Throughout fiscal year 2012, employees provided exceptional patient care to a record number of patients, confronted new regulatory requirements and navigated the highly complicated process of integrating two hospitals. In spite of these monumental challenges, Yale-New Haven Hospital employees earned a 2.23 percent Performance Incentive Plan (PIP) payout — out of a possible maximum 3 percent. To be eligible for the PIP award, employees must have worked at least 1,000 hours between September 25, 2011 and September 22, 2012 and be active as of December 13, when PIP payout checks are scheduled to be distributed.
With revenue growth of 18.3 percent year-to-year and disciplined expense management, the financial measure of net operating margin came in at 6.1 percent for the end of the year. This result not only exceeded the maximum goal, but is also the strongest operating margin in the hospital's history.
Patient safety and quality
The patient safety and quality category included four measures. Blood stream infections (BSIs) — the number of infections caused by patient line insertions and line maintenance — were 23.08 BSIs per 10,000 patient discharges, and met the threshold goal.
Value-based purchasing is based on a combination of HCAHPS results and core measures. The year-end score of 96 percent exceeded the target goal. HCAHPS, or Hospital Consumer Assessment of Health Providers and Systems, is a publicly reported government survey that measures patient satisfaction at hospitals.
Readmissions — the number of heart attack, heart failure and pneumonia patients re-admitted to the hospital within 30 days of their discharge — were at 19.7 percent, missing the threshold goal of no more than 18 percent.
The environment-of-care mock survey measure, which involved practice surveys on patient care units to identify opportunities for improvement, scored 95 percent, also missing its threshold goal.
The patient satisfaction category also included four measures. Overall ratings for patient satisfaction, based on the percentage of patients who gave the highest possible response on the HCAHPS survey, reached maximum goal of 74 percent for year's end. With a rating of 65 percent, staff responsiveness exceeded its target goal.
Results for the hospital environment came in at 60 percent exceeding its threshold goal. At a score of 89.2, results from Press Ganey patient satisfaction surveys also exceeded the threshold goal, narrowly missing the target of 89.3 out of a possible 100.
The throughput category included 11 a.m. discharge and length of stay. Discharging clinically ready patients by 11 a.m. exceeded the maximum goal with a result of 23.9 percent. Length of stay also exceeded its maximum goal coming in at 4.99 days for the average length of a patient stay.
"This was a year of extraordinary challenge and historic change in our hospital and industry," said Richard D'Aquila, YNHH president and COO. "Even in the face of unprecedented challenge, employees remained engaged and motivated and rose to the occasion time after time to meet our goals — a very impressive accomplishment."