Regional Learning Session May 15, 2016

www.hcgc.org

… catalyzing the spread of healthcare best practices

Regional Learning Session May 15, 2016

www.hcgc.org

Today’s Purpose: • Learning from a recent national summit on

healthcare transparency

• Panel discussion on quality reporting

• Shape the design for a new regional quality transparency website

Lead Supporter

Major Supporters

Individual & Corporate Donations

100% of our Board of Directors

& Staff

Additional Supporters

Our Public-Private Funding Partners

Clarity Consultancy Services, our social enterprise subsidiary

Build collaborations with consumers, providers, and

purchasers ~trust~

Catalyze best practices ~awareness~

Convene diverse stakeholders

~exploration~

Coordinate activities that

transform healthcare delivery and value

~commitment~

Measure actionable results

~collective impact~

Apply collaborative learning ~spread knowledge~

Our Collaborative Process

Transform Healthcare

in Greater Columbus

with consumers, providers & purchasers

www.hcgc.org

Our Strategic Areas of Focus

www.hcgc.org

…exploring and catalyzing best practices to strengthen engagement between consumers, providers, and purchasers

PATIENT-CENTERED MEDICAL NEIGHBORHOOD

COLLABORATIVE LEARNING

QUALITY TRANSPARENCY …improve care coordination between providers & social services

…improve the use of quality data

…improve the application of learning in Greater Columbus

PATIENT ENGAGEMENT …improve engagement between patients and providers

QUALITY

TOTAL COST OF CARE

VALUE

Source: A Strategy for Health Care Reform — Toward a Value-Based System Michael E. Porter, Ph.D., N Engl J Med 2009; 361:109-112, July 2009

PATIENT EXPERIENCE

Shift to Value-based Health Care

www.hcgc.org

Shift to Value-based Health Care

Value-based Healthcare

Rising Consumerism

Payment Innovation

Quality-Cost Transparency

Population Health

Regional Learning Session May 15, 2016

www.hcgc.org

Learning from recent national summit on healthcare transparency…

WHY: The need to transform healthcare in the U.S.

WHY: The need to transform healthcare in the U.S.

WHY: The need to transform healthcare in the U.S.

Variation in QUALITY: Readmissions within 30 days medical discharge

Central Ohio region is one of

57 regions ranked with highest

variation

WHY: The need to transform healthcare in the U.S.

Variations in COST: Recent study for Lower Back MRI

Columbus Ohio Average: $1,711

Price Range: $1,335 - $2,749

Nashville TN Average: $1,066

Price Range: $531 - $1,975

WHY: The need to transform healthcare in the U.S.

Source: CDC/NCHS, National Health Interview Survey, 2012

Up to 35% of Americans Struggle with Medical Debt

WHY: The need to transform healthcare in the U.S.

Transparency is Happening Now!

“The trend toward greater transparency in health care holds great potential to help make the health care market more efficient and financially sustainable, and improve the value Americans receive from care.”

- Robert Wood Johnson Foundation

WHY: The need to transform healthcare in the U.S.

http://www.nrhi.org/work/increasing-healthcare-transparency/

Transparency is Happening Now - Minnesota

Transparency is Happening Now - Maine

Transparency is Happening Now - Cincinnati

Transparency is Happening Now - Cleveland

Transparency tools are emerging…

B) Determine fair prices in your area for healthcare services healthcarebluebook.com

C) Provide total cost of care information for healthcare services guroo.org

F) Tool to help patient find a provider experienced in your treatment healthgrades.com

A) Quality of care information on over 4,000 hospitals medicare.gov/hospitalcompare

E) Tool to enable employees to choose lower cost, high quality providers castlighthealth.com

D) A Letter grade reflecting how safe hospitals are for patients hospitalsafetyscore.org

Transparency is Happening Now

“Transparency is the most significant tool we have for meaningful health reform”

-William H. Frist, MD, Heart and Lung Transplant Surgeon, Former Senator Majority Leader (R-TN), March 16, 2015, RWJF

Summit on Transparency

www.hcgc.org

Panel Discussion on Quality Reporting • Dr. Parminder Bajwa

Columbus Neighborhood Health Center, Inc.

