Regional Learning Session May 15, 2016
‌ catalyzing the spread of healthcare best practices
www.hcgc.org
Regional Learning Session May 15, 2016
Today’s Purpose: • Learning from a recent national summit on healthcare transparency • Panel discussion on quality reporting • Shape the design for a new regional quality transparency website www.hcgc.org
Our Public-Private Funding Partners Lead Supporter
Major Supporters
Additional Supporters 100% of our Board of Directors & Staff
Clarity Consultancy Services, our social enterprise Individual & subsidiary Corporate Donations
Our Collaborative Process
Build collaborations with consumers, providers, and purchasers ~trust~
Apply collaborative learning ~spread knowledge~
Measure actionable results
Transform Healthcare
in Greater Columbus with consumers, providers & purchasers
~collective impact~
~awareness~
Convene diverse stakeholders ~exploration~
Coordinate activities that transform healthcare delivery and value www.hcgc.org
Catalyze best practices
~commitment~
Our Strategic Areas of Focus PATIENT-CENTERED MEDICAL NEIGHBORHOOD …improve care coordination between providers & social services
QUALITY TRANSPARENCY …improve the use of quality data
…exploring and catalyzing best practices to strengthen engagement between consumers, providers, and purchasers
PATIENT ENGAGEMENT …improve engagement between patients and providers
www.hcgc.org
COLLABORATIVE LEARNING …improve the application of learning in Greater Columbus
Shift to Value-based Health Care
QUALITY
PATIENT EXPERIENCE TOTAL COST OF CARE
Source: A Strategy for Health Care Reform — Toward a Value-Based System Michael E. Porter, Ph.D., N Engl J Med 2009; 361:109-112, July 2009
VALUE
Shift to Value-based Health Care Rising Consumerism
Population Health
Value-based Healthcare
Quality-Cost Transparency www.hcgc.org
Payment Innovation
Regional Learning Session May 15, 2016
Learning from recent national summit on healthcare transparency‌
www.hcgc.org
WHY: The need to transform healthcare in the U.S.
WHY: The need to transform healthcare in the U.S.
WHY: The need to transform healthcare in the U.S. Variation in QUALITY: Readmissions within 30 days medical discharge
Central Ohio region is one of 57 regions ranked with highest variation
WHY: The need to transform healthcare in the U.S. Variations in COST: Recent study for Lower Back MRI
Columbus Ohio Average: $1,711 Price Range: $1,335 - $2,749
Nashville TN Average: $1,066 Price Range: $531 - $1,975
WHY: The need to transform healthcare in the U.S.
Up to 35% of Americans Struggle with Medical Debt
Source: CDC/NCHS, National Health Interview Survey, 2012
WHY: The need to transform healthcare in the U.S.
Transparency is Happening Now!
“The trend toward greater transparency in health care holds great potential to help make the health care market more efficient and financially sustainable, and improve the value Americans receive from care.� - Robert Wood Johnson Foundation
WHY: The need to transform healthcare in the U.S.
http://www.nrhi.org/work/increasinghealthcare-transparency/
Transparency is Happening Now - Minnesota
Transparency is Happening Now - Maine
Transparency is Happening Now - Cincinnati
Transparency is Happening Now - Cleveland
Transparency tools are emerging‌ A) Quality of care information on over 4,000 hospitals medicare.gov/hospitalcompare B) Determine fair prices in your area for healthcare services healthcarebluebook.com C) Provide total cost of care information for healthcare services guroo.org D) A Letter grade reflecting how safe hospitals are for patients hospitalsafetyscore.org E) Tool to enable employees to choose lower cost, high quality providers castlighthealth.com F) Tool to help patient find a provider experienced in your treatment healthgrades.com
Transparency is Happening Now
“Transparency is the most significant tool we have for meaningful health reform� -William H. Frist, MD, Heart and Lung Transplant Surgeon, Former Senator Majority Leader (R-TN), March 16, 2015, RWJF Summit on Transparency
Improving Quality Transparency in Greater Columbus Panel Discussion on Quality Reporting • Dr. Parminder Bajwa Columbus Neighborhood Health Center, Inc. • Dr. Maria Courser Mount Carmel Medical Group • Dr. Greg Sawchyn OhioHealth • Dr. Randy Wexler The Ohio State University Wexner Medical Center • Dr. Bill Wulf Central Ohio Primary Care www.hcgc.org
Advancing Transparency: The Top Dos and Don’ts from Regional Multi-Stakeholder Collaboratives, March 2015 1. DO expect tension and compromise 2. DON’T move to quickly 3. DO insist on a neutral source of data 4. DO recognize that various stakeholders have different motivations 5. DO recognize that payers and the public expect quality performance 6. DO measure in a way that enables improvement 7. DO identify measurement priorities 8. DO expect increased accountability that links payment to provider performance 9. DON’T expect measurement to solve every problem 10. DONT assume stakeholders have the experience to know when/how to use quality info
11.LASTLY – do get on with it!
