OAR 410-125-0162: Hospital Transformation Performance Program

(1) The Hospital Transformation Performance Program (HTPP) is established by the Oregon Health Authority (Authority) to allow hospitals to earn incentive payments by meeting specific performance standards that advance health systems transformation, reduce hospital costs, and improve patient safety. (a) The total amount of funds available through the program is equal to the federal financial participation received from one-percentage point of the assessment. Hospitals that pay an assessment on their net patient revenue, as required by OAR 410-050-0870, are eligible to participate. (b) The performance standards shall be established by the Authority based on recommendations of the Hospital Performance Advisory Committee (Committee) and as approved by the Centers for Medicare and Medicaid Services (CMS). The Committee shall be appointed by the Authority director and comprise four hospital representatives, two Coordinated Care Organization (CCO) representatives, and three members with expertise in measuring health outcomes. (2) To qualify for incentive payments, eligible hospitals must meet the performance standards and measures as determined by the Authority. (3) The Authority will: (a) Establish baselines and targets for performance measures; (b) Post the data specs and formats, forms to be used, schedule and frequency of data submission, frequency of incentive distributions, and other technical information on the Authority’s website once determined; (c) Analyze performance data submitted by hospitals; (d) Determine if hospitals achieve targeted goals or demonstrate sufficient improvement to qualify for incentive payments; and (e) Distribute incentive payments to performing hospitals.