maryfran123 Posted January 28, 2013 Share Posted January 28, 2013 This is an article from Forbes magazine about the flaws with Press Ganey. http://www.forbes.com/sites/kaifalkenberg/2013/01/02/why-rating-your-doctor-is-bad-for-your-health/ I am all for improving communication with patients but my biggest beef with pay for performance being tied to these surveys has always been the very small sample sizes Press Ganey is allowed to use to evaluate our performance. It has never been clear to me why hospital administrators and Obamacare were so willing to rate us on a sample size of 30 or less surveys a month when the actually number of patient encounters we have is so much higher. Does a sampling that small even have statistical relevance? In addition, in this age of technology to still be using mailed surveys seems quite antiquated to me and makes it less likely people will respond. How much junk mail do you throw out each day? I know I am someone not likely to do a paper survey and mail it back. Assuming many of our patients feel the same. I know the horse has sort of left the barn on the tie in to Medicare but guess I am hopeful if validity is questioned enough the process could be re-evaluated. thoughts? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted January 28, 2013 Moderator Share Posted January 28, 2013 The big problem with PG for EM folks is that they don't survey admitted pts who are likely to be the happiest.... Link to comment Share on other sites More sharing options...
physasst Posted January 28, 2013 Share Posted January 28, 2013 Well, in this case, pay for performance is referring to VBP or value based purchasing. It's important to note, that while patient satisfaction surveys play a part in the assessment, the clinical outcomes and measures play an even bigger role. Currently, for FY2013, clinical outcomes measures will comprise 70% of the VBP score. Patient "experience of care" will be scored on two measures, the first being an achievement and improvement score (measured on 8 factors) and the secondly, a consistency score. These patient scores will comprise 30% of your total VBP score. You will be then compared to other hospitals to see how you match up. Keep in mind, this is just for the HOSPITAL value based purchasing system.... NOW, for providers through the ACO "Shared Savings Program", there are 33 measures used, but only 7 of them are patient experience. 1. Getting Timely Care, Appointments, and Information 2. How Well Your Providers Communicate 3. Patients’ Rating of Provider 4. Access to Specialists 5. Health Promotion and Education 6. Shared Decision Making 7. Health Status/Functional Status NOW, I'd keep your eyes open for an article upcoming in JAAPA on Shared Decision Making, and if my federal grant is approved, I may be mailing surveys about Shared Decision Making to many of you.... Mike Link to comment Share on other sites More sharing options...
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