Transcript HealthPartners Communication Toolkit

HealthPartners Communication Toolkit
HealthPartners is pleased to provide you with this communication toolkit
to assist in your efforts to disseminate clinical indicator results to your
providers. The toolkit consists of PowerPoint slide templates that you
can customize with your results.
Included in the toolkit:
– Clinical indicators overview
– Sample comparison graphs for Optimal Diabetes Care, Optimal Vascular
Care, Optimal Depression Care and Preventive Services
– Partners in Excellence measures and targets for 2008, 2009 and 2010
To use this as a PowerPoint document, click File, Save As and save it to
your system.
A technical supplement to the Clinical Indicators Report is available and
includes measurement detail, optimal component rates, trended plan
rates over time and external benchmarks. The report and supplements
are available at healthpartners.com/quality.
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2009 HealthPartners Clinical
Indicators Communication Toolkit
HealthPartners Clinical Indicators
17th Edition
Over sixteen years of
collaboration,
measurement
innovation and
performance
improvement
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2009 HealthPartners Clinical
Indicators Communication Toolkit
Clinical Indicators
2008 / 2009 Results
• The primary purpose is to provide valid and reliable information for providers
to use in their efforts to improve patient care and outcomes
• Rates are displayed for HealthPartners provider groups based on patient
volume, Partners in Excellence program participation, geographic location
and strategic relationship with HealthPartners
• Each graph displays provider performance, 95% confidence intervals,
average medical group performance and performance goal
• Results reflect claims data, chart audit results, patient survey and provider
self-reported data
• Clinical Indicators data is reported at the medical group level and supports
HealthPartners’ Partners in Excellence program. This important initiative
provides financial recognition to medical groups for superior performance.
• HealthPartners uses this information to support internal quality improvement
initiatives which may include provider incentive and tiering programs
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2009 HealthPartners Clinical
Indicators Communication Toolkit
Clinical Indicators
2008 / 2009 Results
• Measure Title
• Description
• Methodology
– Products included
– Denominator/numerator definitions
– Attribution
– Sample size if applicable
• Results
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2009 HealthPartners Clinical
Indicators Communication Toolkit
Clinical Indicators
2008 / 2009 Results
Comparative provider performance on 67 measures
reported by primary care, specialty, pharmacy and
hospital related to:
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Behavioral Health
Diabetes Care
Health Information Technology
Heart Health
Medication Management
Musculoskeletal
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Obstetrics and Gynecology
Optimal Lifestyles
Healthy Life Screening
Preventive Services
Safety
Tobacco Use & Cessation
2009 HealthPartners Clinical
Indicators Communication Toolkit
What’s New?
• Antidepressant Medication Management
(Primary
Care and Behavioral Health)
• Chemical Health Diagnosis and Effective
Facilitation (Primary Care and Behavioral Health)
• Optimal Care for Acute Low Back Pain (Primary Care)
• Hysterectomy Post-operative Complications
(OB/GYN)
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2009 HealthPartners Clinical
Indicators Communication Toolkit
What’s New?
• Clinic Safety Assessment Survey
• Patient Experience Medication Safety
(Primary Care,
Cardiology, ENT, OB/GYN, Orthopaedics, Pharmacy Care)
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2009 HealthPartners Clinical
Indicators Communication Toolkit
Optimal Diabetes Care
Managing All Risk Factors
100%
75%
• Blood pressure under 130/80
• Daily aspirin use
50%
• LDL < 100
• HbA1c < 7.0
• Non-smoker
25%
0%
Blood pressure
Aspirin
LDL
HbA1c
Tobacco Free
Your Group
Optimal Rate
HealthPartners
MNCM Clinic
Optimal Rate* Average Rate**
* HealthPartners Health Plan rate includes members sampled for HEDIS and to support MNCM statewide rates and is
weighted by product type. HEDIS specifications are applied to appropriate individual numerator events.
** MN Community Measurement results are self-reported and are weighted to adjust for the mix of clinics submitting full
populations and clinics submitting samples. Modified HEDIS specifications are applied (eg: The allowable timeframe
for LDL and HbA1c numerator events is expanded.)
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2009 HealthPartners Clinical
Indicators Communication Toolkit
Optimal Vascular Care
Managing All Risk Factors
100%
75%
• Blood pressure under
130/80
• Daily aspirin use
50%
• LDL < 100
• Non-smoker
25%
0%
Blood pressure
Aspirin
LDL
Tobacco Free
Your Group
Optimal Rate
HealthPartners
Optimal Rate*
MNCM Clinic
Average Rate**
* HealthPartners Health Plan rate includes members sampled for HEDIS and to support MNCM statewide rates and is weighted by
product type. HEDIS specifications are applied to appropriate individual numerator events.
** MN Community Measurement results are self-reported and are weighted to adjust for the mix of clinics submitting full populations
and clinics submitting samples. Modified HEDIS specifications are applied (eg: The allowable timeframe for the LDL numerator
event is expanded.)
