Summary of FY2014 Performance and Financial Information
Goal One: Strengthen Health Care
Indian Health Service’s Patient Care Program
IHS’s patient-centered medical home model, the IHS Improving Patient Care Program (IPC), has 172 sites enrolled, serving over 615,000 American Indians and Alaska Natives, moving closer to the agency’s goal of applying Program principles of improvement at all IHS sites in fiscal year 2015. IPC sites report shorter patient waiting times, improved no-show appointment rates, and better coordination of care because patients are seen consistently by the same provider at each clinic visit.
On March 23, 2010, President Obama signed the Affordable Care Act into law, transforming and modernizing the American health care system. HHS continues to drive the effort to strengthen and modernize health care to improve patient outcomes. Through its programs, HHS also promotes efficiency and accountability, ensures patient safety, encourages shared responsibility, and works toward high-value health care. In addition to addressing these responsibilities, HHS is improving access to culturally competent, quality health care for uninsured, underserved and vulnerable populations.
Goal One includes six objectives:
- Make coverage more secure for those who have insurance, and extend affordable coverage to the uninsured
- Improve health care quality and patient safety
- Emphasize primary and preventive care, linked with community prevention services
- Reduce the growth of healthcare costs while promoting high-value, effective care
- Ensure access to quality, culturally competent care, including long-term services and supports, for vulnerable populations
- Improve health care and population health through meaningful use of health information technology
HHS’s efforts in patient safety as well as health care quality are reflected in the Improve Patient Safety Priority Goal, in order to reduce Healthcare-Associated Infections (HAIs). These infections can lead to significant morbidity and mortality, with tens of thousands of lives lost each year. Leveraging the combined programmatic efforts within HHS, including the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), the Office of the Assistant Secretary for Health (OASH) and CMS, the Improve Patient Safety Priority Goal is working to reduce catheter-associated urinary tract infections (CAUTI) by 10 percent in hospitals nationwide by the end of FY 2015. This is measured over the FY 2013 standardized infection ratio (SIR) of 1.03. The final SIR of the previous Priority Goal period (1.03) was higher than the 2010 baseline (.94). Although the SIR increased, knowledge gained during this period has led to better data tracking and monitoring as well as new approaches in the Intensive Care Units (ICUs) based on identified potential barriers. Lessons learned were also used to focus HHS efforts, including targeting the hospitals with the highest excess number of CAUTIs. The FY 2014 SIR will be reported in March of 2015.
At the heart of HHS’s strategy to strengthen and modernize health care is the use of data to improve health care quality, reduce unnecessary health care costs, decrease paperwork, expand access to affordable care, improve population health, and support reformed payment structures. A key step in this strategy is to increase the number of eligible providers serving Medicare and Medicaid beneficiaries who adopt and meaningfully use certified EHR technology. The improvement of health care through meaningful use of health information technology continues as a Priority Goal for the FY 2014-2015 period, with a goal of increasing the number of participating providers receiving incentive payments to 450,000 by the end of 2015. Through the end of FY 2014, over 414,000 providers have received incentive payments.
A small cross-CMS team made up of dedicated, hard-working individuals have used the Partnership for Patients Initiative and Strong Start program to generate major, rapid, national, life-saving and life-enhancing results in the systematic reduction of early elective deliveries (EEDs). Early elective deliveries prior to 39 weeks have been shown to result in increased harm to babies. The team’s hard work has generated rapid results across the nation. After years of relatively stagnant rates, EED numbers are falling. Overall evaluation results are showing a 70 percent decrease in EED rates (from 10.3 percent to 3.1 percent) across 1,943 hospitals.
For this goal, 88 percent of measures with available data showed stable or improved performance.
Topics in this report
- Message from the Secretary
- Goal One: Strengthen Health Care
- Goal Two: Advance Scientific Knowledge and Innovation
- Goal Three: Advance the Health, Safety, and Well-Being of the American People
- Goal Four: Increase Efficiency, Transparency, and Accountability of HHS Programs
- Summary of Financial Statements and Stewardship Information