Post on 11-Feb-2016
description
S
Intermountain HEN Measurement
April 12, 2013
Introduction
Lucy Savitz, PhD, MBA
Overview of: Changes in CMS requirement for reporting Criteria for measure selection
S
HEN Data Collection Process
Amy Wuthrich
Data Collection Process:behind the scenes
The data template is generated using the COGNOS system and the data tables in the electronic data warehouse (EDW)
This allows for a extremely large amount of data to be condensed into a coherent document, for the entire HEN, rather than having to do it manually for each site
Data Collection Process: generating contact
The body of the email is entered into the COGNOS system
SQL query connects the appropriate hospital/system ID to the appropriate contact email
It takes several hours for the program to run
Emails are sent from the system to the data contact at the HEN hospitals approximately three weeks prior to data submission deadline
Data Collection Process: once we have data
Completed data requests are emailed back to Jesse Gygi
Data is entered into the data tables which are stored on the EDW
Internal validity is established 2 person accuracy checks
If possible, run charts are sent back to hospital data contact to double check
Data Collection Process: once we have data
Preliminary run charts are created
HEN team meets to review the run charts Looks for questions/concerns in the data reported Correct any inconsistencies
Charts are prepared for CMS reports/feedback reports
Remaining 2013 Data Collection Milestones
May 20th – January through March data
August 20th – April through June data
November 20th – July through September data
S
HEN Data Process and Feedback
Reports
Tom Belnap
Monthly Progress Reports
Progress reports are submitted to CMS monthly
These include: Narrative highlighting progress and successes Data contribution and reporting from members Data showing current rates on metrics Barriers to continued improvement
Data Reporting Process
Data submission
Data entry
Data validation
Report generationOverall HEN metrics
Month 1 Month 2 Month 3
Report GenerationHEN Metrics by Hospital
Size
Report GenerationHEN Metrics by Metric Adoption (Z5) Status
HEN reporting meeting
Reporting changes as needed
Report generation
Monthly
Work with hospital data contacts to resolve any
data questions
Incorporate data updates into reports
Generate and send feedback reports to
hospital primary contacts
Compile and organize feedback report results
Send reminders and requests for next data
submission
Collect information on use and utility of feedback reports
Incorporate data updates into reports
Select reports for monthly report
Report generation
Report writing and submission
Work with sites to get updated data metrics
Feedback Reports
Feedback reports will be sent out to each site quarterly
Sent to data contacts first and then other contacts
Hospital data will be compared to the HEN average rate
Feedback Reports
Purpose of feedback reports: Benchmark performance against HEN Track hospital progress over time Ensure data completeness and accuracy Encourage dialog within hospitals and greater
involvement/communication across the HEN
We welcome feedback on the feedback and any suggestions
S
Reporting to CMS
Jason Scott
What we report to CMS
HEN level run charts
Run charts stratified by hospital bed size
large – 331+ bedsmedium – 140 to 330 bedssmall – 1 to 139 beds
Hospital specific success stories with your approval
HEN level run charts
Stratified run charts
Hospital success stories http://www.henlearner.org/additional-resources/success-stor
ies/