NZDoctor.co.nz writes: A pilot survey of patients’ experiences in primary care in New Zealand has begun and is set to be rolled out nationally in July. As part of a new measure in the Integrated Performance and Incentive Framework, showing how patients rate their experience of care, the Ministry of Health and Health Quality and Safety Commission have developed a national survey tool to be run on a quarterly basis. Until now, New Zealand has had no consistent approach to measuring patient experience, though patient satisfaction is the focus of many existing tools. All PHOs and practices will be provided with the tool with no additional IT investment required by them to participate.
Home Health quality data was updated on CMS Home Health Compare as follows:
Note: number of measures are contained in () for each measure group
A) Quality of Patient Care
1. Managing daily activities measures (3): 2014Q1_2014Q4
2. Managing pain and treating symptoms measures (5): 2014Q1_2014Q4
3. Treating wounds and preventing pressure sores (bed sores) measures (4): 2014Q1_2014Q4
4. Preventing harm measures (6): 2014Q1_2014Q4
5. Preventing unplanned hospital care (2): 2013Q4_2014Q3
B) Patient survey results (4): O2013Q4_2014Q3
The following is a summary of the latest data refresh on CMS Hospital Compare:
- Patient Satisfaction HCAHPS – data updated to 2013Q3_2014Q2. Note New: H_STAR_RATING (for all measures and summary star rating): Survey of patients’ experiences Star Ratings: 2013Q3_2014Q2 (for more information relating to new star rating for HCAHPS measures see http://blogs.ipro.org/abouthealthtransparency/2015/03/20/cms-adding-hcahps-star-ratings-to-hospital-compare-web-site/
- Heart Attack (HA): data updated for:
4 Outpatient HA measures (OP_3b, OP_5, OP_2; OP_4) to 2013Q3_2014Q2
4 HA measures (AMI_7A, AMI_8a, AMI_2; AMI_10) to 2013Q3_2014Q2
- Heart Failure (HF): data updated for 3 measures (HF_1, HF_2, HF_3) to 2013Q3_2014Q2
- Pneumonia (PN): data updated for PN_6 to 2013Q3_2014Q2
- SCI: data updated for:
2 outpatient measures (OP_6, OP_7) to 2013Q3_2014Q2
8 SCI measures (SCIP_INF_1, SCIP_INF_2, SCIP_INF_3, SCIP_INF_4, SCIP_INF_9, SCIP_INF_10, SCIP_VTE_2, SCIP_CARD_2) to 2013Q3_2014Q2.
Note: SCIP_VTE_1 now reporting under Blood Clot measures
- EMERGENCY DEPT: data updated for 8 measures (EDV, ED_1b, ED_2b, OP_18b, OP_20, OP_21, OP_22, OP_23) to 2013Q3_2014Q2
- PREVENTIVE CARE data updated for 2 measures:
IMM_2: Patients assessed and given influenza vaccination:13Q3_14Q2
IMM_3_FAC_ADHPCT: Healthcare workers given influenza vaccination to 2013Q4_2014Q1.
Note: no data reported for the measure IMM-1a Patients assessed and given pneumonia vaccination
- STROKE CARE: data updated for 8 measures (STK_4, STK_5, STK_1, STK_2, STK_3, STK_6, STK_8, STK_10) to 2013Q3_2014Q2
- BLOOD CLOT PREVENTION AND TREATMENT: data updated for 6 measures (VTE_1, VTE_2, VTE_3, VTE_4, VTE_5, VTE_6) to 2013Q3_2014Q2
- PREGNANCY AND DELIVERY CARE: data updated for1 measure (PC_01) to 2013Q3_2014Q2
- HAI: data updated for 6 measures to 2013Q3_2014Q2
- USE OF MEDICAL IMAGING: data updated for 6 measures (OP_8 to OP_14) to 2012Q3_2013Q2
MSPB_1: Medicare hospital spending per patient (Medicare Spending per Beneficiary): data not updated – still reporting 2013Q1_2013Q4
PAYM_30_AMI: Payment for heart attack patients: data updated to 2010Q3_2013Q2
- NUMBER OF MEDICARE PATIENTS:
MV: Number of Medicare patients treated 2012Q4_2013Q3
Data not updated for the following:
- READMISSIONS, COMPLICATIONS AND DEATHS:
30 DAY OUTCOMES: 3 Mortality measures & 7 Readmissions measures: (data not updated – still reporting 10Q3_13Q2)
(READM_30_AMI, MORT_30_AMI, READM_30_HF, MORT_30_HF, READM_30_PN, MORT_30_PN, READM_30_HIP_KNEE, READM_30_HOSP_WIDE, READM_30_COPD, MORT_30_COPD, READM_30_STK, MORT_30_STK)
- SURGICAL COMPLICATIONS:
COMP_HIP_KNEE: : data not updated – still reporting 10Q2_13Q1
PSI_90_SAFETY; PSI_4_SURG_COMP: data not updated – still reporting 11Q3_13Q2
- STRUCTURAL MEASURES
6 measures (SM_PART_CARD, SM_PART_STROKE, SM_PART_NURSE, ACS_REGISTRY SM_PART_GEN_SURG, OP_25) – data not updated – still reporting 2012Q1_2012Q4
- HIT MEASURES:
2 measurs (OP_12 , OP_17) – data not updated – still reporting 2012Q1_2012Q4
Healthgrades Announces Its 2015 Outstanding Patient Experience Award and 2015 Patient Safety Excellence Award RecipientsMartina Dolan | April 9, 2015
Healthgrades announced the recipients of the 2015 Healthgrades Patient Safety Excellence Award™ and the 2015 Healthgrades Outstanding Patient Experience Award™. For the two awards, Healthgrades evaluated patient experience by applying a scoring methodology to 10 patient experience measures data supplied by the HCHAPS survey of patients’ perspectives of their hospital care. Patient safety was evaluated utilizing claims data from the Centers for Medicaid and Medicare Services (CMS), and the application of software and patient safety incidents as defined by the Agency for Healthcare Research and Quality (AHRQ).
