Final answer:
The Inpatient Hospital VBP program uses measures to assess the quality of care provided by hospitals to Medicare beneficiaries. These measures include clinical outcomes, patient experience, safety, and efficiency. Hospitals are financially rewarded or penalized based on their performance in these measures.
Step-by-step explanation:
The Inpatient Hospital VBP (Value-Based Purchasing) program uses a specific set of measures to determine VBP. These measures are designed to assess the quality of care provided by hospitals to Medicare beneficiaries. The program evaluates performance in several domains, including clinical outcomes, patient experience, safety, and efficiency. Hospitals are financially rewarded or penalized based on their performance in these measures.
For example, one of the measures used to assess clinical outcomes is the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, which measures patients' satisfaction with their hospital experience. The survey asks patients about various aspects of their care, such as communication with doctors and nurses, pain management, and cleanliness of the hospital environment.
Another measure used in the VBP program is the Medicare Spending per Beneficiary (MSPB) measure, which evaluates the efficiency of care provided by hospitals. This measure calculates the average Medicare spending for a specific episode of care, such as a hip replacement surgery, and compares it to the expected spending for that episode based on the patient's condition and demographics.