The effect of a hybrid training program: Improving nursing communication skills and HCAHPS scores

摘要

Hospital administrators nationwide are strat-egizing how to improve the patient experience and Hospital Consumer Assessment of Healthcare Providers and Systems (hcahps) scores. In October 2012, the Centers for Medicare and Medicaid Services (CMS) began rewarding hospitals that provide high-quality care through its Value-Based Purchasing (VBP) program as part of the Affordable Care Act. The funding for these programs comes from cash withheld from usual Diagnosis-Related Group (DRG) payments to hospitals that receive CMS funds. In fiscal year (FY) 2014,1.25% of all DRG payments were withheld for VBP distribution for a total amount of nearly $1 billion. The withheld percentage increased to 2% in FY 2017. Hospitals that receive CMS payments are now competing against each other nationally for this money.