Maximizing Your Use of Statit Physician Profile and Review (PPR)

Transcription

1 Maximizing Your Use of Statit Physician Profile and Review (PPR) Judi DeBord Midas+ System Development Specialist Nora Woolridge Midas+ Training Specialist

2 Session Objectives By the conclusion of this session, you will: Understand how Peer Groups are used in Statit PPR, and various ways to optimize them Identify commonly used external data sources that have shown themselves to be beneficial to certain peer groups; explain their use Explore Statit PPR s abilities in detecting performance outliers on a constant/near-constant basis Discuss the solution s strengths in providing physicians access to their performance data when they want it Gain experience in the Data Quality and Review functionality of Statit PPR See more of the exciting new features included in Statit PPR v

3 Statit PPR s Central Theme: Putting control into the hands of your physicians Work with each of your Chiefs; consider that each is different and requires individual attention Chiefs and physicians won t come up with a complete list of indicators for Profiles (perhaps maybe ED and Hospitalists) but they will review and comment on what you have built Ask them what makes sense, and lead and support them to help them be the owners of the process and the measures - 3 -

4 Peer Group Definition in Profiles Peer Groups in Statit PPR are based on fields in Midas+ Care Manager Provider Dictionary - 4 -

5 Peer Group Definition in Profiles (continued) - 5 -

6 What about low volume physicians? Many physicians want to be on staff so they can say they are on staff at. This may be an issue for internal medicine, psychiatry, and pediatrics For low-volume physicians who do not seek clinical privileges, consider creating a new staff category Refer and Follow, for example, with minimal privileges. For this group the Statit PPR Review function can be made to include a phrase in the drop down list that says in effect, Low volume provider with minimal privileges, but no issues with staff, patients, citizenship, etc. Physicians with clinical privileges need to demonstrate adequate volume and performance as defined by the medical staff Statit PPR can track volume and performance over time If volume is low, or falls, the medical staff must address it - 6 -

7 Data Sources outside of Midas+ CT surgery, including the STS database GI QuIC: supported by the American College of Gastroenterology for GI data PAGE: Practice audit in Gastroenterology Patient Satisfaction Survey data - 7 -

8 Data Sources outside of Midas+ (continued) CyberRen: Nephrology OncologyCircle (or OncCircle) Oncology OPTN: Organ Procurement and Transplantation Network data capture software UNOS: United Network for Organ Sharing: UNet is the database system; includes matching, challenges, census, waiting lists, medication/antirejection info, etc

9 Midas+ Resources - 9 -

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11 Midas+ Resources

12 Midas+ Resources

13 Hands On Exercise: Log in to Statit PPR as a Reviewer Your login is at your workstation. You will be viewing Statit PPR as a Reviewer (a Chief or Section Manager). You will have FULL Reviewer access in the Profiles

14 Profile Config: User Access Settings Differences between FULL, EDIT ONLY and VIEW ONLY Peer Groups Allowed dropdown list what does it do? Notices settings for generating Monthly Review or Data Alert Notifications

15 Hands On Exercise: Viewing Profile Reports to identify provider outlier performance We will look at five options to identify performance outliers in Statit PPR: Compare Table for the Comparison analysis Find Unusual Provider Performance Compare Providers for Indicators Outcome Escalation Show Reviews

16 Find Performance Outliers in Statit PPR The Compare Table The Compare Table provides a comparison between classes (i.e., Providers or Facilities) using a statistical significance model indicating whether there is a significant difference between the classes

17 Find Performance Outliers in Statit PPR Target Status - The Target Status is red, yellow, or green using the same criteria as the scorecard. Hovering over the Target Status icon gives information about the status. Quality Status - indicates class is performing at better then the pack, indicates the class is performing amongst the pack, and indicates the class is performing worse than the pack. Hovering over the Quality Status icon give information about the status. Quality Status is illustrated in the next column SPC Chart - The desired direction of performance is indicated by + /- at the top of the column. If the performance is outside the control limits in the positive direction, then the class has "Performance better than the pack". If the performance is between the control limits, then the "Performance is amongst the pack". If the performance is outside the control limits in the negative direction then the "Performance worse than the pack"

18 Find Performance Outliers in Statit PPR The Find Unusual Provider Performance Report allows Reviewers to easily identify Providers who are experiencing an unusual variation in their performance for their most recent period of time

