“We’re pleased that our collaboration with providers has resulted in higher quality scores and increased value for our members,” said Tony Vitagliano, Univera vice president for health system performance.
Ten participating hospitals in Western New York shared $918,022 in quality incentives, including Eastern Niagara Health System, Erie County Medical Center, Kaleida Health (four sites), Roswell Park Cancer Institute, United Memorial Medical Center, UPMC Chautauqua WCA and Chautauqua Integrated Delivery System.
Hospitals and health systems were evaluated on 244 measures, including target outcomes jointly agreed upon by each participant and the health insurer using benchmarks established by the Centers for Medicare and Medicaid Services, The Joint Commission, the Institute for Healthcare Improvement, and others. Hospitals that earned incentive payments achieved at least 85 percent of their quality targets.
Areas targeted for 2016 improvement included:
- Clinical Processes of Care – Focused on improvements in heart attack care, heart failure, pneumonia, and surgical care, and other measures that may be unique to each participating hospital
- Patient Safety – Centered on reductions in hospital-acquired infections, falls, pressure ulcers, readmissions, and other adverse events or errors that affect patient care
- Patient Satisfaction – Used the Hospital Consumer Assessment of Healthcare Providers and Systems survey, which is the first national, standardized, publicly-reported survey of patients’ perspectives of hospital care.
