Opportunities and Challenges in Identifying Nationally Consistent, Locally Adaptable Approaches to Make Performance Results Available

Slide presentation from the AHRQ 2010 conference.

On September 28, 2010, Karen Jones made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (370 KB). Free PowerPoint® Viewer (Plugin Software Help).


Slide 1

A1c Current (Past Year)

A1c Current (Past Year)

Image: A line graph compares the percentage of diabetes patients with A1c tested from August 31, 2009, to June 29, 2010, in a number of medical facilities. The Target line is at 93%. Ratios for the medical facilities over the charted period are as follows:

Medical Facility8/31/099/8/0910/6/0910/20/0911/3/0911/16/0911/30/0912/14/0912/31/091/15/102/1/102/26/104/30/106/29/10
Wellspan Medical Group82%82%82.5%82.5%83%83%83%83%83.5%83.5%84%84.5%85%86%
Apple Hill Internal Medicine85%85.5%85.9%85.8%86%86%86.1%86.3%86.5%86.7%86.9%86.7%86.8%86.5%
Pine Grove Adult Medicine87%86.5%87%87.5%89%90%89%87.5%90%89%89%88%94%95%
York Hospital Community Health Center89%90%93%92.5%92.8%93%93%92.9%92.8%92.9%93%93%91%92%
Stony Brook83%83%82.75%83%83.5%83.25%83.5%83.5%84%84%83.9%84%84.5%85%
Dallastown89%89.5%89%88%87.5%87%87%86.8%86.5%86.5%87%87.3%87.3%87%
Gettysburg Adult Medicine97%96.8%97%96.8%96.8%96.8%96.5%96.3%96%96.3%97%96.3%96.4%96.6%
Biglerville Family Medicine81%79%82%82%82%82.5%83%82.75%82.5%82%83.5%83.5%83.6%83.5%
East Berlin90.5%90%90.5%92%93.1%93%92.9%93%93.2%93%93%92.9%92.9%93%
Wheatlyn84%83.5%93.5%84.5%84.8%84.8%84.9%85%85%84.5%85%85%85.1%85%
Yorktowne77%77%77%77%77%76.5%76%76.5%77%76.8%76.9%77.5%82%81%
Brockie International Med Consultants97%97%97.5%98%98%98%97.8%97.6%97.8%96%96.7%96%96%94.9%
PRO Combined (AHIM/DFM/SBFM)86%86%85.9%86%86.2%86%86.2%86.3%86.3%86.4%86.5%86.6%86.6%86.75%
Thomas Hart Family Practice Center76%76.5%81%80%80.5%79%78%77.8%77.6%77.4%77.2%77%76.7%82%
Adams-Cumberland FM75.5%76%76.5%76.8%77%77.3%78%81%81.5%81.5%82%82%82.5%82.4%
Gotham88%88%87.9%87.9%87.7%87.9%88%87.7%87.7%87.5%87.4%87%86.8%91.5%

Notes: For diabetes patients % with A1c tested within measurement year, age 18-75.
Target NCQA top 10 percentile.

Slide 2

MicroAlbumin Current

MicroAlbumin Current

Image: A line graph compares the MicroAlbumin/Creatinine Ratio for diabetes patients in a number of medical facilities from August 31, 2009, to June 29, 2010. The Target line is just below 70%. Ratios for the medical facilities over the charted period are as follows:

Medical Facility8/31/099/8/0910/6/0910/20/0911/3/0911/16/0911/30/0912/14/0912/31/091/15/102/1/102/26/104/30/106/29/10
Wellspan Medical Group49%48%49.5%49.5%49.5%49.5%49.5%49.5%50%50%50%50.5%54%59%
Apple Hill Internal Medicine51%51.5%52%52%54%54%55%56%57%57%60.5%60.5%64%67%
Pine Grove Adult Medicine74%72%73%74%75%74.5%73%77%76.5%79%79%84%89%88%
York Hospital Community Health Center75%74.5%67%66%67%65%65%66%67%67%65%63%60%63%
Stony Brook54%53%54%54.5%55%55%55.5%55.5%55%55%53%56%60%62%
Dallastown39%38%38%38%38.5%39%39%39%39.5%39.5%40%42%45%49.5%
Gettysburg Adult Medicine80%79%80.5%81%82%82.5%83%84%82%85%87%90%89%92%
Biglerville Family Medicine55%54%61%62%61%64%63.5%62%61%62%63%64%61%60%
East Berlin65%64%68%70%70.5%70%70%72%73%73%72%71.5%71%70%
Wheatlyn54%53%53%54%54%54%54%55.5%53%51%52%54%55.5%55%
Yorktowne42%42%42%42%42%40.5%40.5%40.5%40.5%40%42%46%56%68%
Brockie International Med Consultants74%72%71%69%69%68.5%66%67%67%67%67%66.5%70%80%
PRO Combined (AHIM/DFM/SBFM)48%47%48%48%48%49%49.5%49.5%50%50%50%51%55%59%
Thomas Hart Family Practice Center42%41%45%46%45%44%44%43%43.5%43.5%42%42%45%60%
Adams-Cumberland FM48%47%48%49%50%51%52%53%54%54%55%56%62%62%
Gotham54%53%55%55%55.5%56%57%58%59.5%59.5%58%58%60%65%

Notes: For diabetes patients, % with MicroAlbumin/Creatinine Ratio tested within measurement year. 
Target WMG top 10 percentile.

Slide 3

Thoughts

  • Data for internal feedback and QI can be imperfect ("directional & good enough").
  • Public data for comparison has a financial impact & must be impeccable:
    • Measures broadly accepted
    • From a trusted source and methodology
    • Consistent across payers
    • Meaningful
    • Timely
    • Actionable
    • Tied to QI initiatives/tools
    • Payment reform to support QI work and *financially reward reporting of practice level data
  • Critical—to improve/coordinate care using data that is collected during the course of routine care.
  • Cost of care—need more focus on specialty care/procedures.
Current as of December 2010
Internet Citation: Opportunities and Challenges in Identifying Nationally Consistent, Locally Adaptable Approaches to Make Performance Results Available. December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2010/jones/index.html