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it s apparent healthcare is transparent

May 1, 2008. Healthcare Transparency Betty Brown. 2. Disclosure and References. Disclosure:I have no financial arrangements or affiliations with any commercial company that has a direct interest in the subject matter of this presentation.. May 1, 2008. Healthcare Transparency Betty Brown.

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it s apparent healthcare is transparent

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    1. It’s ApparentHealthcare is Transparent Indiana Association for Healthcare Quality May 1, 2008

    2. May 1, 2008 Healthcare Transparency Betty Brown 2

    3. May 1, 2008 Healthcare Transparency Betty Brown 3 Quality/Patient Safety- In Perspective I am called eccentric for saying in public that hospitals, if they wish to be sure of improvement: Must find out what their results are, Must analyze their results, to find their strong and weak points, Must compare their results with those of other hospitals, Must care for what cases they can care for well, and avoid attempting to care for those cases which they are not qualified to care for well…. Must assign cases to the members of the staff (for treatment) for better reasons than seniority, the calendar or temporary convenience…. Must welcome publicity not only for their success, but for their errors, so that the Public may give them help when it is needed, Must promote members of the Staff on a basis which gives due consideration to what they can and do accomplish for their patients. Such opinions will not be eccentric a few years hence.”

    4. May 1, 2008 Healthcare Transparency Betty Brown 4 “I am called eccentric for saying in public: That hospitals, if they wish to be sure of improvement, Must find out what their results are. Must analyze their results, to find their strong and weak points. Must compare their results with those of other hospitals. Must care for what cases they can care for well, and avoid attempting to care for those cases which they are not qualified to care for well…. Must assign cases to the members of the staff (for treatment) for better reasons than seniority, the calendar or temporary convenience…. Must welcome publicity not only for their successes, but for their errors, so that the Public may give them help when it is needed. The Joint Commission’s Codman Award. Dr. Ernest Codman is credited with beginning the work of reporting outcomes of orthopedic patients. Died in 1940.The Joint Commission’s Codman Award. Dr. Ernest Codman is credited with beginning the work of reporting outcomes of orthopedic patients. Died in 1940.

    5. May 1, 2008 Healthcare Transparency Betty Brown 5

    6. May 1, 2008 Healthcare Transparency Betty Brown 6

    7. May 1, 2008 Healthcare Transparency Betty Brown 7

    8. May 1, 2008 Healthcare Transparency Betty Brown 8

    9. May 1, 2008 Healthcare Transparency Betty Brown 9

    10. May 1, 2008 Healthcare Transparency Betty Brown 10 Priority setting in healthcare Swedish method

    11. May 1, 2008 Healthcare Transparency Betty Brown 11 “Every American should have access to a full range of information about the quality and cost of their health-care options.” -Secretary Michael Leavitt, U.S. Department of Health and Human Services

    12. May 1, 2008 Healthcare Transparency Betty Brown 12 Objectives Define healthcare transparency. Determine the scope of what is available to healthcare consumers. Understand the limitations of gaining information. Learn what you can do to lower costs and improve quality and safety

    13. May 1, 2008 Healthcare Transparency Betty Brown 13 Transparency – definition Transparency is making healthcare information available so that consumers can make informed decisions and providers can improve healthcare delivery. Hospital and procedure mortality and morbidity rates and volumes Physician reports Charges and reimbursement rates Patient satisfaction Hospital and procedure mortality and morbidity rates and volumes Physician reports Charges and reimbursement rates Patient satisfaction on standardized performance metrics and outcomes that can include comparison of quality and price across providers Hospital and procedure mortality and morbidity rates and volumes Physician reports Charges and reimbursement rates Patient satisfaction Hospital and procedure mortality and morbidity rates and volumes Physician reports Charges and reimbursement rates Patient satisfaction on standardized performance metrics and outcomes that can include comparison of quality and price across providers

