HealthReformMeasurement

LeadorGetOutoftheWay!

Deb Bulger CPHQ Bulger, McKessonEnterpriseIntelligence Vice President Product Marketing

ConnieMoser,VicePresident

Enterprise Intelligence p g
Aggregates the right clinical, financial and operational data and transforms it into g g intelligence for decision making and behavior change Empowers all stakeholders at any l level of th organization t l f the i ti to take action Leads to the creation of a culture of excellence Providingthefoundationforsustainable performanceimprovement f

Objectives
Understand meaningful use measurement from a vendor perspective, and what providers should expect from a vendor partnership Understand the processes under way to harmonize measures, and what to do if they are out of sync Understand the importance of health system participation and leadership during the comment period as new measures are proposed

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Health Reform
The Quality Imperative y p Healthcare can be improved Quality and cost go hand in hand Its not easy!

14%ofJointCommissionaccreditedhospitals achievetopperformanceratings

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Health Reform
Challenges g Alignment of measures across initiatives Maturity of IT standards Clarification of scope and methodology

STK2

eSTK2

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Vendor Perspective
Shared Expectations p Provider

Government Vendor

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Vendor Perspective
Government Visibility y
Committee membership/participation

ONC committee (vendor representation for inpatient provider) National Quality Forum Measures committee Kathleen Aller b i Moser V ti member C Voting Connie M

National voice

Provided detailed public comments for MU Provided public comments to refine ACO measures Selected to provide public testimony on MU to ONC HIT Policy Committee www.mckesson.com/enterpriseintelligence www mckesson com/enterpriseintelligence

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Vendor Perspective
Provider Partnership p
Establish goals for shared success

Evaluate and communicate readiness Help customers stabilize and standardize workflow and content Help clarify measures, streamline data access and reporting Help structure good clinical and IT governance Facilitate networking across customer base Host leadership congresses Guide providers through data analysis and reporting Using data to improve care not just to submit Engage physician accountability through data

Encourage and facilitate adoption

Enable sustainable improvement

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Vendor Perspective
Research and Development p
A new type of product management

Regulatory expertise Clinical content Understanding of measures and the tie to workflow Fl ibilit t meet changing requirements t h i i t Flexibility to

Recognize the role, needs and development input from each

Legal Clinicians Regulatory Clinicians Cli i i IT

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Harmonizing Measures
National Efforts
Current activities at the federal level

NQF Measure Development and Endorsement Agenda Modification of ACO measures from 65 to 33 Align quality measures with clinical and operational workflow Balance aspirations with market readiness Employ E l consistent logic across all measure sets i t tl i ll t

Our recommendations:

http://www.qualityforum.org/Projects/Measure_Harmonization.aspx htt // lit f /P j t /M H i ti

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Harmonizing Measures
In the Meantime
Be mentally ready for change

Operational Workflow Payment Normalize and index disparate data Payment reform is a continuum Use the same data to model different measures Thoseorganizationsthatcan improvetheircollective competencytousedatato change,todriveprocesschanges change to drive process changes aregoingtobemilesahead.Its avery,verygoodtimeforthose placesthatprovideexcellent caretodoitinacost effective care to do it in a costeffective manner.Theyregoingtoriseto thetop. HealthsystemCMIO

Gather data once, use for many purposes

Get legal and regulatory expertise on your side

Establish good auditing processes At the end of the day YOU have to sign on the dotted line!

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Having a Voice
Health System Participation y p
You need to have a voice Avenues for responses to measures comment period It takes time and energy but worth it

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Having a Voice
Health System Participation y p
You need to have a voice Avenues for responses to measures comment period It takes time and energy but worth it Every voice counts!
ThepowerofprovidersinresponsetotheACOproposed rules l multiplefederalagenciesmadethechangesinresponseto "mountainsofcomments"andmanymeetingswithproviders andpatientgroupssincetheproposedrulewasreleased March31. DonaldBerwick,MD,administratorfortheCentersfor ld k d f h f Medicare&MedicaidServices

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Citations
The Big Idea: How to Solve the Cost Crisis in Health Care; Harvard Business Review; Robert S Kaplan and Michael E Porter; posted September 2011 S. E. http://hbr.org/2011/09/how-to-solve-the-cost-crisis-in-health-care/ar/1 Improving Americas Hospitals - The Joint C Commissions Annual Report on Q Quality and Safety 2011; posted Sept. 2011 http://www.jointcommission.org/2011_annual_report/ CIOs Ask CMS to Harmonize Quality Reporting; Healthcare Informatics; David Raths; http://www.healthcarehttp://www healthcare informatics.com/ME2/dirmod.asp?sid=&nm=&type=Publishing&mod=Publications%3 A%3AArticle&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=510BFD751 5EE4A4EAA0D9CFB4EC09DA0

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Upcoming Enterprise Intelligence Webinar

January 19, 2012

2:00-3:00 2 00 3 00 p.m. ET

Beyond Meaningful Use Reporting: Data-driven Clinical Improvement D t di Cli i l I t

Kim Halbur, MBA, RHIA, CPHQ Business Advisor, Enterprise Intelligence, McKesson B i Ad i E t i I t lli M K

www.mckesson.com/enterpriseintelligence /
Thank you for your time and attention. y y