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2009 HealthPartners Clinical
Indicators Communication Toolkit
Optimal Lifestyles and Preventive Services
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
O ptimal
Life style Adult
O ptimal
Life style
C hildre n
Pre ve ntive
Se rvice s Adult
Your Rate 2008
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Pre ve ntive
Se rvice s C hild
#2
Avg Rate
2009 HealthPartners Clinical
Indicators Communication Toolkit
Healthy Life Screening
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Alcohol Asse ssme nt
Adult
BMI Asse ssme nt
Adult
Your Rate 2008
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BMI Asse ssme nt
C hild & Adol
Avg Rate
2009 HealthPartners Clinical
Indicators Communication Toolkit
Optimal Depression Care
100%
• Documented five or
more symptoms of
major depression
75%
• Documented symptom
follow-up within three
months
50%
• Antidepressant
medication for 180
days
25%
0%
Symptoms
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Follow Up
Medication
Your Group
Optimal Care
Average Optimal
Care
2009 HealthPartners Clinical
Indicators Communication Toolkit
How we compare to others
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
O ur rate
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Me dical Group Me dical Group
Ave rage
1
2
Me dical Group
2009 HealthPartners Clinical
Indicators Communication Toolkit
Partners in Excellence Program
• Forms the basis for HealthPartners financial and public
recognition for medical/specialty groups achieving either
excellent or superior performance in clinical quality, patient
experience and affordability measures.
• Rewards are based on medical group performance as
measured by the clinical indicators measurement set,
Consumer Choice satisfaction survey and other defined
measurement tools.
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2009 HealthPartners Clinical
Indicators Communication Toolkit
2008 Partners in Excellence Program –Primary Care
Measures
Excellent Target
Superior Target
MNCM Optimal Diabetes Care DDS
25%
30%
MNCM Optimal Coronary Artery Disease Care DDS
60%
65%
Optimal Depression Care
45%
50%
Evidence-based Cervical Cancer Screening
45%
55%
Preventive Services – Adult
90%
95%
Generic Drug Use – Adult
Generic Drug Use – Pediatrics
72%
76%
Breast Cancer Screening (small groups only)
80%
85%
Part 1: BMI Assessment – Pediatric
Part 2: Preventive Services – Pediatric
80%
90%
90%
95%
Pediatric Immunization Combo 3 - Pediatric
90%
95%
Patient Satisfaction – Convenient Appt Time – Adult
Patient Satisfaction - Convenient Appt Time -Peds
63%
75%
68%
80%
HealthPartners Innovations in Health Care Award
11.30.09
2009 HealthPartners Clinical
Indicators Communication Toolkit
2008 Partners in Excellence –Specialty Care
Specialty
Measures
Cardiology
Congestive Heart Failure Readmission
Excellent Target
Superior Target
30 day ≤ 5%
Generic Drug Use
72%
30 day target plus
90 day ≤ 15%
76%
OB/GYN
Generic Drug Use
Evidence-Based Cervical Cancer Screening
Preventive Services
Alcohol Assessment
75%
45%
93%
85%
80%
55%
98%
90%
Behavioral Health
Generic Drug Use
Optimal Depression Care
67%
55%
72%
60%
ENT
Generic Drug Use
70%
75%
Physical Therapy
Oswestry Compliance
Initial 50%
Longitudinal 30%
Combined
50%Initial
30% Longitudinal
11.30.09
2009 HealthPartners Clinical
Indicators Communication Toolkit
2009 Partners in Excellence Program –Primary Care
Measures
Excellent Target
Superior Target
MNCM Optimal Diabetes Care DDS
%
%
MNCM Optimal Vascular Care DDS
55%
60%
Optimal Depression Care
45%
50%
Optimal Care for Acute Low Back Pain
15%
25%
Evidence-based Cervical Cancer Screening
45%
55%
Preventive Services – Adult
93%
98%
Generic Drug Use – Adult
Generic Drug Use – Pediatrics
75%
70%
80%
75%
Breast Cancer Screening (small groups only)
80%
85%
Part 1: BMI Assessment – Pediatric
Part 2: Preventive Services – Pediatric #2
80%
75%
85%
80%
Pediatric Immunization Combo 3 - Pediatric
90%
95%
Top Band
Top Performer
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
HealthPartners Innovations in Health Care Award
11.30.09
2009 HealthPartners Clinical
Indicators Communication Toolkit
2009 Partners in Excellence –Specialty Care
Specialty
Measures
Excellent Target
Superior Target
Cardiology
Heart Failure Readmissions
Generic Drug Use
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
30 day ≤ 10%
75%
75%
30 day ≤ 5%
80%
80%
Top Band
OB/GYN
Generic Drug Use
Hysterectomy Post-Operative Complications
Alcohol Assessment
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
75%
93%
80%
≤ 0.5 of the index rate
98%
Top Band
Top Band
Behavioral Health
Generic Drug Use
Optimal Depression Care
70%
55%
75%
60%
ENT
Generic Drug Use
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
75%
71%
80%
76%
Top Band
Physical Therapy
Oswestry Compliance
Initial 50%
Longitudinal 30%
Combined 50%Initial
30% Longitudinal
Orthopaedics
Orthopaedic Care Post-operative Complications
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
80%
≤ 0.5 of the index rate
85%
Top Band
HealthPartners Innovations in Health Care Award
11.30.09
2009 HealthPartners Clinical
Indicators Communication Toolkit