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The Health Collaborative

Better Data, Better Patient Outcomes: How Meaningful Use, Measurement and Technology Can Drive Improvement March 16, 2012 Melissa Kennedy, M.H.A. The Health Collaborative.

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The Health Collaborative

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  1. Better Data, Better Patient Outcomes: How Meaningful Use, Measurement and Technology Can Drive Improvement March 16, 2012 Melissa Kennedy, M.H.A.

  2. The Health Collaborative 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.

  3. Data Collection and Reporting Initiatives: initial development based upon AF4Q requirements • 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 • Health Care Stakeholder reporting: • Content: Data from multi-payer claims database • Patient Center Medical Home evaluation • Potentially avoidable complications PACs

  4. Greater Cincinnati Physician Leaders Generated Guiding Principles: Voluntary public reporting, with provider level feedback for improvement Contains clinically relevant information Provides alignment with payers Transparent data collection and reporting process

  5. All New Measures Are Evaluated Accordingly…

  6. Data Aggregation and Measurement Process Practice Data Push from EHR Paper Extract (Not Optimal) Health Plan Recognition Programs Electronic Data Extraction Practice Dashboard

  7. 43% of Primary Care Physicians in the 14 county Area Report on YHM 310% 2009 2010 2011

  8. Three-legged stool of creating systemic improvement: • Measure what is important • Pay for what is important • Help people learn how to improve

  9. *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.

  10. Mercy Health Physicians – Forest Park Internal Medicine and Pediatrics Hemoglobin A1c<8

  11. 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.

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