19 Screenshot of Fid Unusual Performance PPR here

20 Find Performance Outliers in Statit PPR The Compare Providers for Indicators Report gives Reviewers the ability to see the performance of their team for a set of indicators at a glance

21 See how each physician is performing across several measures

22 Find Performance Outliers in Statit PPR Outcome Escalations via are automatic s sent to specific Statit users when a review is completed with a specified outcome. Escalation Notification settings are configured by your Statit System Administrator

23 Sample Outcome Escalation Notification

24 Find Performance Outliers in Statit PPR Show Reviews will display provider Reviews based on your selections. Outcomes can be used as a filter, as well as Profile name and Review status

25 Find Performance Outliers in Statit PPR: Show Reviews

26 Find Performance Outliers in Statit PPR: Show Reviews

27 Hands On Exercise: Create and Complete a Review As a Reviewer in Statit PPR, create a Review for a physician. Click on a provider name to view their profile Click on the Add Review button

28 Create and Complete a Review

29 Outcome: Select from a list of outcomes. You can customize this list to fit your organizational objectives Notes: Free text entry field Phrase: The list of phrases can be customized for each one of your Profiles, or you can create a standard set of Phrases to use in all Profiles What is the difference between Create Pending and Create and Complete Review? New in Two-Step Reviewing! Reviews can be deleted by your Statit System Administrator

30 Hands On Exercise: Viewing a Profile as a Physician user Log out of Statit using Log Off or Exit Log in as a physician (login to be provided in class) View your Profile View your Peer Score Are Multiple Profiles available to view? Is the APR-DRG link present?

31 Data Quality Issues Physicians may find things that are out of alignment for example, a half dozen deliveries that were done by a dermatologist. Root cause was a system that allowed Admitting to use the first three letters of a physician s last name to find the doctor in the dictionary and MIL will give Miller, Milton, Miles, etc. Attribution: Attending attribution is still an issue. At one site, the Attending is the admitting physician, unless changed during the admission. At discharge, the Attending is assigned by the discharging physician

32 Data Quality Issues (continued) Data Quality and Review in PPR -- individual doctors can send an to the data experts if they think the data does not look right. Physicians can find data problems and when they do, the problems can be corrected in a timely manner. Submitted issues can be escalated when the threshold settings for issue acknowledgement or resolution has been exceeded

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34 Hands On Exercise: Enter a Data Quality Issue View an indicator Click on a data point to get the Action menu Select Show Data For Period from menu Click on the DETAILS link to view an individual record Click on the REPORT DATA ISSUE button, make selections and enter your text The ISSUE TYPE dropdown list can be customized and used for Data Quality reporting!

35 Statit users can be given access to Search Data Quality Issues

36 Statit Data Quality Issue Notification The Data Quality Issue feature is available for any indicator with detail drill down in both PPR and pimd. Data Quality Issue contacts are Statit users with DQR enabled and a valid address in their Statit User setup

37 Statit PPR Feature Highlights Improved Audit Reporting A date stamped listing of Statit users who viewed a profile Display the last time a provider viewed their profile in Statit Multiple provider attribution for Midas+ Core Measures Statit supports multiple attribution in Midas+ Core Measures. This will display in Show Detail for Period Integration with Seeker From within Seeker 2012, users can directly bring up the Statit PPR review history when viewing a provider s page

38 Statit PPR Feature Highlights Seeker Integration

39 Statit PPR Feature Highlights Seeker Integration

40 Statit PPR Feature Highlights Provider Facility Grid Support: Statit uses the facility grid from Care Manager Provider dictionary Login Assistance screen: Users can now request help if they are unable to login into Statit. Customizable message is on Login Assistance link on login screen Automatic s support a 2-step Review process: Statit PPR s FULL access Reviewers in a Profile when a review is started by a Reviewer who does not have access to Complete it. Customizable Headers and Footers: For PPR notifications sent to Chiefs and physicians

41 Additional Information and Links CT surgery, including the STS database GI QuIC: supported by the American College of Gastroenterology PAGE: Practice Audit in Gastroenterology - Canada CyberRen: Nephrology data capture

42 Additional Information and Links OncologyCircle (or OncCircle) OPTN: Organ Procurement &Transplantation Network UNOS: United Network for Organ Sharing National Quality Measures Clearinghouse

43 Thank you for attending. Questions? Judi DeBord Midas+ System Development Specialist Nora Woolridge Midas+ Training Specialist