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Overview

Learn how to utilize the UDS Feedback Report for National performance program improvement, ensuring your patients' health, and focusing your efforts strategically for better outcomes. The report provides a snapshot of your performance, including patient profiles, quality of care, efficiency, and financial security. It compares data with different groups and evaluates performance measures across various aspects like access, utilization, and financial viability. Gain insights into patient demographics, care quality, and operational efficiency to make informed decisions and drive continuous improvement.

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Overview

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Presentation Transcript

  1. Overview

  2. Using UDS Feedback Report as a Management Tool Susan Friedrich, JSI

  3. Why is it important? National performance Program improvement Ensuring the health of your patients

  4. Focusing Your Efforts • Too much information and not enough time! • A Snapshot Approach – focus on a few high impact measures for initial review to identify • Strengths • Possible areas of improvement

  5. Snapshot of Performance • Patient profile – who are you serving? • Quality of care – are standards of care high? • Efficiency – are we maximizing our resources? • Financial security - are we in a good financial position?

  6. Comparison Groups • Program • Current year, prior year and 2 year change • Reported for total patients and AI/AN population • Averages • Comparison group – Full Ambulatory, Limited Ambulatory or Information and Referral • National average (all UIHP programs) • BPHC Average (applicable to Full Ambulatory programs)

  7. Feedback Report • Performance measures • Access • Describes patients you serve • Quality of Care • Utilization and GPRA measures • Efficiency • Evaluates capacity • Financial Cost/Viability • Assesses costs and viability

  8. Patient Profile • % Growth in patients • AI/AN patients • % AI/AN of total patients • Total patients • % patients using medical services • Patient demographics • Patients with financial, cultural and linguistic barriers • % Uninsured, Medicaid, other public • % < 200% FPL Evidence that program is serving priority populations:

  9. Patient Profile Did you grow? Who are you serving?

  10. Quality of Care • Visits per patient (continuity) • Rates of service use • GPRA • Chronic Disease (diabetes control) • Routine and Preventive care (screenings, immunizations and assessments) • Behavioral health (tobacco, mental health and domestic violence) Evidence that program is delivering quality care: • GPRA Measures • Continuity of care • Prevalence rates

  11. Quality of Care Are you improving or getting worse? How do you compare? What is your performance?

  12. Efficiency • Growth in visits • Provider FTEs • Panel size (patients/provider FTE) • Visits per provider (productivity) • Medical Team Ratio >1 • Staff Ratios Evidence that program is operating a cost effective services delivery model:

  13. Efficiency Did your visits grow with patients? How do you compare? Are you at capacity? Are you at capacity?

  14. Financial/Cost Viability • Cost • Cost per patient and visit • % administrative costs • Charge to cost ratio • Surplus/deficit as % of total costs • Diversification of Funding • % income from IHS • % income from patient service • IHS funding per AI/AN patient • Financial Viability • Change in net assets as % of expense • Working capital to expense ratio • Debt to equity ratio Evidence that program is financially viable:

  15. Financial/Cost Viability Are your costs reasonable? Do fees cover costs?

  16. UDS Reference Guide • Provides formulas for all measures • Format “replicates” the report format • In the formula section, each measure is identified with: • A number • A name, corresponding to the name on the report • A formula for calculating the measure

  17. Calculations for Performance Measures % Pediatric: (T3A Lines 1-15, Col A+B) /(T3A L39 CA + T3A L39 CB) T= Table + = add - = subtract L= Line * = multiply C= Column / = divide

  18. Averages Average Defined: The value obtained by dividing the sum of a set of quantities by the number of quantities in the set. • Program Type (Full Ambulatory, Limited Ambulatory, Information and Referral • UIHP National Averages (from all urban programs) • BPHC National(from FQHCs)

  19. Identifying Strengths & Weaknesses • Compare your performance with peer groups • How do you compare with similar programs? • Look at your performance over time • Are things trending in the right direction? • Identify strengths and weaknesses • Develop and implement strategy for improvement

  20. Contact Information • Susan Friedrich or Priscilla Davis • John Snow, Inc. (JSI) • UDS Helpline: 1-866-698-5976 • email: helpuds@uihpdata.net • website: www.uihpdata.net

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