In the face of exceptional challenges during fiscal year 2015, which ended Sept. 30, Yale New Haven Hospital employees earned a 2.11 percent Performance Incentive Plan (PIP) payout out of a possible maximum 3 percent of salary. The PIP award, which is over and above any annual merit increase, rewards employees for contributions toward realizing hospital goals.

"Despite more than $80 million in state budget cuts affecting Yale New Haven, and the ongoing and increasing challenges of providing extraordinary patient care, you persevered and even exceeded many goals," said Richard D'Aquila, YNHH president. "I am proud of how we, as an organization, handled the stresses and challenges of the past year. If we continue to focus on providing unparalleled value to our patients, the other elements of our day-to-day operations will follow suit. Congratulations and many thanks to all of our colleagues."

To be eligible for the PIP award, employees must have worked at least 1,000 hours during the payroll periods within fiscal year 2015 — Sept. 21, 2014 through Sept. 19, 2015 — and be active as of Dec. 10, 2015 when PIP awards are paid.

PIP results are measured in four hospital-wide areas of performance: patient safety and quality, patient experience, employee engagement and financial performance.


Patient safety and quality
Patient safety and quality included four measures. Employees exceeded the threshold goal for hand hygiene and exceeded the maximum goals for catheter-associated urinary tract infection (CAUTI) cases and RL Solutions event reporting, but fell short of the threshold goal for readmissions.

Patient experience
The patient experience category measures patients' experiences as expressed in Press Ganey surveys and HCAHPS (Hospital Consumer Assessment of Health Providers and Systems) reporting. Press Ganey survey results regarding care in various areas of the hospital included the overall inpatient score, which came in on target at 87.6; the Emergency Department, which at 86.2 fell short of the threshold goal; Ambulatory Services, which scored 92.6, exceeding the threshold goal; and teamwork, which met the threshold goal of 92. The category also included the HCAHPS quiet score which, at 49.7, did not meet the threshold goal.

Employee engagement
Employee engagement measured participation in the 2015 Employee Engagement Survey. At 95.7 percent, results exceeded the maximum goal inthis category.

Financial performance consisted of three components. At 3.9 percent, the hospital's net operating margin exceeded the target goal. Cost per inpatient discharge was $16,822, which exceeded the threshold goal, and the cost per outpatient encounter was $822, exceeding the maximum goal.