Which Hospital Markets Had the Best 2013 Value-Based Purchasing Results?

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Hospitals in the Fort Wayne, Ind., region, on average, performed the best on CMS' Value-Based Purchasing Program, which went into effect this year, and Washington, D.C., hospitals collectively scored the worst, according to a regional analysis by Kaiser Health News.

The Value-Based Purchasing Program rolled out this fiscal year to reward or penalize hospitals for patient satisfaction results and care standards adherence by raising or lowering Medicare payments up to 1 percent. Individual hospitals' results can be searched by region on an interactive chart by KHN.

All seven D.C.-market hospitals were penalized an average of 0.33 percent of Medicare payments through September 2013. One Fort Wayne-area hospital took a hit, but the other 14 will average a 0.27 percent increase.

KHN analyzed 212 hospital referral regions with five or more hospitals and 92 smaller hospital regions for the report. Maryland has a separate payment agreement with CMS and didn't participate in the program; therefore it wasn't included in the analysis.

In 16 markets, every hospital received a bonus, and in 20 markets, every hospital received a penalty.

Large markets: The rest of the top 10 hospital regions with at least five hospitals after Fort Wayne are: Greenville, S.C; Newport News, Va.; Boise, Idaho; Florence, S.C.; Bangor, Maine; Grand Rapids, Mich.; Jackson, Tenn.; Portland, Maine; and Charleston, S.C.

The other low-performing regions with at least five hospitals besides D.C. are: Buffalo and the Bronx, N.Y.; Bakersfield, Calif.; Syracuse, N.Y.; Altoona, Penn.; Hartford, Conn.; Corpus Christi, Texas; Saginaw, Mich.; and Springfield, Mo.

Small markets: Three of the 92 markets with fewer than five hospitals beat out the large markets on average bonuses:  Bloomington, Ill., Victoria, Texas, and Wilmington, N.C. On the other side of the coin, five small hospital markets will see greater penalties on average than any large market: Grand Forks and Minot, N.D.; Grand Bend and Salem, Ore.; and Oxford, Miss.

By state: Maine, Nebraska, South Dakota, Utah and South Carolina reaped the most rewards on average. The District of Columbia, Connecticut, New York, Wyoming and Delaware were slapped the hardest.

More Articles on Hospital Region Quality:

56 Physician-Owned Hospitals to Know
AHA Announces Leaders of Section for Small or Rural Hospitals
Study: Leapfrog-Targeted Hospitals Made Limited Progress on Safety Standards

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