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SSM Health Care. Category 4: Information and Analysis. Information and Analysis. The MBNQA Information & Analysis criteria SSM’s approach to information management and measurement Information systems infrastructure Performance Management Process Use of comparative data. MBNQA Categories.

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Category 4 information and analysis

SSM Health Care

Category 4: Information and Analysis


Information and analysis
Information and Analysis

  • The MBNQA Information & Analysis criteria

  • SSM’s approach to information management and measurement

    • Information systems infrastructure

    • Performance Management Process

    • Use of comparative data


Mbnqa categories
MBNQA Categories

  • Leadership

  • Strategic Planning

  • Focus on Patients, Other Customers, and Markets

  • Information and Analysis

  • Staff Focus

  • Process Management

  • Results




Category 4 information and analysis

Framework

Organizational Purpose:

Environment, Relationships and Challenges

5: Staff Focus

2: Strategic

Planning

1: Leadership

7: Organizational

Performance

Results

6: Process

Management

3: Focus on

Patients, Other

Customers

and Markets

4: Measurement, Analysis and Knowledge Management


Mbnqa category 4 information and analysis performance measurement analysis
MBNQA Category 4INFORMATION AND ANALYSIS Performance Measurement/Analysis

  • Select and align measures

  • Gather/integrate data to support daily operations/decision making

  • Ensure effective use of comparative data

  • Analyses to support leaders’ review and strategic planning

  • Communicate results to enable effective decision-making

  • Align results of analysis


Mbnqa category 4 information and analysis information management
MBNQA Category 4INFORMATION AND ANALYSIS Information Management

  • Make needed information available to all stakeholders

  • Ensure data integrity, reliability, accuracy, timeliness, security, confidentiality

  • Ensure hardware/software reliability and user-friendliness

  • Keep system current with health care needs


Category 4 information and analysis

2002 recipient of the Missouri Quality Award

Applications development

Client Response Center

Decision

support

Compliance

Administration

Group

Information

technology

SSM Information Center (SSMIC)


Category 4 information and analysis

Vendors /

Consultants

Network /

Entity IMC

Nursing

Informatics

L

I

S

T

E

N

I

N

G

P

O

S

T

N

E

E

D

S

A

S

S

E

S

S

M

E

N

T

S

SSMHC System Strategy

Medical

Informatics

System

IMC

Capital

Allocation

Committee

e-Health /

Web IMC

I

N

P

U

T

S

HIPAA

Entity

Service

Level

Agreements

SSM

Information

Center

Revenue

Cycle

Tactical

Teams

Operational

Teams

Project

Office

ePMI

Network/User

Group Teams

Plan / Check

Entity Membership

Do / Act

IS Planning and Management


Category 4 information and analysis

Hospital 1

E-mail access

SSM Physician Portal

Hospital 2

SSM Connect

Lotus Notes access

Hospital 3, etc

Fax machine

Pager

*

Hand-held PDA

Physician Connectivity

Access Anytime, Anywhere…


Category 4 information and analysis

Our Mission

Exceptional patient, employee, and physician satisfaction

Exceptional clinical outcomes

Exceptional financial performance


Category 4 information and analysis

Alignmentof Indicators

Through our exceptional health care services, we reveal the healing presence of God.

Exceptional

clinical

outcomes

Exceptional

patient, employee & physician satisfaction

Exceptional

financial

performance

Operating

margin

%

Unplanned re-

admission rate

within 31 days

of discharge

Inpatient

loyalty

Overall

physician

satisfaction

Overall

employee

satisfaction

Service & quality

indicators

Inpatient

loyalty

indicators

Employee

satisfaction

indicators

Physician

satisfaction

indicators

Reimburse-ment

indicators

Productivity/

expense

indicators

Liquidity

indicators

Profitability

indicators

Growth

indicators

Performance Management Process


Category 4 information and analysis

Performance Indicator

Reports (PIR)

Data Warehouse

Different Source Systems

- General Financial (ERP)

- Materials Management (ERP)

- Human Resources

- Clinical Systems

- Satisfaction Systems

Gathering, Integrating and Presenting Data


Category 4 information and analysis

Performance Indicator Report (PIR) Rollup

System-

Level Indicators

(SSMHC PIR)

Operations

PIR

Hospital

Operations

PIR


Category 4 information and analysis

Hospital Operations Performance Indicator Report



Category 4 information and analysis

Consolidated Operations

Profitability Operating Margin % 1.5% 2.4%

Liquidity Unrestricted Days Cash on Hand 182 209

Hospital Operations

Growth Acute Admissions

Reimbursement Patient Revenue Per APD

Producitvity/Cost Operating Expense Per APD

Profitability Operating Margin %

Clinical 31 Day Acute Readmission Rate

Service & Quality Inpatient Loyalty Index

Satisfaction Employee Satisfaction Indicator

Satisfaction Physician Satisfaction Indicator

137,656

$1,410

$1,402

3.7%

4.5%

49.5%

74.1%

77.6%

136,884

$1,336

$1,321

4.4%

4.2%

52.9%

71.8%

73.6%

Skilled Nursing Home

Profitability Operating Margin %

Service & Quality Daily Physical Restraints Prevalence

Home Health

Profitability Operating Margin %

Service & Quality Homecare Patient Loyalty Index

Physician

Profitability Net Revenue Per Physician

Productivity Practice Direct Operating Cost %

1.4%

3.9%

.

12.0%

56.9%

.

$35,074

66.6%

-1.9%

5.1%

.

8.4%

64.0%

..

$33,739

68.4%

> 5% favorable

Within 5% of plan

> 5% unfavorable

Performance Analysis – System-Level Indicators

Year to Date Performance

InitiativeIndicatorsActual PlanTo Plan

Year to Date Performance

InitiativeIndicatorsActual PlanTo Plan


Category 4 information and analysis

Corrective Action Plans

  • Hospitals and networks use them frequently … for virtually every red light that exists on the PIR.

  • Required by policy for certain indicators:


Inprocess measures
Inprocess Measures

  • Category 4: Gather/integrate data to support daily operations/ decision-making

  • Category 6: Inprocess measures used to manage day to day processes?

    In-process indicators: Measurements that indicate how a process is working. Also called leading indicators. Provide early warning signals to tell us if we are moving towards/away from our goals.


Functional groups inprocess measures
Functional Groups’ Inprocess Measures

  • ER – Time from door to treatment or physician time (whichever is earlier)

  • Surgery - % limbs marked:

    • Correctly

    • Incorrectly

    • Not marked

  • Radiology turnaround time

  • Pharmacy- Drug cost/patient day (measured daily)


Category 4 information and analysis

Deploying the Plan

  • Departmental Posters

  • Passport Program


Category 4 information and analysis

Patient-level information

Improved

clinical

outcomes

National health

care database

Opportunities

Cost

reduction

Departmental-level

information

Comparative Data




Category 4 information and analysis

Lessons Learned Variation

  • Measurement is essential to improvement

  • Don’t compare yourself to just averages - - unless you want to be average

  • Attention to inprocess (leading) indicators as well as to outcome (lagging) indicators

  • Alignment of measures and strategic goals is essential

  • Measure what is important