Third quarter Performance Incentive Plan (PIP) results for fiscal year 2013, which ended June 30, indicate progress in several categories while scores in a few areas still indicate need for improvement. If PIP were paid today, eligible employees would receive a payout of up to 2.32 percent of their salary. If all goals are achieved at maximum, the potential PIP maximum 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:
- Joint Commission Extension Survey
- Department Of Public Health Licensure Survey
- 30-Day Readmissions
Positive results from The Joint Commission extension accreditation survey during the second quarter 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 this year. Failure to obtain DPH licensure will automatically result in zero points for the patient safety and quality category.
Thirty-day readmissions measure the percentage of patients who are readmitted to the hospital within 30 days of their discharge for the same, or a related, condition. At 15.7 percent, the results came in above target just missing the maximum goal.
The Patient Experience category measures a patient's complete experience from pre-admission through post-discharge 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. HCAHPS surveys:
- Overall rating of hospital missed the threshold goal of 74, coming in at 71;
- Medication communications met its target goal of 62;
- Environment of Care, which includes cleanliness and quiet, fell short of the threshold goal of 60 with a score of 58.
Press Ganey surveys:
- Inpatient Pediatrics slightly exceeded its target goal at 88.6;
- Inpatient Behavioral Health exceeded its target goal, coming in at 81.8;
- For the second consecutive quarter, Ambulatory Surgery came in at 92.3, very narrowly missing the threshold goal of 92.5;
- Emergency Department results also fell short of the threshold goal coming in at 83.7.
"Our goal of giving patients a positive experience while they are in our care is vitally important," said Jeannette Hodge, director, Patient Relations, Volunteer and Guest Services. "We continue to put strong efforts into Patient Experience initiatives, including training that focuses on helping employees create an ideal healing environment. I am confident that we will see gains in all areas of patient experience measurements." Epic Implementation
Another goal required the successful integration of the Epic electronic medical records system on the York Street Campus in February and the Saint Raphael Campus in June. The results exceeded the maximum goal of 95 percent with two successful implementations and 97 percent of staff trained on each campus at least one week prior to go-live.
The PIP financial measure is the hospital's net operating margin. For the third quarter, the net operating margin was 3.8 percent, exceeding the maximum goal. Fiscal year 2013 PIP is based on earnings and hours worked between September 23, 2012 and September 21, 2013. Final year-end PIP results will be announced in the fall.
PIP third quarter goals and results
|Patient Safety and Quality (30%)
||Joint Commission Extension Survey
||DPH Licensure Survey
|Patient Experience (30%)
||Overall rating (HCAHPS)
||Medication communica- tion (HCAHPS)
||Inpatient Behavioral Health
|Epic Implementation (10%)
||Successful go-live York St. – 2/1/13 Successful SRC go-live - 6/1/13
||Threshold +90% trained 3 weeks prior to go-live
||Threshold +95% trained 1 week prior to go-live
||Net Operating Margin
KEY: red – below threshold; yellow – met threshold; green – met target; blue – met maximum