Title He alth Co mmissio n Pre se ntatio n Se pte mb e r 1, 2015 F - - PowerPoint PPT Presentation
Sa n F ra nc isc o He a lth Ne two rk: T hre e -Mo nth Update Title He alth Co mmissio n Pre se ntatio n Se pte mb e r 1, 2015 F uture Me tric s Wa y F orwa rd Me tric s Topics Wa y F or wa r d Me tr ic s F Y14-15 Qua rte
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He alth Co mmissio n Pre se ntatio n
Se pte mb e r 1, 2015
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wa r d Me tr ic s
Y14-15 Qua rte rs 3-4 upda te
utur e Me tr ic s
rue No rth” fra me wo rk
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T ime ly Ac c e ss
Rig ht to c a re within a re a so na b le time
Ac hie ve Prima ry Ca re We ig hte d Pa ne l Size = 1350 Ac hie ve Prima ry Ca re suppo rt sta ff ra tio pe r unwe ig hte d a c tive pa ne l = 4.5 F T E Impro ve b y 5% o ve r b a se line , Pa tie nt Pla c e me nt a t the a ppro pria te le ve l o f c a re in Ac ute a nd SNF Institutio na l Ope ra tio ns Ac hie ve 75% ma mmo g ra m sc re e ning ra te fo r e lig ib le prima ry c a re c lie nts
Capitation
One ra te o f pa yme nt pe r me mb e r pe r mo nth
Me e t o r e xc e e d b ud g e te d pe rfo rma nc e in re ve nue s a nd e xpe nse s Inc re a se b y 25% the # o f c lie nts se e n in Be ha vio ra l He a lth Ce nte rs who ha ve a n id e ntifie d Prima ry Ca re Pro vid e r in the Ava ta r e le c tro nic he a lth re c o rd (E HR)
Compe tition
Mo re pro vide rs inte re ste d in the sa me pa tie nts
Impro ve b y 5% o ve r b a se line Pa tie nt E xpe rie nc e / Sa tisfa c tio n Sc o re s Impro ve b y 5% o ve r b a se line Wo rkfo rc e E xpe rie nc e / Sa tisfa c tio n Sc o re s Impro ve Civil Se rvic e Hiring , fro m F
sta rt wo rk da te < 90 da ys E sta b lish a unifie d unde rsta nding o f Sta ff Ro le in the Suc c e ss o f SF HN b y do c ume nting 50% o f surve ye d sta ffs’ a b ility to re fe re nc e “Wa y F
Pla n*”
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At T a rg e t/ Go a l
De no te s dire c tio n o f
favor able o utc o me
De no te s dire c tio n o f
unfavor able o utc o me
Dashboard Indicators
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Report Highlights
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Me tr ic # 3
I n Qua rte r 3 & Qua rte r 4, F Y1415, L a g una Ho nda Ho spita l me t o r e xc e e de d the ta rg e t “impro ve b y 5% o ve r b a se line , pa tie nt pla c e me nt a t the a ppro pria te se tting a nd le ve l o f c a re ”
Me tr ic # 4
I n Qua rte r 3, F Y1415, Ne two rk e xc e e de d b udg e te d pe rfo rma nc e in re ve nue s a nd e xpe nse s
Me tr ic # 7
I n Qua rte r 4, F Y1415, L a g una Ho nda Ho spita l, Prima ry Ca re , Spe c ia lty Ca re a nd SF GH e xc e e de d the ta rg e t “impro ve b y 5% o ve r b a se line pa tie nt e xpe rie nc e / sa tisfa c tio n sc o re s”
Me tr ic # 9
I n Qua rte r 4, F Y1415, Amb ula to ry Ca re me t the ta rg e t ”a c hie ve a 75% ma mmo g ra m sc re e ning ra te fo r e lig ib le prima ry c a re c lie nts”
Me tr ic # 10
I n Qua rte r 3 & Qua rte r 4, F Y1415, Amb ula to ry Ca re e xc e e de d the ta rg e t “I nc re a se b y 25% the numb e r o f c lie nts se e n in a Be ha vio ra l He a lth Ce nte r who ha ve a n ide ntifie d prima ry c a re pro vide r in Ava ta r E HR”
