Title Slide

Sub Title

Better Data, Better Patient Outcomes: How Meaningful Use, Measurement and Technology Can

Drive Improvement

March 16, 2012Melissa Kennedy, M.H.A.

2

Employers35%

Health Care Providers32%

Community Advocates23%

Insurers10%

Multi-Stakeholder Board:

Mission: To employ collaborative leadership in issue identification, program development, outcomes measurement and reporting, with the goal of stimulating meaningful improvement in the health of the people of Greater Cincinnati.

The Health Collaborative

Title

•Points

I. Your Health Matters public report:Content: clinical outcomes data from providers

• Outpatient clinical outcomes data: diabetes, vascular disease, colon cancer screening,

• Hospital Quality Data: July, 2012 • Consumer Experience data: December, 2012

II. Health Care Stakeholder reporting: Content: Data from multi-payer claims database

• Patient Center Medical Home evaluation• Potentially avoidable complications PACs

Data Collection and Reporting Initiatives: initial development based upon AF4Q requirements

Greater Cincinnati Physician Leaders Generated Guiding Principles:

1. Voluntary public reporting, with provider level feedback for improvement

2. Contains clinically relevant information

3. Provides alignment with payers

4. Transparent data collection and reporting process

Clinical Measure Definitions Currently CollectedCAF4Q

Performance Measurement

BTE NCQA NQF MeaningfulUse

Diabetes: Hemoglobin A1c Poor Control X X X X X

Diabetes: Hemoglobin A1c Control (<8.0%) X X X X X

Diabetes: Low Density Lipoprotein (LDL) Management and Control

X X X X X

Diabetes: Blood Pressure Management X X X X X

Diabetes: Diabetic Retinopathy (Documentation of Presence) X X X X X

Diabetes: Eye Exam X X X X X

Diabetes: Urine Screening X X X X X

Diabetes: Foot Exam X X X X X

Diabetes: Nephropathy Diagnosis X X X X

Diabetes: Documentation of Bilateral Amputation X X X X

Ischemic Vascular Disease: Blood Pressure X X X X X

Ischemic Vascular Disease: Use of Aspirin X X X X X

All New Measures Are Evaluated Accordingly…

Data Aggregation and Measurement Process

Practice Data

Push from EHR

Electronic DataExtraction

Paper Extract (Not Optimal) Health Plan

Recognition Programs

Practice Dashboard

8

2009 2010 2011

83

340

443

# o

f P

hysic

ian

s

27%

310%

43% of Primary Care Physicians in the 14 county Area Report on YHM

2009 2010 20110

200000

400000

600000

800000

1000000

1200000

20750085

0000

1107

500

Estimated Number of Patients Receiving Care in YHM Reporting Practices

Public Reporting Years

Nu

mb

er

of

Pate

nts

Three-legged stool of creating systemic improvement:

• Measure what is important

• Pay for what is important

• Help people learn how to improve

*Through grant and community support, The Health Collaborative is:

• Working with all systems and several partner organizations• Engaging 52 teams in improvement work• Over 200 primary care providers are included in

activities.

Focus areas:• Learning and applying improvement theories at the

population and patient level• Working on cultural transformation for

sustainability• Aligning all of this work to help practices achieve

NCQA PCMH recognition

*Funded by Beacon, AF4Q and System contracts.

Mercy Health Physicians – Forest Park Internal Medicine and Pediatrics

Hemoglobin A1c<8

Initial Community Results

•Practices that have been publicly reporting, demonstrate improved diabetes outcomes.

•Practices participating in QI/PCMH initiatives, appear to have lower ED utilization and lower admissions/1000.

•More to come.