Case Study: Hospital Value-Based Purchasing

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1. Hospital Value-Based Purchasing (VBP) Program is part of the Centers for Medicare and Medicaid Services (CMS), which holds providers accountable for the cost and quality of care they provide to Medicare and Medicaid patients. The framework of the VBP Program was built around aims of “integrat[ing] information on quality with cost data, focus[ing] on managing the use of healthcare system[s] to reduce inappropriate care, and identif[ying] and reward[ing] best-performing providers” (286, chapter 10). The goals set by the VBP initiative are: to improve the quality of care, encourage patient-centered care, reduce adverse events, improve patient safety, control costs both directly and indirectly, reward and recognize physicians who go above and …show more content…
Types of measurements include, “performance measures, quality measures, clinical measures, structure measures, process measures, or outcomes measures, depending on the specific activity they are measuring” (299, chapter 10). Good measures should aim to promote, encourage, and foster an environment where providers are open and dedicated to making a change towards improving higher quality care to patients, instead of focusing solely on the quantity of patients they see. According to CMS’s website current measurements are taken by measuring “Clinical Process of Care, Patient Experience of Care, Outcome, and Efficiency” (4). Each area is broken down into more in-depth areas, such as mortality rates, infections seen, patient’s observation and rating of the physician and facility. Some of the advantages of implementing the Hospital VBP Program are more than the exciting incentives that a physician could gain. With encouragement through rewards and recognition physicians are more committed to improving the quality of care they provide. The VBP Program focuses on patients who qualify for Medicare and Medicaid services, which allows for patients to receive the same quality of care for a lower cost than patients who do not qualify for

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