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Ba se line T a rg e t Q3 Q4 % Cha ng e T re nd
Ca re We ig hte d Pa ne l Size = 1,350
1,011 1,350 1,201 1,203 0.2%
Ca re suppo rt sta ff ra tio pe r unwe ig hte d a c tive pa tie nt pa ne l = 4.5 F T E
4.1 4.5 4.49 4.48
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le ve l o f c a re in Ac ute a nd Skille d Nursing F a c ility Institutio na l Ope ra tio ns
Division Ba se line T a rg e t Q3 Q4 % Cha ng e T re nd
L a g una Ho nda
22 23 23 31 34.8%
Sa n F ra nc isc o Ge ne ra l Ho spita l
661 628 762 719.3
Ca re T ra nsitio ns
410.33 390 457.9 472.6 3.2%
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Ba se line T a rg e t Q3 Q4 % Cha ng e T re nd
b udg e te d pe rfo rma nc e in re ve nue s a nd e xpe nse s
0.1%
≥ 0%
1.44%
b a se line Wo rkfo rc e E xpe rie nc e
19.1% 20.1%
Ba se line da ta c a lc ula te d
Ne xt c olle c tion pe r iod in 2 ye ar s
F ro m F
wo rk da te = 90 da ys o r le ss
190 90
Co ntro lle r’ s o ffic e me tho do lo g y
no t a me na b le to q ua rte rly re po rting
sta b lish a Unifie d Unde rsta nding o f Sta ff Ro le in the Suc c e ss o f the Ne two rk b y do c ume nting 50% o f surve ye d Sta ffs’ a b ility to re fe re nc e o ur “Wa y F
the Va lue o f Se rvic e s Pro vide d to
Wo rkfo rc e a nd SF Re side nts & Co nsume rs *SF
GH Data Only
100% 50%
Ba se line da ta a va ila b le fo r SF GH o nly
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mpro ve b y 5% o ve r b a se line Pa tie nt E xpe rie nc e / Sa tisfa c tio n Sc o re s
Be havior al He alth – Me ntal He alth (DHCS)
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Ba se line T a rg e t Q3 Q4 % Cha ng e T re nd
“I like the se rvic e s tha t I re c e ive d he re ”
4.56 4.78
“I wo uld re c o mme nd this a g e nc y to a frie nd
4.49 4.71
0.2%
N=2033 N=2001
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mpro ve b y 5% o ve r b a se line Pa tie nt E xpe rie nc e / Sa tisfa c tio n Sc o re s
Be havior al He alth – Substanc e Abuse (DHCS)
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Ba se line T a rg e t Q3 Q4 % Cha ng e T re nd
“I like the se rvic e s tha t I re c e ive d he re ”
4.47 4.69 4.47
“I wo uld re c o mme nd this a g e nc y to a frie nd
4.47 4.69 4.47
N=2208 N=2220
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Jail He alth
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Ba se line T a rg e t Q3 Q4 % Cha ng e T re nd
“Ho w wo uld yo u ra te the c a re yo u re c e ive d fro m JHS? ”
86% 90.3% 79% 68.46%
L a g una Honda Hospita l Wa y F
Ba se line T a rg e t Q3 Q4 % Cha ng e T re nd
Ove ra ll sa tisfa c tio n
84% 88% 97% 98% 1.0%
Re c o mme nd to
81% 85% 100% 99%
N=660 N=52 N=63
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mpro ve b y 5% o ve r b a se line Pa tie nt E xpe rie nc e / Sa tisfa c tio n Sc o re s
He alth at Home (H- HCAHPS)
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Ba se line T a rg e t Q3 Q4 % Cha ng e T re nd
“We wa nt to kno w yo ur ra ting o f yo ur c a re fro m this a g e nc y's ho me he a lth pro vide rs.”