    14. May 1, 2008 Healthcare Transparency Betty Brown 14 What? U.S. Healthcare Costs Quality Efficiency Equity Access Healthy Lives How Does The Quality Of Care Compare In Five Countries? Peter S. Hussey, Gerard F. Anderson, Robin Osborn, Colin Feek, Vivienne McLaughlin, John Millar and Arnold Epstein International data on quality of medical care allow countries to compare their performance to that of other countries. The Commonwealth Fund International Working Group on Quality Indicators collected data on twenty-one indicators that reflect medical care in Australia, Canada, New Zealand, England, and the United States. The indicators include five-year cancer relative survival rates, thirty-day case-fatality rates after acute myocardial infarction and stroke, breast cancer screening rates, and asthma mortality rates. No country scores consistently the best or worst overall. Each country has at least one area of care where it could learn from international experiences and one area where its experiences could teach others. How Does The Quality Of Care Compare In Five Countries? Peter S. Hussey, Gerard F. Anderson, Robin Osborn, Colin Feek, Vivienne McLaughlin, John Millar and Arnold Epstein International data on quality of medical care allow countries to compare their performance to that of other countries. The Commonwealth Fund International Working Group on Quality Indicators collected data on twenty-one indicators that reflect medical care in Australia, Canada, New Zealand, England, and the United States. The indicators include five-year cancer relative survival rates, thirty-day case-fatality rates after acute myocardial infarction and stroke, breast cancer screening rates, and asthma mortality rates. No country scores consistently the best or worst overall. Each country has at least one area of care where it could learn from international experiences and one area where its experiences could teach others.

    15. May 1, 2008 Healthcare Transparency Betty Brown 15 To improve the care delivery system To help the customer make informed choices To improve performance in Outcomes, Costs

    16. May 1, 2008 Healthcare Transparency Betty Brown 16 Public Effectors Presidential Executive Order Interoperability: Set of common technical standards Measure and Publish quality information Measure and Publish price Create Positive Incentives for employees CMS programs for P4P and HCAHPS States’ legislation for healthcare organizations to disclose information on safety, costs, and quality

    17. May 1, 2008 Healthcare Transparency Betty Brown 17 Payers and Vendors AETNA Humana Anthem Healthgrades Leapfrog Group Premier’s and IHI’s QUEST program

    18. May 1, 2008 Healthcare Transparency Betty Brown 18 Organizations The Joint Commission State Hospital Associations Health Alliances National Quality Forum Hospitals and Health systems

    19. May 1, 2008 Healthcare Transparency Betty Brown 19 Initiatives National Business Coalition on Health eVALUE8 IHI ABIM – Practice Improvement Modules PQRI

    20. May 1, 2008 Healthcare Transparency Betty Brown 20 Reward for Performance CMS, Hospitals, Physicians, Premier Demonstration Project AQA – Ambulatory Quality Alliance Employers Health Plan Pilots Local Collaboratives – CA, OH National Committee on Quality Assurance

    21. May 1, 2008 Healthcare Transparency Betty Brown 21 Types of Information Family Health Budget Compare Hospitals Estimating Costs Physician Performance Pharmacy Calculator Physician Costs

    22. May 1, 2008 Healthcare Transparency Betty Brown 22

    23. May 1, 2008 Healthcare Transparency Betty Brown 23 Minnesota and Pennsylvania Minnesota NQF 27 Never Events Reporting Pennsylvania Infection Reporting

    24. May 1, 2008 Healthcare Transparency Betty Brown 24 Alegent Health Omaha, NE Displays quality data on large posters in service areas –compares bundle measures to how many days above the national benchmarks Heart Attacks Community Acquired Pneumonia Ventilator Associated Pneumonia

    25. May 1, 2008 Healthcare Transparency Betty Brown 25 Let’s look Google Dartmouth-Hitchcock Medical Center Hospital Compare Leapfrog HealthGrades Greater Cincinnati Health Council

    26. May 1, 2008 Healthcare Transparency Betty Brown 26 What can you do? Learn to document well. Understand the taxonomy. Express healthcare jargon in understandable terms. Teach others to do this too.

    27. May 1, 2008 Healthcare Transparency Betty Brown 27

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