At year's midpoint, PIP second quarter results continue to hold steady


Second quarter Performance Incentive Plan (PIP) results for fiscal year 2013, which ended March 31, indicate that while results were, overall, slightly better than the first quarter's, employees are continuing to work at adjusting to the goals and measures incorporated in this year's PIP program.

If PIP were paid today, eligible employees would receive a payout of 2.06 percent of their eligible earnings. If all goals are achieved at maximum, the potential maximum PIP payout is 3 percent for FY13. PIP results are measured in four hospital-wide areas of performance: patient safety and quality, patient experience, Epic implementation and financial.

Patient safety and quality The patient safety and quality category includes three measures which, together, account for 30 percent of PIP:

  • Joint Commission extension survey
  • Department of Public Health licensure survey
  • 30-day readmissions

Surveyors from The Joint Commission visited the Saint Raphael Campus in February for an "extension" accreditation survey which also included the Smilow Cancer Care Centers. The positive results of the survey determined that the PIP results for this measure were achieved.

Similarly, the Connecticut Department of Public Health (DPH) is also expected to survey YNHH for license renewal in late spring or summer. Failure to obtain DPH licensure will automatically result in zero points for the patient safety and quality category. For the 30-day readmissions measure, the mid-year mark is at its percentage maximum goal of 15.5 percent.

Patient Experience
The Patient Experience category measures a patient's complete experience, from pre-admission through postdischarge follow-up. It includes seven measures related to patient satisfaction as reported in HCAHPS (Hospital Consumer Assessment of Health Providers and Systems) and Press Ganey surveys. Together, patient experience measures account for 30 percent of PIP.

HCAHPS surveys:

  • Overall rating of hospital missed the threshold goal of 74 coming in at 71.5;
  • Medication communications met its target goal at 62.5;
  • Environment of care, which includes cleanliness and quiet, fell short of the threshold goal of 60 with a score of 57.2.

Press Ganey surveys:

  • Inpatient Pediatrics reached its threshold goal at 88.2;
  • Inpatient Behavioral Health met the target goal coming in at 81.7;
  • Ambulatory Surgery very narrowly missed its threshold goal of 92.5 coming in at 92.3;
  • Emergency Department results also fell short of the threshold goal coming in at 83.6.

Epic implementation
The Epic implementation goal is based on the successful integration of the electronic medical records system on the York Street Campus, which occurred in February, and on the Saint Raphael Campus on June 1. The target was that 90 percent of appropriate staff be trained three weeks prior to each go-live date. Epic implementation accounts for 10 percent of PIP and results will be determined during the third quarter.

Financial performance
The financial measure is the hospital's net operating margin, which accounts for 30 percent of PIP. For the second quarter, the net operating margin was 3.0 percent, exceeding the maximum goal.


PIP second quarter goals and results

Category Measure Threshold Target Max Actual
Patient Safety and Quality (30%) Joint Commission Extension Survey Accreditation   Received Yes
DPH Licensure Survey License   Renewed TBD
30-day Readmissions 16.9% 16.2% 15.5% 15.5%
Patient Experience (30%) Overall rating (HCAHPS) 74 75 76 71.5
Medication communica- tion (HCAHPS) 62 63 66 62.5
Environment (HCAHPS) 60 64 71 57.2
Inpatient Pediatrics 88 88.5 89 88.2
Inpatient Behavioral Health 80.9 81.5 82.1 81.7
Ambulatory Surgery 92.5 92.7 92.9 92.3
Emergency Department 84.2 84.4 84.6 83.6
Epic Implementation (10%) Successful go-live York St. – 2/1/13 Successful go-live Chapel St. - 6/1/13 Threshold +90% trained 3 weeks prior to go-live Threshold +95% trained 1 week prior to go-live TBD
Financial (30%) Net Operating Margin 2.0% 2.1% 2.4% 3.0%

KEY: red – below threshold; yellow – met threshold; green – met target; blue – met maximum