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May 1, 2008. Healthcare Transparency Betty Brown. 2. Disclosure and References. Disclosure:I have no financial arrangements or affiliations with any commercial company that has a direct interest in the subject matter of this presentation.. May 1, 2008. Healthcare Transparency Betty Brown.
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1. It’s ApparentHealthcare is Transparent Indiana Association for Healthcare Quality
May 1, 2008
2. May 1, 2008 Healthcare Transparency Betty Brown 2
3. May 1, 2008 Healthcare Transparency Betty Brown 3 Quality/Patient Safety- In Perspective
I am called eccentric for saying in public that hospitals, if they wish to be sure of improvement:
Must find out what their results are,
Must analyze their results, to find their strong and weak points,
Must compare their results with those of other hospitals,
Must care for what cases they can care for well, and avoid attempting to care for those cases which they are not qualified to care for well….
Must assign cases to the members of the staff (for treatment) for better reasons than seniority, the calendar or temporary convenience….
Must welcome publicity not only for their success, but for their errors, so that the Public may give them help when it is needed,
Must promote members of the Staff on a basis which gives due consideration to what they can and do accomplish for their patients.
Such opinions will not be eccentric a few years hence.”
4. May 1, 2008 Healthcare Transparency Betty Brown 4 “I am called eccentric for saying in public:
That hospitals, if they wish to be sure of improvement,
Must find out what their results are.
Must analyze their results, to find their strong and weak points.
Must compare their results with those of other hospitals.
Must care for what cases they can care for well, and avoid attempting to care for those cases which they are not qualified to care for well….
Must assign cases to the members of the staff (for treatment) for better reasons than seniority, the calendar or temporary convenience….
Must welcome publicity not only for their successes, but for their errors, so that the Public may give them help when it is needed. The Joint Commission’s Codman Award. Dr. Ernest Codman is credited with beginning the work of reporting outcomes of orthopedic patients. Died in 1940.The Joint Commission’s Codman Award. Dr. Ernest Codman is credited with beginning the work of reporting outcomes of orthopedic patients. Died in 1940.
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10. May 1, 2008 Healthcare Transparency Betty Brown 10 Priority setting in healthcare Swedish method
11. May 1, 2008 Healthcare Transparency Betty Brown 11 “Every American should have access to a full range of information about the quality and cost of their health-care options.”
-Secretary Michael Leavitt, U.S. Department of Health and Human Services
12. May 1, 2008 Healthcare Transparency Betty Brown 12 Objectives Define healthcare transparency.
Determine the scope of what is available to healthcare consumers.
Understand the limitations of gaining information.
Learn what you can do to lower costs and improve quality and safety
13. May 1, 2008 Healthcare Transparency Betty Brown 13 Transparency – definition
Transparency is making healthcare information available so that consumers can make informed decisions and providers can improve healthcare delivery. Hospital and procedure mortality and morbidity rates and volumes
Physician reports
Charges and reimbursement rates
Patient satisfaction
Hospital and procedure mortality and morbidity rates and volumes
Physician reports
Charges and reimbursement rates
Patient satisfaction
on standardized performance metrics and outcomes that can include comparison of quality and price across providers
Hospital and procedure mortality and morbidity rates and volumes
Physician reports
Charges and reimbursement rates
Patient satisfaction
Hospital and procedure mortality and morbidity rates and volumes
Physician reports
Charges and reimbursement rates
Patient satisfaction
on standardized performance metrics and outcomes that can include comparison of quality and price across providers
14. May 1, 2008 Healthcare Transparency Betty Brown 14 What? U.S. Healthcare Costs
Quality
Efficiency
Equity
Access
Healthy Lives How Does The Quality Of Care Compare In Five Countries?
Peter S. Hussey, Gerard F. Anderson, Robin Osborn, Colin Feek, Vivienne McLaughlin, John Millar and Arnold Epstein International data on quality of medical care allow countries to compare their performance to that of other countries. The Commonwealth Fund International Working Group on Quality Indicators collected data on twenty-one indicators that reflect medical care in Australia, Canada, New Zealand, England, and the United States. The indicators include five-year cancer relative survival rates, thirty-day case-fatality rates after acute myocardial infarction and stroke, breast cancer screening rates, and asthma mortality rates. No country scores consistently the best or worst overall. Each country has at least one area of care where it could learn from international experiences and one area where its experiences could teach others. How Does The Quality Of Care Compare In Five Countries?
Peter S. Hussey, Gerard F. Anderson, Robin Osborn, Colin Feek, Vivienne McLaughlin, John Millar and Arnold Epstein International data on quality of medical care allow countries to compare their performance to that of other countries. The Commonwealth Fund International Working Group on Quality Indicators collected data on twenty-one indicators that reflect medical care in Australia, Canada, New Zealand, England, and the United States. The indicators include five-year cancer relative survival rates, thirty-day case-fatality rates after acute myocardial infarction and stroke, breast cancer screening rates, and asthma mortality rates. No country scores consistently the best or worst overall. Each country has at least one area of care where it could learn from international experiences and one area where its experiences could teach others.
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To improve the care delivery system
To help the customer make informed choices
To improve performance in Outcomes, Costs
16. May 1, 2008 Healthcare Transparency Betty Brown 16 Public Effectors Presidential Executive Order
Interoperability: Set of common technical standards
Measure and Publish quality information
Measure and Publish price
Create Positive Incentives for employees
CMS programs for P4P and HCAHPS
States’ legislation for healthcare organizations to disclose information on safety, costs, and quality
17. May 1, 2008 Healthcare Transparency Betty Brown 17 Payers and Vendors AETNA
Humana
Anthem
Healthgrades
Leapfrog Group
Premier’s and IHI’s QUEST program
18. May 1, 2008 Healthcare Transparency Betty Brown 18 Organizations
The Joint Commission
State Hospital Associations
Health Alliances
National Quality Forum
Hospitals and Health systems
19. May 1, 2008 Healthcare Transparency Betty Brown 19 Initiatives National Business Coalition on Health eVALUE8
IHI
ABIM – Practice Improvement Modules
PQRI
20. May 1, 2008 Healthcare Transparency Betty Brown 20 Reward for Performance CMS, Hospitals, Physicians, Premier Demonstration Project
AQA – Ambulatory Quality Alliance
Employers
Health Plan Pilots
Local Collaboratives – CA, OH
National Committee on Quality Assurance
21. May 1, 2008 Healthcare Transparency Betty Brown 21 Types of Information Family Health Budget
Compare Hospitals
Estimating Costs
Physician Performance
Pharmacy Calculator
Physician Costs
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23. May 1, 2008 Healthcare Transparency Betty Brown 23 Minnesota and Pennsylvania Minnesota
NQF 27 Never Events Reporting
Pennsylvania
Infection Reporting
24. May 1, 2008 Healthcare Transparency Betty Brown 24 Alegent Health Omaha, NE Displays quality data on large posters in service areas –compares bundle measures to how many days above the national benchmarks
Heart Attacks
Community Acquired Pneumonia
Ventilator Associated Pneumonia
25. May 1, 2008 Healthcare Transparency Betty Brown 25 Let’s look Google
Dartmouth-Hitchcock Medical Center
Hospital Compare
Leapfrog
HealthGrades
Greater Cincinnati Health Council
26. May 1, 2008 Healthcare Transparency Betty Brown 26 What can you do? Learn to document well.
Understand the taxonomy.
Express healthcare jargon in understandable terms.
Teach others to do this too.
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