Table 1.

Value-based purchasing FY2016 domains and measures

Domain	Measures included
Patient experience of care	HCAHPS domains: communication with nurses, communication with doctors, responsiveness of hospital staff, hospital cleanliness and quietness, pain management, communication about medicines, discharge information, overall rating of hospital; consistency
Clinical process of care	Fibrinolytic therapy received within 30 minutes of hospital arrival, influenza immunization, initial antibiotic selection for community-acquired pneumonia in immunocompetent patients, prophylactic antibiotic selection for surgical patients, prophylactic antibiotics discontinued within 24 hours after surgery end time, urinary catheter removal on postoperative day 1 or 2, surgery patients on a beta-blocker prior to arrival who received a beta-blocker during the perioperative period, surgery patients who received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery
Efficiency	Medicare spending per beneficiary
Outcomes	30-day mortality for acute myocardial infarction, heart failure, and pneumonia, complication/patient safety for selected indicators, catheter-associated urinary tract infection, central line-associated blood stream infection, and surgical site infection for colon and abdominal hysterectomy

Note: Data adapted from Wheeler.²⁸

Abbreviation: HCAHPS, Hospital Consumer Assessment of Healthcare Providers and Systems.