Understanding Core Measure Reports. Amy Schoenherr Project Manager Clinical Decision Support Services ACS MIDAS+

Transcription

1 Understanding Core Measure Reports Amy Schoenherr Project Manager Clinical Decision Support Services ACS MIDAS+

2 Comparative Reports & Detailed Reports Comparative Reports available on Clients Only Download Excel files Web Application Detailed Reports available on your own MIDAS+ server 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

3 Comparative Reports Excel Download Files When: Available 3 months + 1 week after quarter ends What: Comparative Trend Analysis Control Chart Detailed Data Summary Eligibility Analysis Joint Commission ORYX Comparison Compliance Snapshot 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

4 Comparative Reports Web Application When: Available 3 months + 2 weeks after quarter ends Benefit of Web Application instead of Excel Download Files: Offers parameter choices to tailor the view of the report Parameter Choices available vary by report type DataVision Corporate Users Group Reports DataVision Users - SmartReport 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

5 Compliance Snapshot

6 Compliance Snapshot Benefits Fast review of all measures in a topic Goal is 100% showing entire graph covered in blue Both continuous measures and comparative means shown in the table below Parameters single month or single quarter 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

7 Comparative Trend Analysis

8 Comparative Trend Analysis Benefits Parameters allow addition of more percentiles such as 80 th and 90 th, plus changing from quarterly to monthly view Shows comparative performance changes over time Can select comparison group by region, bed size, CMI, teaching facility status Can compare exactly what is the performance of other percentiles 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

9 Control Chart

10 Control Chart Benefits Determine if the processes measured are in statistical process control Isolate time frame of variations Observe impact of performance improvement initiatives Note: Control Charts are in a separate Excel download file 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

11 Eligibility Analysis

12 Eligibility Analysis Refer to NHQM Core Measure definition denominator statement for ineligible criteria

13 Eligibility Analysis Benefits Comparative indication of facility care challenges such as receiving patients transferred from other facilities Can indicate abstraction or documentation issues surrounding data elements that affect eligibility 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

14 Detailed Data Summary

15 Detailed Data Summary Benefits Includes Z Score Includes comparative performance and eligibility in a single view For the four risk-adjusted measures, includes riskadjusted expected rates (AMI Inpatient Mortality, VBAC, 3rd or 4th Degree Laceration and Neonatal Mortality) Same format as the Joint Commission Pre-Survey Report 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

16 Joint Commission ORYX Comparison

17 Joint Commission ORYX Comparison Benefits Includes Joint Commission expected values Includes the range of the comparison data 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

18 Outcome Profiles Outcome profiles to complement AMI, HF, Pneumonia, Pregnancy/Perinatal populations (includes non-core ORYX measures): Indicators such as ALOS; Mortality Rates; Transfer to Inpatient Hospice; more 3M APR-DRG Subclass Detail 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

19 Detailed Reports On Your MIDAS+ Server Indicators & Indicator Profiles Report Data Transfer Standard Reports Core Focus Encounter Detail Export Core Measure Category Assignment Core Measure Summary 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

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21 Indicator Profiles Benefits Choices include Trend period (month, quarter, semi-annual or annual) Type (Total, Service, Specialty, Provider) Launch Indicator Graphs Location Crosstabs Single Topic; Core Appropriateness of Care; Outcome Profiles 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

22 Indicator Profiles Profile Type Totaland Provider are most frequently used Select Providers one at a time, or by selecting Specialty or Service Use check box for Specialty or Service Comparison

23 Indicator Profiles Type Provider

24 Indicator Profiles Type Provider Exported to Excel

25 Click first indicator in profile Press and hold Ctrl on keyboard Single Click additional indicators to include and double-click on the last one to be included Graphs Launched from Profile

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27 Indicator Profiles - Crosstabs See User Manual for Location assignments by measure Can include all locations or just locations of interest

28 Indicator Profiles See all Core Appropriateness of Care Bundles in one Profile

29 Indicator Profiles Outcome Profiles

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31 Core Measure Summary Benefits Print layout helpful for many time periods Includes continuous measures (means) 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

32 Core Focus Encounter Detail Export Columns vary by topic Includes data from encounter, measure calculation, and focus entries including any custom questions added on your MIDAS+ server

33 Core Focus Encounter Detail Export Benefits Can analyze many cases at once Use of Excel tools and skills to customize view of the data Pivot Tables Data Filter Freeze Pane Sorting 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

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35 Core Measure Category Assignment Benefits Can assess reasons for Opportunity for Improvement cases in narrative form Review a single cases, or many 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

36 DataVision Features Special Features on your MIDAS+ Server DV Report Toolpack for related populations DV Readmission Toolpack for related populations 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

37 Other Core Measure Reports On your MIDAS+ Server Core Concurrent Review facilitates best practice intervention for patients before discharge SmarTrack Worklists; Data Quality Indicators facilitate data collection Core Data Quality Encounter Detail; Core Job Processing; Core Harvest Utility facilitate preparing for Harvest Behavioral Health Stratification Report Specialty report for Behavioral Health Participants Report Data Transfer facilitates review of encounters for Core Measure population On the MIDAS+ clients only website Data Submission; ICD-9 Population and Sampling facilitates monitoring regulatory submission 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

38 What s Coming in the Future? On your MIDAS+ Server - Core Measure Provider Report 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona

39 Resources Support via to Web Application Help (click on?) CPMS User Manual (7.0 and 7.1) DataVision User Manual (6.x, 7.0, and 7.1) Care Management SmarTrack Reporting Manual 17 th Annual MIDAS+ User Symposium GO FOR THE GOLD June 9-11, 2008 Tucson, Arizona