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ISSN: 2471-268X

Health Economics & Outcome Research: Open Access
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  • Research Article   
  • Health Econ Outcome Res 2017 3: 124,
  • DOI: 10.4172/2471-268X.1000124

Engineering Value in Healthcare: Applying Failure Modes and Effects Analysis to Value Based Purchasing

Amy Cress1, Lee Revere2*, Osama Mikhail3, Lisa Pompeii3 and Debora Simmons4
1Texas Children’s Hospital, The Woodlands, , TX, USA
2School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA
3University of Texas Health Science Center at Houston, , Houston, TX, USA
4School of Biomedical Sciences, University of Texas Health Science Center at Houston, Houston, TX, USA
*Corresponding Author : Lee Revere, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA, Tel: + 281-701-0030, Email: [email protected]

Received Date: Dec 19, 2016 / Accepted Date: Jan 20, 2017 / Published Date: Jan 27, 2017

Abstract

The Centers for Medicare and Medicaid Services (CMS) introduced the hospital Value Based Purchasing (VBP) program in 2012, providing a definition and structure for measuring value in hospital-based healthcare services. Under this new program, CMS withholds a percentage of reimbursement from each participating hospital. CMS then distributes withholds back to hospitals based on VBP total performance scores (TPS), which are weighted calculations that include scores on multiple measures such as clinical process of care and patient satisfaction. Currently, hospitals have no easily applied method for prioritizing which measures of VBP to improve in order to maximize the hospital’s reimbursement of withhold. This research develops and pilots an objective method, Value Failure Modes and Effects Analysis (VFMEA), for hospitals to target VBP measures for improvement by analyzing current performance and optimizing limited resources. VFMEA provides hospital administrators needed insight to reliably prioritize VBP measures for improvement and to direct resources toward improvement that will produce the largest gain in the hospital’s TPS, and thus reimbursement of withhold.

Keywords: Value based purchasing; Value; CMS

Citation: Cress A, Revere L, Mikhail O, Pompeii L, Simmons D (2017) Engineering Value in Healthcare: Applying Failure Modes and Effects Analysis to Value Based Purchasing. Health Econ Outcome Res Open Access 3: 124. Doi: 10.4172/2471-268X.1000124

Copyright: ©2017 Cress A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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