80.4% 84.4% 81.4% 61.9%
“Wo uld yo u re c o mme nd this a g e nc y to yo ur fa mily
ne e de d ho me he a lth c a re ? ”
82.2% 86.3% 79.5% 85.5% 6.9%
N=44 N=21
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Pr imar y Car e (CG- CAHPS)
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war d Me tr ic s Base line T ar ge t Q3 Q4
% Change
T r e nd
Ove ra ll Ra ting o f Pro vide r 9 o r 10
59.4% 62.37% 71.6% 71.7% 0.1%
San F r anc isc o Ge ne r al Hospital Spe c ialtie s (CG- CAHPS)
Way F
war d Me tr ic s Base line T ar ge t Q3 Q4
% Change
T r e nd
Ove ra ll Ra ting o f Pro vide r 9 o r 10
62% 65.1% 70.8% 69.8%
San F r anc isc o Ge ne r al Hospital Inpatie nt (HCAHPS)
Way F
war d Me tr ic s Base line T ar ge t Q3 Q4
% Change
T r e nd
Ove ra ll Ra ting o f Ho spita l 9 o r 10
63.3% 66.5% 59.9% 65.6% 9.5%
Wo uld De finite ly Re c o mme nd Ho spita l
59.7% 62.7% 60.6% 64.9% 7.1%
N=612 N=1,014 N=151
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Ba se line T a rg e t Q3 Q4 % Cha ng e T re nd
ma mmo g ra m sc re e ning ra te fo r e lig ib le prima ry c a re c lie nts 73.5% 75% 74% 75.2% 1.62%
25% the numb e r o f c lie nts se e n in a Be ha vio ra l He a lth Ce nte r who ha ve a n ide ntifie d Prima ry Ca re Pro vide r in Ava ta r HE R 50.2% 62.3% 72.4% 73.4% 1.4%
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a rg e ts ≠ benchmarks
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Observations and Reflections
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Observations and Reflections
Pr imar y Car e (CG- CAHPS)
Way F
war d Me tr ic s Base line T ar ge t Q3 Q4
NCR Ave r age
Ove ra ll Ra ting o f Pro vide r 9 o r 10
59.4% 62.37% 71.6% 71.7% 81.8%
San F r anc isc o Ge ne r al Hospital Inpatie nt (HCAHPS)
Way F
war d Me tr ic s Base line T ar ge t Q3 Q4
NCR Ave r age
Ove ra ll Ra ting o f Ho spita l 9 o r 10
63.3% 66.5% 59.9% 65.6% 72.3%
Wo uld De finite ly Re c o mme nd Ho spita l
59.7% 62.7% 60.6% 64.9% 74.9%
mpro ve b y 5% o ve r b a se line Pa tie nt E xpe rie nc e / Sa tisfa c tio n Sc o re s
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Observations and Reflections
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Ba se line T a rg e t Q3 Q4
ma mmo g ra m sc re e ning ra te fo r e lig ib le prima ry c a re c lie nts 73.5% 75% 74% 75.2%
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Observations and Reflections
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No t e ve rything tha t c a n b e c o unte d c o unts, a nd no t e ve rything tha t c o unts c a n b e c o unte d .
Da ta tha t c a n b e a c te d o n
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External Reporting Inevitable
“T ho usa nds o f me a sure s a re in use to da y to a sse ss he a lth a nd he a lth c a re in the Unite d Sta te s. …the ir she e r numb e r, a s we ll a s la c k o f fo c us, c o nsiste nc y, a nd o rg a niza tio n, limits the ir o ve ra ll e ffe c tive ne ss in impro ving pe rfo rma nc e o f the he a lth syste m.”
Site Age nc y Me asur e se t
BH DHCS ANSA, CANS with 20 c linic a l me a sure s HAH CMS OASI S with pub lic re po rting o f 10 me a sure s L HH CMS MDS with pub lic re po rting o f 11 me a sure s PC SF HP, HRSA, CMS SF HP PI P me a sure s (HE DI S), UDS, DSRI P SF GH CMS, JC 9 diffe re nt pro g ra ms with 112 me a sure s, pa yme nt pe na ltie s a nd pub lic re po rting
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re spe c ting uniq ue se rvic e s o f e a c h Divisio n a nd Se c tio n?
rue No rth”
HN, Divisio n, a nd Se c tio n spe c ific me tric s
a nd wa tc h me tric s
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ide a ls whic h, whe n ta ke n to g e the r, pro vide a c o mpa ss tha t de sc rib e s the ide a l o r sta te
c o ntinua lly striving to wa rds.
Defining True North
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Sa n Ma te o Me dic a l Ce nte r
Defining True North
Ne w Yo rk City He a lth a nd Ho spita ls Co rpo ra tio n
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Defining True North
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ike liho o d to re c o mme nd
MR
ng a g e me nt inde x – sta ff
Defining True North: long term care
risk re fe rre d to RD
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c a re
ng a g e me nt inde x – sta ff
Defining True North: acute care
mo rta lity
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Defining True North: primary care
to b e se e n
mmuniza tio n e rro rs
ng a g e me nt inde x – sta ff
ng a g e me nt inde x – pro vide r
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Defining True North: primary care
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ra nc isc o He a lth Ne two rk pla nning re tre a t o n Se pt 9th, 2015
rue No rth fo r SF HN
with o ve ra ll true no rth a nd a re re le va nt a nd a c tio na b le fo r dive rsity o f se rvic e s a s we ll a s fro nt line sta ff
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