George Ruth, Coffin Janis, George Sierra
Medical College of Georgia, USA.
J Med Pract Manage. 2013 May-Jun;28(6):341-4.
The Value-Based Purchasing (VBP) program was established by the Secretary of Health and Human Services, in accordance with mandates under the Patient Protection and Affordable Care Act of 2010. Under the VBP program, the Centers for Medicare & Medicaid Services will decrease payments for certain Diagnosis Related Group (DRG) payments. Of the approximately 3100 acute care hospitals affected by the reductions, which hospitals will be able to recoup some of the losses and which ones will be forfeiting the total amount will be decided by predetermined performance measures. Seventy percent of the VBP Total Performance Score (TPS) will involve the Process of Core Measures, which include quality measures of treatment of acute myocardial infarction, heart failure, pneumonia, healthcare-associated infections, and surgical care improvement. The remaining 30% of the TPS will be determined by patient satisfaction. Hospitals will be graded according to points awarded for quality achievement, improvement from baseline, and consistency.
基于价值的采购（VBP）计划由卫生与公众服务部部长根据2010年《患者保护与平价医疗法案》的授权设立。根据VBP计划，医疗保险和医疗补助服务中心将减少某些诊断相关组（DRG）的支付。在受削减影响的约3100家急症护理医院中，哪些医院能够挽回部分损失，哪些医院将损失全部金额，将由预先确定的绩效指标决定。VBP总绩效得分（TPS）的70%将涉及核心指标流程，其中包括急性心肌梗死、心力衰竭、肺炎、医疗相关感染和手术护理改善的质量指标。TPS的其余30%将由患者满意度决定。医院将根据质量成就、相对于基线的改善情况和一致性所获得的分数进行分级。
