OR: Advisory Group Close to Recommending Hospital Performance Measures

The advisory committee's chair, Steve Gordon, MD, vice president of care transformation, PeaceHealth

The advisory committee’s chair, Steve Gordon, MD, vice president of care transformation, PeaceHealth

The Oregon Hospital Performance Metrics Advisory Committee is close to recommending five performance metrics that hospitals will be measured by in order to receive incentive payments starting in 2015.

During its April 18 meeting, the group selected five measures related to elective delivery, hospital-wide all-cause unplanned readmissions, medication safety, patient experience and healthcare-associated infections.

It’s expected that the group will finalize its recommendations during its next meeting in May. The Oregon Health Authority and the Centers for Medicare & Medicaid Services (CMS) must approve the measures.

The incentive payments hospitals can receive by meeting or exceeding the measures will come from a share of Oregon’s hospital assessment revenue.

The advisory committee was created by the Legislature’s passage of House Bill 2216 in 2013, and is yet another signal of the pervasiveness of Oregon’s efforts to reform its healthcare system into a coordinated model that reduces costs and emphasizes primary care.

In many ways, hospitals are feeling the brunt of these changes, whereas primary care homes are receiving more technical assistance and funding, and primary care is expanding and pushed to innovative to provide high-quality and efficient care.

A major focus of Oregon’s coordinated care organizations is reducing emergency room admissions and utilization of specialty care—two of the costliest types of hospital care and where hospitals generate a lot of revenue.

Interestingly, the advisory committee did not recommend creating a metric related to emergency department utilization. CCOs are already held to 33 different performance measures used to gauge a CCOs’ success, one of which is reducing ER admission.

The group decided to not adopt a measure related to C-sections.

One thought on “OR: Advisory Group Close to Recommending Hospital Performance Measures

  1. Julie Gilbert

    That’s all fine and dandy but when people continue to use E.R.’s as their primary doctor’s office then what will change? PATIENT RESPONSIBILITY is NEVER talked about. Healthcare professionals are always held to difficult to maintain standards but patients are not. Every headache takes a Medicare/Medicaid patient to the E.R.–why not, they don’t pay for it. The families don’t want to deal with them ( as this scenario played out this weekend in my hospital E.R.). The taxpayers will lose when hospitals begin to close because there isn’t enough money reimbursed to keep the doors open.

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