|Excellus Pays-Out $22 Million In Incentive Payments To NY Hospitals
Proving P4P works; Excellus BlueCross BlueShield awarded
48 hospitals in upstate New York $22 million in incentive payments
based on their improved care.
The Hospital Performance Incentive Program began in 2004
using CMS benchmarks to measure the quality of care in participating
hospitals. The program focused specifically on clinical outcomes,
patient safety, patient perception of care and patient satisfaction and
"Hospitals in the program should be applauded for
putting some of our payments to them at risk by adding accountability
for quality to their business relationship with our health plan. By
tying our payments to them to improvements in health outcomes and
patient safety, we’re helping assure that our members and all
others get the best quality care and the most value for their
healthcare dollars," said Carrie Frank, vice president of quality
health informatics at Excellus BlueCross BlueShield.
A sample of the hospitals and the measures they received incentive payments for are:
- Champlain Valley Physicians Hospital Medical Center, Plattsborough
– the hospital improved its rate for surgery patients who
received appropriate Venous Thromboembolism Prophylaxis within 24 hours
prior to surgery to 24 hours after surgery by 33 percent, an increase
in rate from 59 percent to 92 percent.
- United Health Services, Binghamton – the
hospital improved its overall rate of Initial Antibiotic received
within six hours of hospital arrival by 10 percent, increasing from 84
percent to 94 percent.
- Unity Hospital, Rochester – had an
increase of 25 percent for colorectal surgery patients with Immediate
Postoperative Normothermia, improving its rate from 59 percent to 84
- Upstate University Hospital, Syracuse –
increased by 26 percent its adult smoking cessation/advice counseling
rate, increasing from 74 percent to 100 percent the number of adults
who received this advice and counseling.
Address: Excellus BlueCross BlueShield, 333 Butternut Drive, Syracuse, NY 13214; (315) 671-6408, www.excellusbcbs.com.