Forty upstate New York hospitals and health centers, including eight in
Central New York, shared $22.9 million in quality improvement incentives
paid by Excellus BlueCross BlueShield. Quality incentives reflect 2016
performance against specific quality measures. Since the program launched
in 2005, the health insurer has paid $232 million in hospital quality
“We’re pleased that our collaboration with providers has resulted
in higher quality scores and increased value for our members,” said
Tony Vitagliano, Excellus BlueCross BlueShield vice president for health
The eight hospitals in the Central New York region that participated in
this program in 2016 shared
$5.7 million in quality improvement incentive payments. The hospitals included
Auburn Community Hospital, Auburn; Cortland Regional Medical Center, Cortland;
Crouse Hospital, Syracuse; Oswego Hospital, Oswego; Samaritan Medical
Center, Watertown; St. Joseph’s Hospital Health Center, Syracuse;
and Upstate University Health System (two sites in Syracuse).
Hospitals and health systems were evaluated on 244 measures, including
target outcomes jointly agreed upon by each participant and the health
insurer using benchmarks established by the Centers for Medicare &
Medicaid Services, The Joint Commission, the Institute for Healthcare
Improvement, and others. Hospitals that earned incentive payments achieved
at least 85 percent of their quality targets.
Areas targeted for 2016 improvement included:
- Clinical Processes of Care – Focused on improvements in heart attack
care, heart failure, pneumonia, and surgical care, and other measures
that may be unique to each participating hospital.
- Patient Safety – Centered on reductions in hospital-acquired infections,
falls, pressure ulcers, readmissions, and other adverse events or errors
that affect patient care.
- Patient Satisfaction – Used the Hospital Consumer Assessment of Healthcare
Providers and Systems survey, which is the first national, standardized,
publicly reported survey of patients’ perspectives of hospital care.
“For two consecutive years, we have been nationally recognized in
the top 10% by the federal Centers for Medicare and Medicaid Services
for safety, risk-adjusted clinical outcomes, patient satisfaction, and
efficiency.”, said Mark Webster, Cortland Regional’s President
and CEO, “This incentive reinforces our continued hard work to offer
our community exceptional, high quality, safe, and compassionate care.”