In addition, the company released a related white paper entitled, “Asking the Right Questions to Improve Patient Experience and Safety” that identifies key observations involving award recipients.
J.D. Power released it’s 2015 Member Health Plan Study. Now in its ninth year, the study measures satisfaction among members of 134 health plans in 18 regions throughout the United States by examining six key factors: coverage and benefits; provider choice; information and communication; claims processing; cost; and customer service. Satisfaction is calculated on a 1,000-point scale.
Overall member satisfaction averages 679, which is a 10 point improvement from 2014. The increase in satisfaction is driven by improved performance across all factors, most notably in information and communication (+17 points), which is primarily a result of efforts among many of the health plans to retool their approach by refining messaging, adjusting message frequency and upgrading their website. Satisfaction in the customer service factor has increased by 11 points, driven partially by matching communication methods to member preferences, such as mobile and text. Cost satisfaction increases by 13 points while fewer members indicate having experienced an increase in their monthly premium, as well as a decline in overall out-of-pocket expenses for individuals and families.
Read more: 2015 Member Health Plan Study
Newswise writes: The main driver of patient experience depends less on the individual provider than on the overall coordination among the clinic, the primary care physician and all others who participate in delivery of care, Stanford researchers reported. The results, in a scientific poster at the 31st Annual Meeting of the American Academy of Pain Medicine, describe the wisdom of moving away from episodic care and toward long-term, overall outcome in ways that matter to the patient. Patient satisfaction, and more broadly patient experience, is an emerging metric demonstrating healthcare quality to policy makers and insurance payers but is an assessment on which pain medicine, as a specialty, has historically underperformed. This is unfortunate, because patient satisfaction is of particular importance to those who suffer with chronic pain, the study’s lead author said.
As part of the initiative to add five-star quality ratings to its Compare Web sites, the Centers for Medicare & Medicaid Services (CMS) will add HCAHPS Star Ratings to the Hospital Compare Web site in April 2015. Star ratings will make it easier for consumers to use the information on the Compare Web sites and spotlight excellence in healthcare quality. Twelve HCAHPS Star Ratings will appear on Hospital Compare: one for each of the 11 publicly reported HCAHPS measures, plus the new HCAHPS Summary Star Rating. HCAHPS Star Ratings will be the first star ratings to appear on Hospital Compare; CMS plans to update the HCAHPS Star Ratings each quarter.
Kaiser Health writes: Nationally, the hospital industry has improved in all the areas the Patient Satisfaction surveys track, including clean and quiet their rooms are and how well doctors and nurses communicate. But hundreds of hospitals have not made headway in boosting their ratings, federal records show.
Feedback from patients matters to hospitals across the country. Since Medicare began requiring hospitals to collect information about patient satisfaction and report it to the government in 2007, these patient surveys have grown in influence. For the past three years, the federal government has considered survey results when setting pay levels for hospitals. Some private insurers do as well.
In April, the government will begin boiling down the patient feedback into a five-star rating for hospitals. Federal officials say they hope that will make it easier for consumers to digest the information now available on Medicare’s Hospital Compare website. Hospitals say judging them on a one-to-five scale is too simplistic.
The National Research Corporation of Canada (NRCC) released its fourth annual report on patient satisfaction completed by patients at hospitals across Ontario between April 2013 and March 2014. The survey asks two questions about various departments within Ontario hospitals:
1. Overall, how would you rate the care you received at the hospital? (Overall Satisfaction)
2. Would you recommend this hospital to your family or friends?
The report highlights hospitals in Ontario that have received excellent performance ratings, based on patient perceptions.
Read full report: Results of Patient Experience Surveys from April 2013 to March 2014, National Research Corporation of Canada (PDF)
Data on the Illinois Hospital Report Card and consumer guide to health care Web site (healthcarereportcard.illinois.gov) was updated in March. Data updates included updates to quality, infection, procedures, nurse staffing and patient safety data, was published. Hospital quality measures reported are for time-period April 1, 2013 through March 31, 2014.
Also included in this data update were:
- Updated health care-associated infection data on surgical site infections associated with coronary artery bypass surgeries and total knee replacement surgeries, based on data from July 1, 2013 through June 30, 2014. Also included data in statewide aggregate report.
- Added statewide trend report on surgical site infections associated with coronary artery bypass surgeries and total knee replacement surgeries for reporting years July 1, 2010 through June 30, 2014.
- Updated composite “Process of Care Measures” from the Center for Medicare and Medicaid Services Hospital Compare performance measure data from April 1, 2013 through March 31, 2014.
- Updated all Process of Care measures that are used to calculate the composite data and provided state/national average for April 1, 2013 through March 31, 2014.
- Added new “Process of Care Measures” from the Center for Medicare and Medicaid Services Hospital Compare performance measures for stroke and blood clot with data from April 1, 2013 through March 31, 2014.
- Updated “Satisfaction Survey Responses” data to report the Center for Medicare and Medicaid Services Hospital Compare satisfaction measure data from Jan 1, 2013 through December 31, 2013.
- Updated “Thirty Day Mortality Rates” and Readmission Rates” from the Center for Medicare and Medicaid Services Hospital Compare data from July 1, 2010 to June 30, 2013.
- Updated Surgical Care Improvement Project (SCIP) measure data from April 1, 2013 through March 31, 2014