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How to Thrive Amid Reform Melinda S. Hancock, SVP CFO | Bon Secours Virginia Health System

How to Thrive Amid Reform Melinda S. Hancock, SVP CFO | Bon Secours Virginia Health System . w aste? what are the areas of healthcare waste?. Source: pwc. Source: obamacarefacts.com. This all sounds good… what’s the problem?. Why? Our Strategic Quality Plan.

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How to Thrive Amid Reform Melinda S. Hancock, SVP CFO | Bon Secours Virginia Health System

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  1. How to Thrive Amid Reform Melinda S. Hancock, SVP CFO | Bon Secours Virginia Health System

  2. waste? what are the areas of healthcare waste? Source: pwc

  3. Source: obamacarefacts.com

  4. This all sounds good… what’s the problem?

  5. Why? Our Strategic Quality Plan

  6. Performance Periods of Mandatory Elements Visual Representation PURPLE= READMISSION RED= MORTALITY ORANGE= HAC GREEN= HCAHPS BLUE= OTHER VBP

  7. VBP Shifting of Domain Weights • Patient Experience • Core Measures • Outcomes • Efficiency (MSPB)

  8. VBP – FY15 Domain WeightsPerformance Period: January 1, 2013 – December 31, 2013 Core Measures = 20% HCAHPS = 30% MSPB = 20% One Measure!! Outcomes = 30%

  9. SAMPLE– FY’14 HCAHPS Performance

  10. Hospital Acquired Conditions: FY 2015 1% Medicare Reimbursement at risk Lowest performing quartile will be penalized

  11. HAC Proposed Future Measures

  12. Why? Medicare ACO’s are Growing in Number. Source: Advisory Board, 2012

  13. How Does the Program Work? How CMS Views Shared Savings Program. Source: Advisory Board, 2012

  14. What else overlaps? Identification of all areas of Overlapping Focus MSSP Value Based Purchasing Readmissions Hospital Acquired Conditions

  15. It isnt Easy… • Train your staff • Educate on all levels • Know that everyone learns differently • Prioritize your initiatives • Tie into current structures • Know your cost structure • Know the metrics- where do they overlap • Try and make it simpler…

  16. The New Construct Evolving to Full Continuum Management, 2013-2015

  17. The New Construct Evolving Population Health in a Fee for Service Era Healthcare Reform

  18. How to Thrive Amid Reform Melinda S. Hancock, SVP CFO | Bon Secours Virginia Health System

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