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KnowledgeEdge™ Value-based Purchasing Application

Beginning in fiscal year 2013, the Centers for Medicare & Medicaid Services (CMS) will base a portion of your hospital reimbursement payments on how well your hospitals perform in 20 key measures. With the KnowledgeEdge™ Value-based Purchasing application, you’ll be ready.

Value-based Purchasing (VBP), a program resulting from the Patient Protection and Accountable Care Act of 2010, requires CMS to base a portion of hospital reimbursement payments on how well hospitals perform in 20 VBP measures. VBP pits your hospitals against the entire market, withholding money from all hospitals and returning the funds to those hospitals that meet the performance measurements.

The KnowledgeEdge VBP application tracks and monitors all the quality measures mandated by CMS, so you know where your hospitals stand in this value-based purchasing scramble – and exactly how to improve your scores on the CMS measures to earn maximum reimbursement and protect your bottom line.

The VBP Summary tab provides all the VBP measures in one view, along with your overall VBP score. The detail tabs provide detailed graphs, charts, and reports for the measures in the categories of Process of Care and Patient Experience. From there, you can drill down to the details that determine your score, so you know exactly which measures need attention and what the financial repercussions will be if the hospital doesn’t improve. For instance, you can connect each VBP measure with specific physicians, nurses, or other staff – not just with roles or departments – for full individual accountability.

 

The KnowledgeEdge Value-based Purchasing application delivers, at a glance, the broad view of VBP performance you need, including your overall VBP score.

From any chart, you can easily drill down to the details you need in order to take appropriate actions to improve VBP performance and earn maximum reimbursement.

The application provides 20 VBP indicators, including the following:

Process of Care

  • Acute myocardial infarction
  • Congestive heart failure
  • Pneumonia
  • Healthcare associated infection
  • Surgical infection indicators

Patient Experience

  • Overall rating
  • Nurse communication
  • Doctor communication
  • Communication about medications
  • Discharge information
  • Pain management
  • Nurse call button assistance
  • Hospital environment