11.30.102010 healthpartners clinical indicators communication toolkit healthpartners communication...
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11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
HealthPartners Communication ToolkitHealthPartners 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 Lifestyles, Preventive Services,
Healthy Behaviors and Optimal Depression Care– Partners in Excellence measures and targets for 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.
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
HealthPartners Clinical Indicators18th Edition
Over seventeen years of collaboration, measurement innovation and performance improvement
To be updated with new cover
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Clinical Indicators 2009 / 2010 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 goals for Partners in Excellence measures
• 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 the 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
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Clinical Indicators 2009 / 2010 Results
• Measure Title
• Description
• Methodology– Products included– Denominator/numerator definitions– Attribution– Sample size if applicable
• Results
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Clinical Indicators 2009 / 2010 Results
Behavioral Health Diabetes Care Healthy Behaviors Medication Management Musculoskeletal
Comparative provider performance on 67 measures reported by primary care, specialty, pharmacy and
hospital related to:
Obstetrics and Gynecology
Preventive Services Safety Tobacco Use & Cessation Total Cost of Care
11.30.10 2010HealthPartners Clinical Indicators Communication Toolkit
What’s New?
• Diabetic Eye Exam• Generic Drug Use (Pharmacy Chains)
• Optimal Care for Acute Low Back Pain (Primary Care)
• Annual Monitoring for Patients on Persistent Medications – Combined ACE/ARB and Diuretics (Pharmacy Chains)
• Total Cost of Care
11.30.10 2010HealthPartners Clinical Indicators Communication Toolkit
What’s Coming?Optimal Health Management for Severe Mental Illness
– On average, people with schizophrenia or bipolar disorders and on an antipsychotic medication die 25 years earlier than people without these disorders– Antipsychotic medications predispose people to Metabolic Syndrome, weight gain, diabetes, hypertension and hyperlipidemia
Measure DescriptionThe percentage of members ages 18 to 65 on December 31st of the measurement year that have a diagnosis of schizophrenia or bipolar disorder and had at least one fill of an antipsychotic or mood stabilizer medication and documentation of care is optimal.1.BMI assessment 2.Tobacco assessment3.Alcohol use screening4.LDL screening5.Blood glucose screening6.Blood pressure screening
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Optimal Lifestyles and Preventive Services
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
O ptimalLifestyle Adult
O ptimalLifestyleChildren
PreventiveServices Adult
PreventiveServices Child
Combo #2
Your Rate 2009 Avg Rate
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Healthy Behaviors
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Alcohol AssessmentAdult
BMI Assessment Adult
BMI Assessment Child & Adol
Your Rate 2009 Avg Rate
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Optimal Depression Care
• Documented five or more symptoms of major depression
• Documented symptom follow-up within three months
• Antidepressant medication for 180 days
0%
25%
50%
75%
100%
Symptoms Follow Up Medication Your GroupOptimal Care
Average OptimalCare
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
How we compare to others
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
O ur rate Medical Group1
Medical Group2
AverageMedical Group
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Partners in Excellence ProgramPartners 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.
• October 2010 Partners In Excellence provider group awards reflect performance measured against targets outlined in the 2009 program manuals (reflecting rates based on 2009 dates of service) with the exception of generic drug use which are measured against targets outlined in the 2010 manuals. (Generic drug use rates reflect 2010 performance.)
2009 Partners in Excellence Program – Primary CareMeasures Silver Target Gold Target
MNCM Optimal Diabetes Care DDS 40% 50%
MNCM Optimal Vascular Care DDS 55% 60%
Optimal Depression Care 45% 50%
Evidence-based Cervical Cancer Screening 45% 55%
Preventive Services – Adult 93% 98%
Alcohol Assessment 93% 98%
Optimal Care for Acute Low Back Pain 15% 25%
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 Combo 2 – Pediatric
80%
75%
85%
80%
Pediatric Immunization Combo 3 – Pediatric 90% 95%
Patient Experience – Informed about care – Adult
Patient Experience – Talked about pros and cons – Adult
Top Band
Top Band
Top Performer
Top Performer
Patient Experience – Informed about care – Pediatric
Patient Experience – Talked about pros and cons – Pediatric
Top Performer
Top Performer
Top Performer
Top Performer
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
HealthPartners Innovations in Health Care Award
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
2009 Partners in Excellence –Specialty Care2009 Partners in Excellence –Specialty Care
Specialty Measures Silver Target Gold Target
Cardiology Generic Drug Use
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
75%
75%
Top Performer
80%
80%
Top Performer
OB/GYN Generic Drug Use
Hysterectomy Post-Operative Complications
Alcohol Assessment
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
78%
93%
Top Performer
Top Performer
83%
≤ 0.5 of the index rate
98%
Top Performer
Top Performer
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%
Top Performer
80%
76%
Top Performer
Physical Therapy Oswestry Compliance Initial 75%
Longitudinal 35%
Combined
75% Initial35% Longitudinal
Orthopaedics Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
80%
Top Performer
85%
Top Performer
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
2010 Partners in Excellence Program –Primary 2010 Partners in Excellence Program –Primary CareCareMeasures Silver Target Gold Target
MNCM Optimal Diabetes Care DDS 40% 50%
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 (pap test attribution) 60% 65%
Part 1: Preventive Services – Adult
Part 2: Preventive Services Combo 2 – Pediatric
Part 3: MNCM Childhood Immunization Combo 3
(Primary care will need to meet all three targets, Pediatric groups need to meet Parts 2 & 3)
90%
80%
90%
95%
85%
95%
Generic Drug Use – Adult
Generic Drug Use – Pediatrics
78%
73%
83%
78%
MNCM Avoidance of Antibiotic Use in Acute Bronchitis 40% 45%
MNCM Controlling High Blood Pressure 90% 95%
Initiation & Engagement of Alcohol & Other Drug Dependence Treatment - Initiation
Initiation & Engagement of Alcohol & Other Drug Dependence Treatment - Engagement
20%
10%
25%
15%
Annual Monitoring for Patients on Persistent Medications - ACE/ARB
Annual Monitoring for Patients on Persistent Medications - Diuretics
85%
85%
90%
90%
Patient Experience – Informed about care - Primary Care
Patient Experience – Talked about pros and cons - Primary Care
72%
70%
77%
75%
Patient Experience – Informed about care - Pediatrics
Patient Experience – Talked about pros and cons - Pediatrics
72%
75%
77%
80%HealthPartners Innovations in Health Care Award
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
2010 Partners in Excellence –Specialty Care2010 Partners in Excellence –Specialty Care
Specialty Measures Silver Target Gold Target
Cardiology MNCM Optimal Vascular Care
Generic Drug Use
Annual Monitoring for Patients on Persistent Medications - ACE/ARB
Annual Monitoring for Patients on Persistent Medications - Diuretics
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
55%
78%
90%
90%
85%
85%
60%
83%
95%
95%
90%
90%
OB/GYN Generic Drug Use
MNCM Chlamydia Screening
Evidence-based Cervical Cancer Screening (pap test attribution)
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
78%
70%
60%
85%
90%
83%
75%
65%
90%
95%
Behavioral Health Generic Drug Use
Optimal Depression Care
78%
55%
83%
65%
ENT Generic Drug Use
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
78%
85%
85%
83%
90%
90%
Orthopaedics Functional Measurement for Knee Arthroplasty
Patient Experience – Informed about care
Patient Experience – Talked about pros and cons
Written documentation AND > 25% longitudinal
85%
90%
Written documentation AND > 75% longitudinal
90%
95%
HealthPartners Innovations in Health Care Award