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Title Slide

Sub Title

The Health Collaborative:

Current Activities and Capabilities

July 13, 2012Greg Ebel, Executive Director

Melissa Kennedy, Director of Operations

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Employers35%

Health Care Providers32%

Community Advocates23%

Insurers10%

Multi-Stakeholder Board:

Mission: To employ collaborative leadership in issue identification, program development, outcomes measurement and reporting, with the goal of stimulating meaningful improvement in the health of the people of Greater Cincinnati.

The Health Collaborative

Three legged stool of systemic improvement:

• Measure and report what is important

• Help people learn how to improve

• Pay for what is important

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Title

•PointsCurrent Clinical Data Reporting Capabilities in Greater Cincinnati

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Title

•Points

I. Your Health Matters public report:Content: clinical outcomes data from providers

• Outpatient clinical outcomes data: diabetes, vascular disease, colon cancer screening, CHF

• Hospital Quality Data: July, 2012 • Consumer Experience, ACO measures (in discussion):

2013

II. Health Care Stakeholder reporting: Content: Data from multi-payer claims database

• Patient Center Medical Home evaluation• Potentially avoidable complications PACs

Data Collection and Reporting Initiatives: initial development based upon AF4Q requirements

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Current Data Aggregation & Measurement Process

Practice Data

Push from EHR

Electronic DataExtraction

Paper Extract(Not Optimal)

Health Plan Recognition Programs

Practice Dashboard

37%

5%

58%

2010

EMR

Combo

Paper

42%

53%

5%

2012

EMR

Combo

Paper

Challenges to Scaling: Policy Implication

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9

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Group/Clinic Results

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QI Optional Results: Monthly PDSA Rapid-Cycle Reporting

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2009 2010 2011

83

340

443

# o

f P

hysic

ian

s

27%

310%

43% of Primary Care Physicians in the 14 county Area Report on YHM

Consists of ~150

Practices & 1.15

Million Patients

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Title

•PointsCurrent Claims Reporting & Plan for Expansion

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PCMH Performance Report – Current Report

Practice Level Utilization Report Across Chronic Episodes of CareChronic Episodes of Care include COPD, Asthma, Hypertension, Diabetes, CHF, CAD, and GERD

Data are reported at the Chronic Episode Summary level due to small sample size at the practice level within each episode category*Data sources: commercially insured populations from United, Anthem, and Humana

GHA Springdale

Queen City Physicians Hyde Park

Queen City Medical Group

- Anderson

Queen City Physicians -

Western Ridge

Queen City Physicians -

Maderia

Queen City Physicians -

Western Hills

Average of 17 PCMH practice

sitesNon PCMH

practice sites

1/1/2009-

12/31/2010*

Episode N

Average Age

50th Percentile Risk Factor Count

Admits per 1,000

Average Length of Stay (days)

Total Bed Days per 1,000 Admits

ED visits per 1,000

Potentially Avoidable Complications (PACs) per 1,000

Percent of Patients with at least 1 PAC 2009 D4 Measure 2010 D4 Measure

Reporting Expansion Requests from Practices and Health Plans

33 ACO measuresAll patients, not just chronically illMeasures available for all PCMH-recognized sitesRisk-adjustment of dataReadmission ratesCost of care measuresUse of Generic Prescription DrugsPercent of care that remains in a single system and correlations with utilization measuresHigh cost radiologyED:OV use ratio

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Title

•PointsSuccessful Implementation of Quality Improvement

Programming

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Title

•Points

Our Model for Practice Transformation

Measureable Quality Improvement

Organizational Effectiveness

Information Technology for Population Health

Patient Centered Medical Home

18Pra

ctic

e T

ransf

orm

ati

on S

ucc

ess

Measurement Begins May 2011

Program Begins JAN. 2011

Primary Care Practices53

Physicians170

Patients346,600+

↑ in D5 Score from 2010-201115% points

Practices will Achieve PCMH Level 3 Certification75

% Practices will Achieve PCMH Certification 100%