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Enter rise Intelli ence
Aggregates the right clinical,
financial and operational dataand transforms it into
intelli ence for decision makin
and behavior change
Empowers all stakeholders atany level of the organization to
take action
Leads to the creation of a
culture of excellence
Providingthefoundationforsustainableperformanceimprovement
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Objectives
Understand meaningful use measurement from a vendor perspective,
an w a prov ers s ou expec rom a ven or par ners p
Understand the processes under way to harmonize measures, and what
to do if they are out of sync
Understand the importance of health system participation and leadership
during the comment period as new measures are proposed
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Health Reform
The Qualit Im erative
Healthcare can be improved
Quality and cost go hand in hand Its not easy!
14%ofJointCommissionaccreditedhospitalsachievetopperformanceratings14%ofJointCommissionaccreditedhospitalsachievetopperformanceratings
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Health Reform
Challen es
Alignment of measures across initiatives
Maturity of IT standards Clarification of scope and methodology
STK2 eSTK2
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Vendor Perspective
Shared Ex ectations
Provider
Government
Vendor
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Vendor Perspective
Government Visibilit
Committee membership/participation
ONC committee (vendor representation for inpatient provider)
National Quality Forum
Measures committee Kathleen Aller
Voting member Connie Moser
National voice
Provided detailed public comments for MU
Provided public comments to refine ACO measures
Selected to provide public testimony on MU to ONC
HIT Policy Committee
. .
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Vendor Perspective
Provider Partnershi
Establish goals for shared success
Evaluate and communicate readiness
Help customers stabilize and standardize workflow and content
Help clarify measures, streamline data access and reporting
Encourage and facilitate adoption
Help structure good clinical and IT governance
Facilitate networking across customer base
Host leadership congresses
Enable sustainable improvement
Guide providers through data analysis and reporting
Using data to improve care not just to submit
Engage physician accountability through data
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Vendor Perspective
Research and Develo ment
A new type of product management
Regulatory expertise
Clinical content
Understanding of measures and the tie to workflow
Flexibility to meet changing requirements
Recognize the role, needs and development
input from each Legal
Clinicians
Regulatory
Clinicians IT
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Harmonizing Measures
National Efforts
Current activities at the federal level
NQF Measure Development and Endorsement Agenda
Modification of ACO measures from 65 to 33
Our recommendations:
Align quality measures with clinical and operational
workflow
Balance aspirations with market readinessmp oy cons s en og c across a measure se s
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http://www.qualityforum.org/Projects/Measure_Harmonization.aspx
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Harmonizing Measures
In the Meantime
Be mentally ready for change
Operational
Workflow
Payment
Thoseorganizations
that
can
improvetheircollective
competencytousedatato
Gather data once, use for many purposes
Normalize and index disparate data
Payment reform is a continuum
,
aregoingtobemilesahead.Its
avery,verygoodtimeforthose
placesthat
provide
excellent
Use the same data to model different measures
Get legal and regulatory expertise on your
side
manner.Theyregoingtoriseto
thetop.
HealthsystemCMIO
Establish good auditing processes
At the end of the day YOU have to sign on the
dotted line!
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Having a Voice
Health S stem Partici ation
You need to have a voice
Avenues for responses to measures
comment period
It takes time and energy but worth it
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Having a Voice
Health S stem Partici ation
You need to have a voice
Avenues for responses to measures
comment period
It takes time and energy but worth it
Every voice counts!
ThepowerofprovidersinresponsetotheACOproposedru es
multiplefederalagenciesmadethechangesinresponseto"mountainsofcomments"andmanymeetingswithprovidersandpatientgroupssincetheproposedrulewasreleasedMarch31.
DonaldBerwick,
MD,
administrator
for
the
Centers
for
Medicare&MedicaidServices
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Citations
The Big Idea: How to Solve the Cost Crisis in Health Care; Harvard Business
. .
http://hbr.org/2011/09/how-to-solve-the-cost-crisis-in-health-care/ar/1
Improving Americas Hospitals - The Joint Commissions Annual Report on Quality
and Safety 2011; posted Sept. 2011
http://www.jointcommission.org/2011_annual_report/
CIOs Ask CMS to Harmonize Quality Reporting; Healthcare Informatics; David
Raths;
. -
informatics.com/ME2/dirmod.asp?sid=&nm=&type=Publishing&mod=Publications%3
A%3AArticle&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=510BFD751
5EE4A4EAA0D9CFB4EC09DA0
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Upcoming Enterprise Intelligence Webinar
January 19, 2012: - : p.m.
Beyond Meaningful Use Reporting:ata- r ven n ca mprovement
Kim Halbur, MBA, RHIA, CPHQus ness v sor, n erpr se n e gence, c esson
www.mckesson.com enterpriseintelligence
Thank ou for our time and attention.