1 / 18

Intermountain HEN Measurement

Intermountain HEN Measurement. April 12, 2013. Introduction . Lucy Savitz , PhD, MBA Overview of: Changes in CMS requirement for reporting Criteria for measure selection . HEN Data Collection Process. Amy Wuthrich . Data Collection Process: behind the scenes.

vega
Download Presentation

Intermountain HEN Measurement

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Intermountain HEN Measurement April 12, 2013

  2. Introduction • Lucy Savitz, PhD, MBA • Overview of: • Changes in CMS requirement for reporting • Criteria for measure selection

  3. HEN Data Collection Process Amy Wuthrich

  4. Data Collection Process:behind the scenes • The data template is generated using the COGNOS system and the data tables in the electronic data warehouse (EDW) • This allows for a extremely large amount of data to be condensed into a coherent document, for the entire HEN, rather than having to do it manually for each site

  5. Data Collection Process: generating contact • The body of the email is entered into the COGNOS system • SQL query connects the appropriate hospital/system ID to the appropriate contact email • It takes several hours for the program to run • Emails are sent from the system to the data contact at the HEN hospitals approximately three weeks prior to data submission deadline

  6. Data Collection Process: once we have data • Completed data requests are emailed back to Jesse Gygi • Data is entered into the data tables which are stored on the EDW • Internal validity is established • 2 person accuracy checks • If possible, run charts are sent back to hospital data contact to double check

  7. Data Collection Process: once we have data • Preliminary run charts are created • HEN team meets to review the run charts • Looks for questions/concerns in the data reported • Correct any inconsistencies • Charts are prepared for CMS reports/feedback reports

  8. Remaining 2013 Data Collection Milestones • May 20th – January through March data • August 20th – April through June data • November 20th – July through September data

  9. HEN Data Process and Feedback Reports Tom Belnap

  10. Monthly Progress Reports • Progress reports are submitted to CMS monthly • These include: • Narrative highlighting progress and successes • Data contribution and reporting from members • Data showing current rates on metrics • Barriers to continued improvement

  11. Data Reporting Process

  12. Feedback Reports • Feedback reports will be sent out to each site quarterly • Sent to data contacts first and then other contacts • Hospital data will be compared to the HEN average rate

  13. Feedback Reports • Purpose of feedback reports: • Benchmark performance against HEN • Track hospital progress over time • Ensure data completeness and accuracy • Encourage dialog within hospitals and greater involvement/communication across the HEN • We welcome feedback on the feedback and any suggestions

  14. Reporting to CMS Jason Scott

  15. What we report to CMS • HEN level run charts • Run charts stratified by hospital bed size large – 331+ beds medium – 140 to 330 beds small – 1 to 139 beds • Hospital specific success stories with your approval

  16. HEN level run charts

  17. Stratified run charts

  18. Hospital success stories • http://www.henlearner.org/additional-resources/success-stories/

More Related