HCAHPS & HRPartnering for ChangePresenterFred BarnhartSkillSurvey

TheHealthcareChallenge

U.S

.

Can

ada

Fran

ce

Nor

way

New

Zea

land

The

Net

herla

nds

Ger

man

y

Aus

tralia

Sw

eden

Sw

itzer

land

U.K

.

We are spending more on

healthcare than ever before

$2.9 TrillionIn 2013

U.S

.

Can

ada

Fran

ce

Nor

way

New

Zea

land

The

Net

herla

nds

Ger

man

y

Aus

tralia

Sw

eden

Sw

itzer

land

U.K

.

U.S

.

Can

ada

Fran

ce

Nor

way

New

Zea

land

The

Net

herla

nds

Ger

man

y

Aus

tralia

Sw

eden

Sw

itzer

land

U.K

.

$2.9 TrillionIn 2013

And yet,despite having the

most expensivehealthcaresystem…

We are spending more on

healthcare than ever before

…we rank last among wealthy

nations in health system quality,

efficiency, access to care, equity, and

healthy lives

Finding ways to provide affordable,

quality healthcare and improve outcomes

is a key concernFederally mandated

programs have begun to

address these challenges

VOLUME HCAHPS

Hospital Value-Based Purchasing Program

Bundled Payments

for Care Initiative

Hospital-Acquired Condition Reduction

Program

VALUE

The Rise of Value-Based Purchasing

Experience of care

Safety

Clinical outcomes

Physician VisitBlood

Test

Surgery

Fee-for-Service

Paying providers based on the QUALITY, rather than the

QUANTITY, of care they give patients

Pay-for-Performance

Pay-for-Performance

Paying providers based on the QUALITY, rather than the

QUANTITY, of care they give patients

2018Goal90%

“Advancing a patient centered health system requires a fundamental

transformation in how we pay for and deliver care.”

Karen IgnagniAHIP President and CEO

Not on thevolume

of services

Quality ofservices

Financial incentives for hospitals to

demonstrate performance improvement and the

delivery of high quality care Hospital

Value-Based Purchasing

Howdoes itwork?

Hospital Value-Based Purchasing

20%Safety

25%Efficiency

The program measures outcomes across four domains

Hospital Value-Based Purchasing 25%

Patient and Caregiver

Centered Experience of Care

(HCAHPS)

Clinical CareProcess: 5% Outcomes: 25%

30%

$6M

$8M

Potential revenue dollars

per hospital?

Hospital Value-Based Purchasing

$1.5Billion

Over3,000

Hospitals

2016Hospital

Value-Based Purchasing

PaymentAdjustments

$1-$50,000

$50,000-$100,000

$100,000-$250,000

$250,000+

2016Hospital

Value-Based Purchasing 1,806

POSITIVE

1,235NEGATIVE

Hospital performance varied across

the country

Academic medical centers

ARE NOT setting the bar

Smaller hospitals

ARE faring better

Rural hospitals

ARE making gains

2016Hospital

Value-Based Purchasing

HCAHPS as a Driver of Change

PatientSatisfaction

PatientPerception

PatientExperience

HCAHPS as a Driver of Change

201542%

201322%

201113%

Chief Experience Officer/Patient Experience

Health care leaders are taking note

HCAHPS Today:4 CRITICAL REASONS to take action

43

21

In FY2017, the risk will be

at 2%

In FY2016, the total

payment carve out stands at 1.75%

Medicaredollars will be at risk 4

32

1

HCAHPS Today:4 CRITICAL REASONS to take action

HCAHPS Today:4 CRITICAL REASONS to take actionMEASURE

Communication with Nurses

Communication with Doctors

Pain Management

Cleanliness and Quietness of Hospital

Overall Rating of Hospital

BENCHMARK

86.61

88.80

78.33

79.39

84.60

THRESHOLD

78.19

80.51

70.28

65.30

70.02

As hospitals improve,

thresholds and benchmarks

are rising

43

12

Hospitals who stay on

the sidelines will have a harder time

catching up

Consistency over time

is rewarded

4

21

3

HCAHPS Today:4 CRITICAL REASONS to take action

Star Ratings make it easier

to compare hospitals

32

1

4

76 Hospitals (About 2%)

638 Hospitals (About 18%)

1,531 Hospitals (About 43%)

1,087 Hospitals (About 31%)

207 Hospitals (About 6%)

HCAHPS Today:4 CRITICAL REASONS to take action

Understanding Your Partnership

HCAHPS and HR

Enhanced accountability

and transparency

Incentives to improve

quality of care

Objective and meaningful comparisons of

hospitals

HCAHPS

And more

Responsiveness of staff

Cleanliness and quietness

of hospital environment

Communication with nursesand doctors

21focused on

patient perspective of care received

32 questions

HCAHPS

HCAHPS

During this hospital stay, how often did nurses treat you with courtesy and respect?

☐ Never☐ Sometimes☐ Usually☐ Always

During this hospital stay, how often did nurses listencarefully to you?

☐ Never☐ Sometimes☐ Usually☐ Always

During this hospital stay, how often did nurses explainthings in a way you could understand?

☐ Never☐ Sometimes☐ Usually☐ Always

HCAHPS

HCAHPS

So, how can HR make a difference?

HCAHPS

Process

Behavior

21 patient experiencequestions

HCAHPS

Pain managementDischarge information

Care TransitionCleanlinessQuietness

Communication with nurses

Communication with doctors

Responsiveness of hospital staff

Employees HCAHPSSOFTSKILLS

HARDSKILLS

Skills and Personality

Assessments

Interview

Reference Check

The Typical Hiring

Process

Skills and Personality

Assessments

Reference Check

INTERVIEW

The Typical Hiring

Process

What canHR do?

Skills and Personality

Assessments

Interview

Reference Check

The Typical Hiring

Process

Do your interviews specifically ask about behaviors that are measured

on HCAHPS?

What about reference

checking?

Managers are busy

Legal concerns

HR policies prohibit

providing references

Reference Checking

has Changed in Recent Years

Ratings on HCAHPS Behaviors and Reference Response Rate (RRR) Impact on First-Year Turnover for Poor Performance

RRR < 80% RRR = 100%

% fi

red

with

in 1

yea

r

6

5

4

3

2

1

0

5.1

1.4

3.4

1.1

Ratings: 1st - 5th Percentile Ratings: 6th - 99th Percentile

SkillSurvey Solutions

85% response

rate

Lessthan 5

minutes

Less than 1 minute

Lessthan 2days

Reportready

LinkedIn Recruiter

Include patient satisfaction

questions in interviews

Get reliable data from references regarding observed

behavior related to HCAHPS

questions What canHR do?

Subscribe to our blogtalent.linkedin.com/blog

See our videos on YouTubeyoutube.com/user/LITalentSolutions

Check out our SlideShareslideshare.net/linkedin-talent-solutions

Products and insightstalent.linkedin.com

Follow us on Twitter@hireonlinkedin

Connect with us on LinkedInwww.linkedin.com/company/1337

About LinkedIn Talent SolutionsLinkedIn Talent Solutions offers a full range of recruiting

solutions to help organizations of all sizes find, attract, and

engage the best talent.

Founded in 2003, LinkedIn connects the world’s professionals

to make them more productive and successful. With over 414

million members worldwide, LinkedIn is the world’s largest

professional network.

Give us a call at 1-855-655-5653

The Modern Recruiter’s Guide // 48