hospitals using the Medicare Hospital VBP Program Rules Established by CMS for the FFY 2014 Program
Mid-Columbia Medical Center
Quarterly Update Based on Hospital Compare's March 2013 (1st quarter 2013) Data Release (July 1, 2011 - June 30, 2012) *
RHRI VBI Score Calculation
Individual Domain Scores
RHRI VBI Program
a
Process Domain Score
41.00%
b
Patient Experience Domain Score
60.00%
c
Patient Outcomes Domain Score
60.00%
How do I get more information?
Association and Apprise Staff as well as other RHRI leaders are
here to help you understand and use all of the analyses that you
receive as part of the RHRI. Please continue to provide feedback to
anyone on staff that you may be working with so that we can make
all RHRI tools and services as valuable as possible.
Oregon Association
of Hospitals & Health Systems