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Bothwell Ranks First in State for Value-based Purchasing


The results are in, and Bothwell Regional Health Center ranked No. 1 in the state for value-based-purchasing.

Quality Management Director Ja Hickman received preliminary results in late March on how Bothwell compared to other hospitals in Value-Based Purchasing (VBP). The organization ranked first out of 70 hospitals in Missouri. Nationwide, Bothwell was 104th out of 3,041 hospitals, putting it in the top 4 percent.

”This is an achievement we need to celebrate,” Hickman said. “Our performance was the result of a lot of hard on the part of our staff, particularly our staff on 2 Southwest. Through multiple initiatives, we’ve worked on improving important quality measures and making sure staff and physicians are aware of what needs to be done and how it should be done to meet CMS expectations. They’ve risen to the challenge and have done an exceptional job.”

It’s head-spinning complicated, but value-based purchasing is the way the Center for Medicare and Medicaid Services (CMS) adjusts payments to hospitals on the basis of quality measures. In simple terms, the way VBP works is that CMS withholds some hospital payments and then redistributes that money to the hospitals with the best achievement or improvement on measures of hospital quality, clinical outcomes, cost of care and patient satisfaction. Bothwell ranked first in Missouri for overall highest percentage of bonus. Not only did it not lose any funding but ended up with a bonus of 1.51 percent.

As a comparison, Parkland Health in Farmington and Bonne Terre came in second with a factor of 1.33 bonus, and SSM St. Francis in Maryville was third at 1.30 percent. The scores compare data from calendar years 2013 and 2014 to calendar years 2014 and 2015.

“I am incredibly proud of our staff for this achievement,” said Chief Executive Officer Jimmy Robertson. “What this means is that Bothwell Regional Health Center is providing this region with high quality care at a reasonable cost. It shows that our nurses and physicians – everyone, really – is focused on doing what’s best and what’s right for our families and our neighbors.”

Value-based purchasing measures achievement on factors such as catheter-associated urinary tract infections, central line bloodstream infections, surgical site infections, falls, mortality rates, early elective deliveries and other key indicators.


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About Bothwell Regional Health Center:

Bothwell Regional Health Center is a 145-bed regional health center serving west-central Missouri with state-of-the-art technology and comprehensive health and wellness services including surgical, cancer, orthopedic, cardiovascular, women's health, and therapy services. For more information on Bothwell Regional Health Center and our services, visit the Web site at www.brhc.org or find us on Facebook



About Value Based Purchasing:

CMS introduced the Value Based Purchasing program in 2012 with the intent of moving the health-care system away from payments for services and toward payment for the quality and outcomes. This program involves a bonus to hospitals’ CMS payments based on several measures of quality. These bonus payments are funded by an across the board “withhold” or payment cut percentage of CMS hospital payments. In effect, every hospital is taxed and then, based on performance of quality measures, hospitals that perform better than average not only get back the withhold, but are awarded a bonus. The result is that VBP causes a redistribution of Medicare funding from hospitals that are performing poorly to hospitals that are performing above average.


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