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Washington State Hospital AssociationTimeline• January 2011Hospitals begin collecting performance data• January 2012Medicaid Purchasing Administration uses 2011scores to determine which hospitals qualify forpayment• Winter 2012Medicaid Purchasing Administration recalculatesassessment rates for July 1, 2012 to support stateshare of increase• July 1, 2012: Medicaid Purchasing Administrationincreases payments to qualifying hospitals
• Measures must be: Evidence‐basedLegislative Principles Consistent with national measures where possible• Methodology for earning incentive: Recognize that some measures may not be appropriate tospecialty pediatric, psychiatric, or rehabilitation hospitals Represent real improvements in quality Designed so all hospitals can earn incentive payments ifperformance is at or above the benchmarkWashington State Hospital Association
Page 1 and 2: Hospital Safety Net AssessmentQuali
Page 3: History: House Bill 2956 Introduced
Page 7 and 8: Medicaid Incentive:No Good ModelsNe
Page 9 and 10: Payment Increases•One percent inp
Page 11 and 12: Process for Selecting Measures•Cl
Page 13 and 14: Selected Measures:Behavioral Health
Page 15 and 16: Benchmark ThresholdsMeasure Thresho
Page 17 and 18: Development of BenchmarksExample: F
Page 19 and 20: Measure Reporting• Depending on t
Page 21 and 22: Hospitals will be asked to attest t
Page 23 and 24: Preventable Emergency Room Visits
Page 25 and 26: The Future• Assessment sunsets on

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