PROGRAM SPONSORSHIP |
Formal name of the incentive and/or reward program initiative (if applicable) |
| Program name |
Hospital Performance Incentive Program (HPIP) |
Program sponsor(s) and parent organization of sponsor(s), if applicable |
| Program sponsor(s) |
Blue Cross Blue Shield of Massachusetts |
Primary program contact information |
| Name |
Dana Safran |
| Organization |
Blue Cross Blue Shield of Massachusetts |
| Email |
dana.safran@bcbsma.com |
Sponsoring organization type |
| Employer(s) |
Single employer |
| Health Plan(s) |
Multiple health plans |
Source of funding associated with program set-up costs |
| Funding source |
| Funded by program sponsor(s) |
|
|
Percent contributed by sponsor and grant organization |
| % Sponsor |
100 |
| Program set-up costs |
0 |
Source of funding associated with program operations costs |
| Funding source |
| Funded by program sponsor(s) |
|
|
Percent contributed by sponsor and by grant organization |
| % Sponsor |
100 |
| Program operations cost |
0 |
Start date & end date of the program |
| Start Date |
01/03/2003 |
| End |
ongoing |
PROGRAM SCOPE |
| Geographic scope of program |
Massachusetts |
| Individuals affected by program as a percentage of total population, if known |
| Employer/commercial health plan- active workers |
|
| Employer/commercial health plan- dependents |
|
| Employer/commercial health plan- retirees |
|
| Medicaid |
|
| Medicare |
|
|
| Plan product(s) the program applies to (for plan sponsors only) |
| HMO |
|
| HMO/POS |
|
| PPO |
|
| Indemnity |
|
| Consumer-Driven Health Plan (CDHP) |
|
|
Direct target(s) of your program's incentives/rewards |
| Hospital type |
| General |
|
| Academic hospital(s)- American Association of Medical Colleges (AAMC) member(s) |
|
|
| Hospital unit |
Individual, System |
| Consumers- health plan enrollees (for health plan respondents only) |
| HMO |
|
| HMO/POS |
|
| PPO |
|
| Indemnity |
|
| Consumer-Driven Heath Plan (CDHP) |
|
| Medicare |
|
| Medicaid |
|
|
| Recruitment of program targets |
| Other |
| Specify |
Agreed upon in contract negotiation |
|
|
PROGRAM PERFORMANCE MEASURES
|
Clinical/Safety Performance
Inpatient clinical and safety measures included in your program |
| Measure sources |
| AHRQ Quality Indicators |
|
| JCAHO Core Measures |
|
| IHI 5 Million Lives Campaign |
|
| Other |
|
|
Health information technology adoption measures |
| Adoption of inpatient HIT |
| Barcoding |
|
| Clinical documentation |
|
| CPOE |
|
| Decision support (e.g., alerts, reminders or point-of-care guidelines) |
|
| E-prescribing |
|
| Registry functions (e.g. clinical data repository) |
|
|
| Adoption of outpatient HIT |
| Patient tracking (e.g., managing patient data) |
|
| Registry functions tracking (e.g., clinical data repository) |
|
| Ambulatory CPOE (ACPOE) |
|
| E-prescribing |
|
| Decision support (e.g., alerts, reminders or point-of-care guidelines) |
|
|
Patient-Centeredness |
| Patient-centeredness measures |
| Patient-centeredness performance measure sources |
|
| HEDIS (non-clinical component) |
|
|
Health plan performance measures |
| Performance measure weighting |
|
Data Reliability
Sources of data |
| Existing or new data |
Existing data sources, New data collected explicitly for program reporting |
| Data type |
| Administrative in origin (derived from claims data) |
|
| Self-reported |
|
|
| Data extracting entity |
|
| Data aggregator/analyzer |
|
| Ensures data accuracy |
Yes |
| Means of ensuring accuracy |
| Auditing |
|
| Self-attestation as to accuracy |
|
|
