Advisory Discussion
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.
WHY: The need to transform healthcare in the U.S.
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
Advisory Discussion
What are your reflections on making this project about quality improvement to reduce variability vs. ranking physicians?
Co-Learning Discussion: Briefing on Regional Transformation Activity
Public & Private: Payment Reform Framework
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
Co-Learning Discussion
Comprehensive Primary Care Initiative (CPCI)
OHIO: Public-Private Healthcare Innovation Plan (SIM grant)
OHIO: Public-Private Healthcare Innovation Plan (SIM grant)
Ohio’s Health Care Payment Innovation Partners:
OHIO: Public-Private Healthcare Innovation Plan (SIM grant)
Co-Learning Discussion
OHIO: Public-Private Healthcare Innovation Plan (SIM grant)
OHIO: Public-Private Healthcare Innovation Plan (SIM grant)
OHIO: Public-Private Healthcare Innovation Plan (SIM grant)
OHIO: Public-Private Healthcare Innovation Plan (SIM grant)
OHIO: Public-Private Healthcare Innovation Plan (SIM grant)
OHIO: Public-Private Healthcare Innovation Plan (SIM grant)
Co-Learning Discussion
Comprehensive Primary Care/Patient-Centered Medical Homes
Co-Learning Discussion
What are we learning about what is emerging in valuebased payment innovation?
Regional Learning Sessions
• 7/22/15 – Healthcare Transformation Webinar: Primary Care Transformation is happening NOW! • 8/11/15 – Purchaser Learning Group Work Session • 8/21/15 – Regional Learning Session: Population Health Management – Why it matters, How it’s done, What’s next?