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1 Percentage Summary Report Page 1 of 5 Data As Of: 09/12/2018 Total Facility State National Unweighted Domain Weighting Weighted Domain Clinical Care Domain % Person and Community Engagement Domain % Safety Domain % Efficiency and Cost Reduction Domain % Value-Based Percentage Payment Summary - Fiscal Year 2019 Base Operating DRG Payment Reduction Value-Based Incentive Payment Percentages Net change in Base Operating DRG Payment Value-Based Incentive Payment Adjustment Factor Exchange Function Slope % % % Reference the Hospital Value-Based Purchasing page on QualityNet for report information, calculations, and Hospital VBP resources.
2 Clinical Care Detail Report Page 2 of 5 Baseline Period: 07/01/ /30/2012 Period: 07/01/ /30/2017 Baseline Period Totals Period Totals HVBP Metrics Mortality s Baseline Period Period 30-Day Risk-Standardized Mortality s Acute Myocardial Infarction (AMI) 30-Day Mortality Heart Failure (HF) 30-Day Mortality Pneumonia (PN) 30-Day Mortality Baseline Period: 07/01/ /30/2013 Period: 01/01/ /30/2017 Complication Elective Primary Total Hip Arthroplasty/Total Knee Arthroplasty Complication Baseline Period Totals Period Totals HVBP Metrics Baseline Period Period Eligible Clinical Care s: 3 out of 4 Unweighted Clinical Care s Domain : Weighted Clinical Care s Domain : * A dash (-) indicates that the minimum requirements were not met for calculation.
3 Person and Community Engagement Detail Report Page 3 of 5 Period: 01/01/ /31/2017 HCAHPS Dimensions Baseline Period Period Floor Dimension Communication with Nurses 83.68% 81.47% 28.10% 78.69% 86.97% Communication with Doctors 92.29% 87.05% 33.46% 80.32% 88.62% Responsiveness of Hospital Staff 76.91% 66.77% 32.72% 65.16% 80.15% Communication about Medicines 71.27% 62.18% 11.38% 63.26% 73.53% Cleanliness and Quietness of Hospital Environment 81.40% 73.36% 22.85% 65.58% 79.06% Discharge Information 85.80% 87.38% 61.96% 87.05% 91.87% Care Transition 60.71% 50.01% 11.30% 51.42% 62.77% Overall Rating of Hospital % 67.48% 28.39% 70.85% 84.83% HCAHPS Base : 21 HCAHPS Consistency : 18 Unweighted Person and Community Engagement Domain : Weighted Person and Community Engagement Domain : HCAHPS Surveys Completed during the period: The Overall Rating of Hospital HCAHPS Dimension in bold italic font was used to calculate the HCAHPS Consistency.
4 Safety s Detail Report Page 4 of 5 Period: 01/01/ /31/2017 Healthcare Associated Observed Baseline Period Totals Predicted Standardized Ratio (SIR) Observed Period Totals Predicted Standardized Ratio (SIR) HVBP Metrics Catheter-Associated Urinary Tract Infection Central Line-Associated Blood Stream Infection Clostridium difficile Infection Methicillin-Resistant Staphylococcus aureus Bacteremia Surgical Site Infection (SSI) N/A N/A - N/A N/A - N/A N/A N/A N/A - SSI-Abdominal Hysterectomy SSI-Colon Surgery Period: 01/01/ /31/2017 Baseline Period Totals Period Totals HBVP Metrics Process s Numerator Denominator Perinatal Care PC-01 Elective Delivery Prior to 39 Completed Weeks Gestation Eligible Safety s: 2 out of 6 Unweighted Safety Domain : Weighted Safety Domain : Baseline Period Numerator Denominator Period s points * "N/A" indicates no data were available or submitted for this measure. * A dash (-) indicates that the minimum requirements were not met for calculation.
5 Efficiency and Cost Reduction Detail Report Page 5 of 5 Period: 01/01/ /31/2017 Efficiency s Baseline Period Totals Median Period Totals Median HVBP Metrics Medicare Spending per Beneficiary () $22, $20, $22, $21, Eligible Efficiency and Cost Reduction : 1 out of 1 Unweighted Efficiency and Cost Reduction Domain : Weighted Efficiency and Cost Reduction Domain : # of Episodes: 374
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