a journey through the merry old land of oz · a journey through the merry old land of oz ... yellow...
TRANSCRIPT
10/11/2016
1
A JOURNEY THROUGH THE MERRY OLD LAND OF OZ
WITH KANSAS HEALTH CARE ASSOCIATION AND KANSAS CENTER FOR ASSISTED LIVING
10/11/2016
2
10/11/2016
3
A JOURNEY TO QUALITY
10/11/2016
4
Kansas is Quality
• 2016‐ 2 Malcolm Balridge Silver Award homes
• 16 Malcolm Balridge Bronze Award homes
• Kansas 144 homes—4 or 5 stars
• Global satisfaction= 86% Ks Report Card
• Rehospitalization – some of the lowest
• Discharge to Community
• Satisfaction Surveys
10/11/2016
5
FOLLOW THE YELLOW BRICK ROAD …KANSAS DEMOGRAPHICS
10/11/2016
6
10/11/2016
7
10/11/2016
8
ALL 105 KANSAS COUNTIES HAVE A SKILLED NURSING CENTER
10/11/2016
9
AHCA/NCAL Research DivisionKansas SNF-PPS payments by swing-bed designation, CY2014Date: 5/31/2016Source: CY2014 100% Skilled Nursing Facility Limited Dataset Standard Analytic FileNote: Total Payment includes Medicare and beneficiary shares
SNFs Covered
Days Total PaymentsPayments per Day
Overall 390 801,907 428,435,213$ 534$ Freestanding 293 717,278 306,303,516$ 427$ Swing bed - STACH 13 7,876 2,273,104$ 289$ Swing bed - LTCH - - -$ Swing bed - IRF - - -$ Swing bed - CAH 84 76,753 119,858,593$ 1,562$
PBJ –MANDATORY PAYROLL REPORTING
CMS:CHANGES TO FIVE STAR
CHANGES IN FUNDING
CMS:NEW RULES OF PARTICIPATION
HCBSSETTINGS RULE
NEW LIFE SAFETY CODE IMPLEMENTATION
VALUE BASED PURCHASING
ADVERSE EVENTS:REHOSPITALIZATION
DOJ:OVERSIGHT
10/11/2016
10
Voter Opinion SurveyJuly 2016
Key Finding #1: Public Lacks Awareness of Sector
Half are aware of the KanCare Program
“How much have you read, seen or heard about the KanCare program?”
16%
34%34%
16%
A lot Some
Very little Nothing
10/11/2016
11
Over half believe KanCare is a state‐run Medicaid program for the poor and less fortunate
“Which of the following statements comes closest to your understanding of the program?”
Statement A: Private company that provides doctors to meet specific needs.Statement B: State‐run Medicaid program for the poor.Statement C: None of the above/unsure.
15%
55%
30%
Statement A Statement B
Statement C
Key Finding #2: Quality message can help advocacy efforts
Six in ten agree nursing home quality of care in has improved
“Do you agree or disagree that the quality of care in Kansas nursing homes has improved during the last 20 years?”
12%
41%16%
5%
26%
Strong Agree Some Agree
Some Disagree Strong Disagree
Unsure
10/11/2016
12
Six in ten would be more likely to support increased funding
“Since the launch of the statewide quality initiative to advance quality health care, nursing homes have seen a decrease in the number of residents returning to hospitals for care. After learning this, are you more or less likely to support increased funding for nursing homes?”
22%
37%
4%2%
35%
Much more likely Some more likely Some less likely
Much less likely No difference
Key Finding #3: Kansas voters do not support Medicaid cuts
Eight in ten oppose the administration making cuts to health care providers
“Which of the following statements comes closest to your opinion?”Statement A: I support the administration for cutting Medicaid and KanCare programs.Statement B: I oppose the administration for making these cuts to health care providers.
20%
80%
Statement A Statement B
10/11/2016
13
Over eight in ten agree that nursing homes are facing a crisis due to cutting payments to providers
“Do you agree or disagree: Nursing homes in Kansas are facing a crisis because the state is cutting payments to providers who care for Kansas seniors?”
32%
14%
51%
3%
0% 10% 20% 30% 40% 50% 60%
Strongly agree
Some agree
Some disagree
Strong disagree
Nearly half believe the state should not make these cuts as nursing homes have been cut too much already
“As lawmakers consider millions of dollars in Medicaid cuts from nursing homes, which of the following statements comes closest to your opinion?”
10/11/2016
14
Over six in ten believe they would be less likely to re‐elect a legislator who voted to cut Medicaid payments.
“If your local legislator voted to cut millions in Medicaid payments to nursing homes and skilled nursing centers, would you be more or less likely to re‐elect them?”
6%
9%
31%34%
21%
Much more likely Some more likely Some less likely
Much less likely No difference
Eight in ten would support a lawmaker who opposed Medicaid cuts for nursing homes
“Which of the following statements comes closest to your opinion?”
Statement A: I support Kansas lawmakers who oppose Medicaid cuts for nursing homes.
Statement B: I support Kansas lawmakers who will reduce Medicaid funding for nursing homes.
80%
20%
Statement A Statement B
10/11/2016
15
Who?
• 800 registered Kansas voters
48% male
52% female
• 45% republican
• 25% democrat
• 31% independent
• Opinion Access Corporation‐ New York City