1. 10/19/11 The New GHA Honor Roll

2. Content Why change the Honor Roll? Changes to the GHA Honor Roll Methodology 1 st Quarter 2011 GHA Honor Roll Questions

3. Why Change the Honor Roll? The 9 th scope of work ended – 10 th scope of work started Expanding to encompass measures in VBP  Financial impact for hospitals GHA Board charged the Best Practice Subcommittee to develop a new methodology to ensure the continuation of the Honor Roll

4. Changes to the GHA Honor Roll Benefits  Includes 139 Georgia Hospitals  This is more than the current Honor Roll  Able to include more CAH’s and small rurals  Able to include more Core Measures  AMI, HF, PN and SCIP  Is a composite score of only the measures submitted by the hospitals – there is no penalty for not submitting all core measures

5. Changes to the GHA Honor Roll The naming convections will change to more accurately define each category Chairman (Top 5%) Trustee (Top 15%) Presidential (Top 30%)

6. Methodology The new Honor Roll is based on the Dartmouth methodology for composite scoring The Dartmouth method is a weighted average of the four conditions specific summary scores There is no penalty for not submitting measures

7. Methodology It is created by multiplying the AMI score by the number of AMI measure submissions, the Heart Failure (HF) score by the number of HF measure submissions, the Pneumonia (PN) score by the number of PN measure submissions and the SCIP score by the number of SCIP submissions The results and summed and then divided by the sum of the total measure submissions

11. Presidential Honor Roll – Top 30% of all Georgia Hospitals (96.9 to 98.02) Trustee Honor Roll – Top 15% of all Georgia Hospitals (98.03 to 99.01) Chairman’s Honor Roll – Top 5% of all Georgia Hospitals (99.02 to 100) The thresholds will be locked in for 2 years and then will be re-evaluated

13. Questions?