11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit HealthPartners Communication Toolkit HealthPartners is pleased to provide you with this communication toolkit to assist in your efforts to disseminate clinical indicator results to your providers. The toolkit consists of PowerPoint slide templates that you can customize with your results. Included in the toolkit: – Clinical indicators overview – Sample comparison graphs for Optimal Lifestyles, Preventive Services, Healthy Behaviors and Optimal Depression Care – Partners in Excellence measures and targets for 2009 and 2010 To use this as a PowerPoint document, click File, Save As and save it to your system. A technical supplement to the Clinical Indicators Report is available and includes measurement detail, optimal component rates, trended plan rates over time and external benchmarks. The report and supplements are available at healthpartners.com/quality.
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11.30.102010 HealthPartners Clinical Indicators Communication Toolkit HealthPartners Communication Toolkit HealthPartners is pleased to provide you with.
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11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
HealthPartners Communication ToolkitHealthPartners is pleased to provide you with this communication toolkit to assist in your efforts to disseminate clinical indicator results to your providers. The toolkit consists of PowerPoint slide templates that you can customize with your results.
Included in the toolkit:– Clinical indicators overview– Sample comparison graphs for Optimal Lifestyles, Preventive Services,
Healthy Behaviors and Optimal Depression Care– Partners in Excellence measures and targets for 2009 and 2010
To use this as a PowerPoint document, click File, Save As and save it to your system.
A technical supplement to the Clinical Indicators Report is available and includes measurement detail, optimal component rates, trended plan rates over time and external benchmarks. The report and supplements are available at healthpartners.com/quality.
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
HealthPartners Clinical Indicators18th Edition
Over seventeen years of collaboration, measurement innovation and performance improvement
To be updated with new cover
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Clinical Indicators 2009 / 2010 Results
• The primary purpose is to provide valid and reliable information for providers to use in their efforts to improve patient care and outcomes
• Rates are displayed for HealthPartners provider groups based on patient volume, Partners in Excellence program participation, geographic location and strategic relationship with HealthPartners
• Each graph displays provider performance, 95% confidence intervals, average medical group performance and performance goals for Partners in Excellence measures
• Results reflect claims data, chart audit results, patient survey and provider self-reported data
• Clinical Indicators data is reported at the medical group level and supports the HealthPartners Partners in Excellence program. This important initiative provides financial recognition to medical groups for superior performance.
• HealthPartners uses this information to support internal quality improvement initiatives which may include provider incentive and tiering programs
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Clinical Indicators 2009 / 2010 Results
Behavioral Health Diabetes Care Healthy Behaviors Medication Management Musculoskeletal
Comparative provider performance on 67 measures reported by primary care, specialty, pharmacy and
hospital related to:
Obstetrics and Gynecology
Preventive Services Safety Tobacco Use & Cessation Total Cost of Care
11.30.10 2010HealthPartners Clinical Indicators Communication Toolkit
What’s New?
• Diabetic Eye Exam• Generic Drug Use (Pharmacy Chains)
• Optimal Care for Acute Low Back Pain (Primary Care)
• Annual Monitoring for Patients on Persistent Medications – Combined ACE/ARB and Diuretics (Pharmacy Chains)
• Total Cost of Care
11.30.10 2010HealthPartners Clinical Indicators Communication Toolkit
What’s Coming?Optimal Health Management for Severe Mental Illness
– On average, people with schizophrenia or bipolar disorders and on an antipsychotic medication die 25 years earlier than people without these disorders– Antipsychotic medications predispose people to Metabolic Syndrome, weight gain, diabetes, hypertension and hyperlipidemia
Measure DescriptionThe percentage of members ages 18 to 65 on December 31st of the measurement year that have a diagnosis of schizophrenia or bipolar disorder and had at least one fill of an antipsychotic or mood stabilizer medication and documentation of care is optimal.1.BMI assessment 2.Tobacco assessment3.Alcohol use screening4.LDL screening5.Blood glucose screening6.Blood pressure screening
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Optimal Lifestyles and Preventive Services
0%
10%
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60%
70%
80%
90%
100%
O ptimalLifestyle Adult
O ptimalLifestyleChildren
PreventiveServices Adult
PreventiveServices Child
Combo #2
Your Rate 2009 Avg Rate
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Healthy Behaviors
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Alcohol AssessmentAdult
BMI Assessment Adult
BMI Assessment Child & Adol
Your Rate 2009 Avg Rate
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Optimal Depression Care
• Documented five or more symptoms of major depression
• Documented symptom follow-up within three months
• Antidepressant medication for 180 days
0%
25%
50%
75%
100%
Symptoms Follow Up Medication Your GroupOptimal Care
Average OptimalCare
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
How we compare to others
0%
10%
20%
30%
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80%
90%
100%
O ur rate Medical Group1
Medical Group2
AverageMedical Group
11.30.10 2010 HealthPartners Clinical Indicators Communication Toolkit
Partners in Excellence ProgramPartners in Excellence Program
• Forms the basis for HealthPartners financial and public recognition for medical/specialty groups achieving either excellent or superior performance in clinical quality, patient experience and affordability measures.
• Rewards are based on medical group performance as measured by the clinical indicators measurement set, Consumer Choice satisfaction survey and other defined measurement tools.
• October 2010 Partners In Excellence provider group awards reflect performance measured against targets outlined in the 2009 program manuals (reflecting rates based on 2009 dates of service) with the exception of generic drug use which are measured against targets outlined in the 2010 manuals. (Generic drug use rates reflect 2010 performance.)
2009 Partners in Excellence Program – Primary CareMeasures Silver Target Gold Target
MNCM Optimal Diabetes Care DDS 40% 50%
MNCM Optimal Vascular Care DDS 55% 60%
Optimal Depression Care 45% 50%
Evidence-based Cervical Cancer Screening 45% 55%
Preventive Services – Adult 93% 98%
Alcohol Assessment 93% 98%
Optimal Care for Acute Low Back Pain 15% 25%
Generic Drug Use – Adult
Generic Drug Use – Pediatrics
75%
70%
80%
75%
Breast Cancer Screening (small groups only) 80% 85%