Transparency in Quality Data, Pricing, and Medical...
29
Transparency in Quality Data, Pricing, and Medical Records Innovation in Health Care Leadership
Transcript of Transparency in Quality Data, Pricing, and Medical...
Transparency in Quality Data, Pricing, and Medical Records
Innovation in Health Care Leadership
1:00pm – 4:00pm US EST
Presented on October 7th, 2014
3
© 2014 Massachusetts Medical Society
Agenda
• Discussion 1: Provider driven/Quality data transparency—Providing access to quality data including patient comments
• Discussion 2: Pricing—Providing public access to procedure/hospitalization/visit costs
• Discussion 3: Open Notes —Providing patients with complete access to clinical information including their doctors’ notes
4
PROVIDER DRIVEN/QUALITY DATA TRANSPARENCY
Discussion 1: Start Time 1:00pm
5
Introduction
Greg Curfman, M.D., The New England Journal of Medicine
6
Discussion 1: Provider driven/quality data transparency
• Moderator: Amy Compton-Phillips, MD • Speaker: Delos “Toby” M. Cosgrove, MD • Speaker: Vivian S. Lee M.D., Ph.D., M.B.A. Have a question? For online attendees, please visit the Live QA tab, type your question into the chat pop up box and click “submit”.
7
Cleveland Clinic
Transparency
0
20
40
60
80
100
A B C D E F G H I J K L M N O P Q R S T U
HCAHPS Dr. Communication
Colorectal Surgery
%ile
Rank
Patients DC’d Between 1/1/14 and 6/30/14
Verbatim Comments
Heart & Vascular Institute
2nd Qtr 2014
Heart & Vascular Institute
2nd Qtr 2014
TRANSPARENCY:
A Force for Culture
Change
Vivian S. Lee, M.D., Ph.D., M.B.A. Senior Vice President, University of Utah Health Sciences
CEO, University of Utah Health Care
Dean, University of Utah School of Medicine
@vivianleemd
Transparency and THE VALUE EQUATION
@vivianleemd © Vivian S. Lee, 2014
How We Engage Faculty by SHARING DATA
@vivianleemd © Vivian S. Lee, 2014
How We SHARE DATA WITH CONSUMERS
@vivianleemd © Vivian S. Lee, 2014
Percentile of Providers 99TH %ILE OR ABOVE
Medical Practice Survey – providers must have n=30 returned in calendar year
National Rank – compared against the Press Ganey National Database: 128,705 physicians
% o
f to
tal p
rovi
ders
@vivianleemd © Vivian S. Lee, 2014
1% 3%
13%
17%
25%
0%
5%
10%
15%
20%
25%
30%
2009 2010 2011 2012 2013
1 out of 4 is in the
top 1% nationally
Value Driven Outcomes DATA TO ENGAGE
@vivianleemd © Vivian S. Lee, 2014
Where Quality Goes Up & COSTS GO DOWN
Cost
Perfect Care
@vivianleemd © Vivian S. Lee, 2014
Total Expense per CMI Adj.
Discharge
$8,874
$8,947
$9,143
$9,407
$9,388 $9,221
$9,562 $9,859
$10,204
$8,000
$8,500
$9,000
$9,500
$10,000
$10,500
FY 10 FY 11 FY 12 FY 13 FY14 April
YTD
UUHC Avg. Inflation
(1.4%)
U.S. Health Care
Inflation (3.5%)
Source: Bureau of Labor Statistics and CMS
University of Utah Hospitals & Clinics Finance
Bending THE COST CURVE
@vivianleemd © Vivian S. Lee, 2014
BREAK: 5 MINUTES THE NEXT SESSION WILL RESUME AT
APPROXIMATELY 2:00 PM EST
22
www.nejmcareercenter.org
PRICING TRANSPARENCY
Discussion 2: Start Time 2:00pm
23
Discussion 2: Pricing transparency
• Moderator: David Blumenthal, MD, MPP
• Speaker: Meredith B. Rosenthal, Ph.D.
• Speaker: Steven H. Lipstein
Have a question? For online attendees, please visit the Live QA tab, type your question into the chat pop up box and click “submit”.
24
BREAK: 5 MINUTES THE NEXT SESSION WILL RESUME AT
APPROXIMATELY 3:00 PM EST
25
www.nejmcareercenter.org
OPEN NOTE TRANSPARENCY
Discussion 3: Start Time 3:00pm
26
Discussion 3: Open note transparency
• Moderator: Thomas H. Lee, MD
• Speaker: Pravene A. Nath, MD
• Speaker: Tom Delbanco, MD, MACP
Have a question? For online attendees, please visit the Live QA tab, type your question into the chat pop up box and click “submit”.
27
Closing Remarks
Greg Curfman, M.D., The New England Journal of Medicine
28
For information about future events, please visit
events.nejm.org
THANK YOU FOR PARTICIPATING!
