Measuring Patients’ Experiences with Care: Practical and Policy Issues

Measuring Patients’ Experiences with Care: Practical and Policy Issues

Debra NessCo-Chair, Consumer-Purchaser Disclosure Project

President, National Partnership for Women & Families

Peter V. LeeCo-Chair, Consumer-Purchaser Disclosure Project

CEO, Pacific Business Group on Health

Invitational Working SessionJuly 12, 2007

© Consumer-Purchaser Disclosure Project, 2007 2

Agenda• Welcome and Introductions

– Debra Ness, Disclosure Project and NPWF

• Importance of Measuring Patients’ Experiences with Care – Peter Lee, Disclosure Project and PBGH

• Measuring Patients’ Experiences with Care: An Overview– Dale Shaller, National CAHPS Benchmarking Database

• Regional Initiatives Using Patient Experience to Assess Physician Performance – Todd Osbeck, Priority Health– Ted vonGlahn, Pacific Business Group on Health– Melinda Karp, Massachusetts Health Quality Partners

• Models for Widespread Adoption of Measuring Patients’ Experiences with Physicians and Roundtable Discussion – Robert Krughoff and Paul Kallaur, Center for the Study of Services/Consumers’

CHECKBOOK

© Consumer-Purchaser Disclosure Project, 2007 3

Measuring Patient Experience: Why is It Important?

• Key element to understanding health care quality– IOM’s six Aims (safe, timely, effective, efficient, equitable,

patient-centered)

• Consumers care

• Providers care

• Room for improvement, variation exists

• Patient-centered care leads to better care and outcomes

• Core building block for reforming payments to link to performance

© Consumer-Purchaser Disclosure Project, 2007 4

Patients Want to Know Other Patients’ Experiences…in Hospitals

WebMD What Matters to Consumers When Selecting a Hospital, 2005

Of those who needed

hospital care, 75.5% wanted

to know satisfaction

© Consumer-Purchaser Disclosure Project, 2007 5

Patients Want to Know Other Patients’ Experiences…with Doctors

© Consumer-Purchaser Disclosure Project, 2007 6

…But are Having a Difficult Time Getting the Information

BlueCross BlueShield Association Consumer Preferences and Usage of Healthcare Information, November 2006

© Consumer-Purchaser Disclosure Project, 2007 7

BlueCross BlueShield Association Consumer Preferences and Usage of Healthcare Information, November 2006

Consumers Have a More Difficult Time Finding Quality Information

© Consumer-Purchaser Disclosure Project, 2007 8

Not Many Physicians Have Access to Patient Survey Data

© Consumer-Purchaser Disclosure Project, 2007 9

Room for Improvement -- US Lags Behind Other Countries in Patient-Centered Care

© Consumer-Purchaser Disclosure Project, 2007 10

Variation in patient-centered

care exists in US: Medicare patients who are positive about their provider’s listening and explaining skills ranges from 63% to 75% by state, greater variation among doctors

The Commonwealth Fund State Scorecard on Health System Performance, 2007

© Consumer-Purchaser Disclosure Project, 2007 11

Effective Physician-Patient Communication Leads to Better Care and Outcomes

• Adherence to medication regimen

• Positive effects on outcomes (e.g., emotional health, symptom resolution, pain control)

• Evidence of fewer diagnostic test and referral (up to 50% decrease)

• Improved patient and physician satisfaction

© Consumer-Purchaser Disclosure Project, 2007 12

For Some Physicians Patient Experience Results Impact Compensation

© Consumer-Purchaser Disclosure Project, 2007 13

The Consumer-Purchaser Disclosure Project is a coalition more than 50 of the nation’s leading consumer, labor, and employer organizations that are working to advance publicly reported, nationally standardized measures of clinical quality, efficiency, equity, and patient centeredness for health plans, hospitals, medical groups, physicians, other providers, and treatments. The Disclosure Project is supported by financial and in-kind support of participating organizations and by financial support from the Robert Wood Johnson Foundation.

Previous Discussion Forums are available at:http://healthcaredisclosure.org/activities/forums/

Medicare’s Physician Performance Agenda: Understanding Next Steps and Shaping the Future Course – February 28, 2007

Using Electronic Data to Assess Physician Quality and Efficiency – September 29, 2006

Provider Payments: How They Work, Implications for Cost & Quality, and Creating a Consumer/Purchaser Policy Agenda – July 26, 2006

Cost/Price Transparency – May 25, 2006

About the Disclosure Project