Post on 15-Apr-2017
transcript
HCAHPS & HRPartnering for ChangePresenterFred BarnhartSkillSurvey
TheHealthcareChallenge
U.S
.
Can
ada
Fran
ce
Nor
way
New
Zea
land
The
Net
herla
nds
Ger
man
y
Aus
tralia
Sw
eden
Sw
itzer
land
U.K
.
We are spending more on
healthcare than ever before
$2.9 TrillionIn 2013
U.S
.
Can
ada
Fran
ce
Nor
way
New
Zea
land
The
Net
herla
nds
Ger
man
y
Aus
tralia
Sw
eden
Sw
itzer
land
U.K
.
U.S
.
Can
ada
Fran
ce
Nor
way
New
Zea
land
The
Net
herla
nds
Ger
man
y
Aus
tralia
Sw
eden
Sw
itzer
land
U.K
.
$2.9 TrillionIn 2013
And yet,despite having the
most expensivehealthcaresystem…
We are spending more on
healthcare than ever before
…we rank last among wealthy
nations in health system quality,
efficiency, access to care, equity, and
healthy lives
Finding ways to provide affordable,
quality healthcare and improve outcomes
is a key concernFederally mandated
programs have begun to
address these challenges
VOLUME HCAHPS
Hospital Value-Based Purchasing Program
Bundled Payments
for Care Initiative
Hospital-Acquired Condition Reduction
Program
VALUE
The Rise of Value-Based Purchasing
Experience of care
Safety
Clinical outcomes
Physician VisitBlood
Test
Surgery
Fee-for-Service
Paying providers based on the QUALITY, rather than the
QUANTITY, of care they give patients
Pay-for-Performance
Pay-for-Performance
Paying providers based on the QUALITY, rather than the
QUANTITY, of care they give patients
2018Goal90%
“Advancing a patient centered health system requires a fundamental
transformation in how we pay for and deliver care.”
Karen IgnagniAHIP President and CEO
Not on thevolume
of services
Quality ofservices
Financial incentives for hospitals to
demonstrate performance improvement and the
delivery of high quality care Hospital
Value-Based Purchasing
Howdoes itwork?
Hospital Value-Based Purchasing
20%Safety
25%Efficiency
The program measures outcomes across four domains
Hospital Value-Based Purchasing 25%
Patient and Caregiver
Centered Experience of Care
(HCAHPS)
Clinical CareProcess: 5% Outcomes: 25%
30%
$6M
$8M
Potential revenue dollars
per hospital?
Hospital Value-Based Purchasing
$1.5Billion
Over3,000
Hospitals
2016Hospital
Value-Based Purchasing
PaymentAdjustments
$1-$50,000
$50,000-$100,000
$100,000-$250,000
$250,000+
2016Hospital
Value-Based Purchasing 1,806
POSITIVE
1,235NEGATIVE
Hospital performance varied across
the country
Academic medical centers
ARE NOT setting the bar
Smaller hospitals
ARE faring better
Rural hospitals
ARE making gains
2016Hospital
Value-Based Purchasing
HCAHPS as a Driver of Change
PatientSatisfaction
PatientPerception
PatientExperience
HCAHPS as a Driver of Change
201542%
201322%
201113%
Chief Experience Officer/Patient Experience
Health care leaders are taking note
HCAHPS Today:4 CRITICAL REASONS to take action
43
21
In FY2017, the risk will be
at 2%
In FY2016, the total
payment carve out stands at 1.75%
Medicaredollars will be at risk 4
32
1
HCAHPS Today:4 CRITICAL REASONS to take action
HCAHPS Today:4 CRITICAL REASONS to take actionMEASURE
Communication with Nurses
Communication with Doctors
Pain Management
Cleanliness and Quietness of Hospital
Overall Rating of Hospital
BENCHMARK
86.61
88.80
78.33
79.39
84.60
THRESHOLD
78.19
80.51
70.28
65.30
70.02
As hospitals improve,
thresholds and benchmarks
are rising
43
12
Hospitals who stay on
the sidelines will have a harder time
catching up
Consistency over time
is rewarded
4
21
3
HCAHPS Today:4 CRITICAL REASONS to take action
Star Ratings make it easier
to compare hospitals
32
1
4
76 Hospitals (About 2%)
638 Hospitals (About 18%)
1,531 Hospitals (About 43%)
1,087 Hospitals (About 31%)
207 Hospitals (About 6%)
HCAHPS Today:4 CRITICAL REASONS to take action
Understanding Your Partnership
HCAHPS and HR
Enhanced accountability
and transparency
Incentives to improve
quality of care
Objective and meaningful comparisons of
hospitals
HCAHPS
And more
Responsiveness of staff
Cleanliness and quietness
of hospital environment
Communication with nursesand doctors
21focused on
patient perspective of care received
32 questions
HCAHPS
HCAHPS
During this hospital stay, how often did nurses treat you with courtesy and respect?
☐ Never☐ Sometimes☐ Usually☐ Always
During this hospital stay, how often did nurses listencarefully to you?
☐ Never☐ Sometimes☐ Usually☐ Always
During this hospital stay, how often did nurses explainthings in a way you could understand?
☐ Never☐ Sometimes☐ Usually☐ Always
HCAHPS
HCAHPS
So, how can HR make a difference?
HCAHPS
Process
Behavior
21 patient experiencequestions
HCAHPS
Pain managementDischarge information
Care TransitionCleanlinessQuietness
Communication with nurses
Communication with doctors
Responsiveness of hospital staff
Employees HCAHPSSOFTSKILLS
HARDSKILLS
Skills and Personality
Assessments
Interview
Reference Check
The Typical Hiring
Process
Skills and Personality
Assessments
Reference Check
INTERVIEW
The Typical Hiring
Process
What canHR do?
Skills and Personality
Assessments
Interview
Reference Check
The Typical Hiring
Process
Do your interviews specifically ask about behaviors that are measured
on HCAHPS?
What about reference
checking?
Managers are busy
Legal concerns
HR policies prohibit
providing references
Reference Checking
has Changed in Recent Years
Ratings on HCAHPS Behaviors and Reference Response Rate (RRR) Impact on First-Year Turnover for Poor Performance
RRR < 80% RRR = 100%
% fi
red
with
in 1
yea
r
6
5
4
3
2
1
0
5.1
1.4
3.4
1.1
Ratings: 1st - 5th Percentile Ratings: 6th - 99th Percentile
SkillSurvey Solutions
85% response
rate
Lessthan 5
minutes
Less than 1 minute
Lessthan 2days
Reportready
LinkedIn Recruiter
Include patient satisfaction
questions in interviews
Get reliable data from references regarding observed
behavior related to HCAHPS
questions What canHR do?
Subscribe to our blogtalent.linkedin.com/blog
See our videos on YouTubeyoutube.com/user/LITalentSolutions
Check out our SlideShareslideshare.net/linkedin-talent-solutions
Products and insightstalent.linkedin.com
Follow us on Twitter@hireonlinkedin
Connect with us on LinkedInwww.linkedin.com/company/1337
About LinkedIn Talent SolutionsLinkedIn Talent Solutions offers a full range of recruiting
solutions to help organizations of all sizes find, attract, and
engage the best talent.
Founded in 2003, LinkedIn connects the world’s professionals
to make them more productive and successful. With over 414
million members worldwide, LinkedIn is the world’s largest
professional network.
Give us a call at 1-855-655-5653
The Modern Recruiter’s Guide // 48