Regional Quality Reporting Project 2015-16 Overview PURPOSE: Based on nationally endorsed measures, compile and share all-payer quality data from electronic medical records to: • Enable patients to make better informed choices about their care, help health care professionals see where they can improve, and allow purchasers to know the value of the care that they are buying. • Demonstrate the meaningful use of health information technology. • Based on learning that emerges, catalyze best practices to improve healthcare transparency in Greater Columbus. www.hcgc.org
Current Participants Hospital-Owned Practices • Mount Carmel Medical Group (15 sites) •
OhioHealth Physician Group (24 sites)
•
The Ohio State University Wexner Medical Center Primary Care (13 sites)
Private Practices • Central Ohio Primary Care Physicians (36 sites) Federally Qualified Health Centers • Columbus Neighborhood Health Center (8 sites) •
Heart of Ohio Family Health Centers (2 sites)
•
Lower Lights Christian Health Center (5 sites)
•
Southeast, Inc. (1 site)
Regional Quality Reporting Project 2015-16 Overview
National DOCTOR Project – public reporting of quality data
www.hcgc.org
Regional Quality Reporting Project 2015-16 Approach voluntarily demonstrating their value hospital-owned practices private practices federally qualified health centers Sharing all-payer quality data from Electronic Medical Records (EMR) Cancer Diabetes Heart
Regional Quality Reporting Website
(refreshed every 6 months starting Q4 2015) ourhealthcarequality.org promote regional website
Regional Consumer Reports Insert Q1 2016
Healthcare professionals identifying opportunities for improvement Purchasers seeing value from the care they are buying Patients making better informed choices about their care
primary audience www.hcgc.org
Regional Quality Reporting Summary – Greater Columbus Cancer National Quality Forum Endorsed Measures
% of patients with colorectal cancer screening (50-75 years)
Diabetes
Heart
% of diabetic % of hypertension patients with A1c patients with blood in control pressure in control (18-75 years) (18-85 years)
Greater Columbus (2014 data)
Aggregate: Variation: Total Patients: Total Clinicians:
30% 0% - 79% 107,942 324
84% 36% - 97% 45,792 432
68% 47% - 100% 119,296 432
Aggregate Results: Cincinnati (2013)
64%
Using D5 composite measures
77%
Aggregate Results: Minnesota (2014)
70%
Using D5 composite measures
85%
• • • •
www.hcgc.org
Panel Discussion on Quality Reporting Current Phase: internal use of comparative cancer, diabetes, heart data… • What are we learning from each other about how to improve quality? Future Phase: public reporting of comparative cancer, diabetes, heart data… • Why did your organization volunteer to publically share its quality data with other stakeholders in Greater Columbus? • What challenges might come our way and how might we meet them? • How can we support each other in taking the next steps to improve transparency of quality data in the Greater Columbus region? • What seed might we plant together today that could make the most difference to the future of quality transparency in Greater Columbus?
www.hcgc.org
Improving Quality Transparency in Greater Columbus
Thanks for your leadership and time!
• Dr. Parminder Bajwa Columbus Neighborhood Health Center, Inc. • Dr. Maria Courser Mount Carmel Medical Group • Dr. Greg Sawchyn OhioHealth • Dr. Randy Wexler The Ohio State University Wexner Medical Center • Dr. Bill Wulf Central Ohio Primary Care www.hcgc.org