• Dr. Maria Courser Mount Carmel Medical Group

• Dr. Greg Sawchyn OhioHealth

• Dr. Randy Wexler The Ohio State University Wexner Medical Center

• Dr. Bill Wulf Central Ohio Primary Care

Improving Quality Transparency in Greater Columbus

Advancing Transparency: The Top Dos and Don’ts from Regional Multi-Stakeholder Collaboratives, March 2015 1. DO expect tension and compromise

2. DON’T move to quickly

3. DO insist on a neutral source of data

4. DO recognize that various stakeholders have different motivations

5. DO recognize that payers and the public expect quality performance

6. DO measure in a way that enables improvement

7. DO identify measurement priorities

8. DO expect increased accountability that links payment to provider performance

9. DON’T expect measurement to solve every problem

10. DONT assume stakeholders have the experience to know when/how to use quality info

11.LASTLY – do get on with it!

Regional Quality Reporting Project 2015-16 Overview

www.hcgc.org

Current Participants Hospital-Owned Practices • Mount Carmel Medical Group (15 sites)

• OhioHealth Physician Group (24 sites)

• The Ohio State University Wexner

Medical Center Primary Care (13 sites)

Private Practices • Central Ohio Primary Care Physicians (36 sites) Federally Qualified Health Centers • Columbus Neighborhood Health Center (8 sites)

• Heart of Ohio Family Health Centers (2 sites)

• Lower Lights Christian Health Center (5 sites)

• Southeast, Inc. (1 site)

PURPOSE: Based on nationally endorsed measures, compile and share all-payer quality data from electronic medical records to: • Enable patients to make better

informed choices about their care, help health care professionals see where they can improve, and allow purchasers to know the value of the care that they are buying.

• Demonstrate the meaningful use of health information technology.

• Based on learning that emerges, catalyze best practices to improve healthcare transparency in Greater Columbus.

Regional Quality Reporting Project 2015-16 Overview

www.hcgc.org

National DOCTOR Project – public reporting of quality data

Regional Quality Reporting Project 2015-16 Approach

www.hcgc.org

voluntarily demonstrating their value

hospital-owned practices

private practices federally qualified

health centers

Healthcare professionals

identifying opportunities for

improvement

Purchasers seeing value

from the care they are buying

Patients making better informed choices about

their care

Sharing all-payer quality data from Electronic Medical

Records (EMR)

Cancer Diabetes Heart

Regional Quality Reporting Website

(refreshed every 6 months starting

Q4 2015)

Regional Consumer

Reports Insert Q1 2016

promote regional website

primary audience

ourhealthcarequality.org

www.hcgc.org

Regional Quality Reporting Summary – Greater Columbus

Cancer Diabetes Heart

National Quality Forum Endorsed Measures

% of patients with colorectal cancer

screening (50-75 years)

% of diabetic patients with A1c

in control (18-75 years)

% of hypertension patients with blood pressure in control

(18-85 years) Greater Columbus

(2014 data) • Aggregate: • Variation: • Total Patients: • Total Clinicians:

30% 0% - 79% 107,942

324

84% 36% - 97%

45,792 432

68% 47% - 100%

119,296 432

Aggregate Results: Cincinnati (2013)

64%

Using D5 composite measures

77%

Aggregate Results: Minnesota (2014)

70%

Using D5 composite measures

85%

www.hcgc.org

Current Phase: internal use of comparative cancer, diabetes, heart data… • What are we learning from each other about how to improve quality? Future Phase: public reporting of comparative cancer, diabetes, heart data… • Why did your organization volunteer to publically share its quality data with

other stakeholders in Greater Columbus?

• What challenges might come our way and how might we meet them?

• How can we support each other in taking the next steps to improve transparency of quality data in the Greater Columbus region?

• What seed might we plant together today that could make the most difference to the future of quality transparency in Greater Columbus?

Panel Discussion on Quality Reporting

www.hcgc.org

Thanks for your leadership and time! • Dr. Parminder Bajwa

Columbus Neighborhood Health Center, Inc.

• Dr. Maria Courser Mount Carmel Medical Group

• Dr. Greg Sawchyn OhioHealth

• Dr. Randy Wexler The Ohio State University Wexner Medical Center

• Dr. Bill Wulf Central Ohio Primary Care

Improving Quality Transparency in Greater Columbus