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 rs 3-4 upda te Ob se rva tio ns a nd re fle c tio ns F utur e Me tr ic s Cha lle ng e s “T rue No rth” fra me wo rk F uture Me tric s 2 Wa y F orwa rd Me tric s
Way Forward Metrics Capitation Compe tition ime ly Ac c e ss T Mo re pro vide rs One ra te o f Rig ht to c a re within inte re ste d in the pa yme nt pe r a re a so na b le time sa me pa tie nts me mb e r pe r mo nth Ac hie ve Prima ry Ca re Impro ve b y 5% o ve r b a se line We ig hte d Pa ne l Size = Pa tie nt E xpe rie nc e / 1350 Sa tisfa c tio n Sc o re s Ac hie ve Prima ry Ca re Me e t o r e xc e e d suppo rt sta ff ra tio pe r b ud g e te d pe rfo rma nc e Impro ve b y 5% o ve r b a se line unwe ig hte d a c tive pa ne l in re ve nue s a nd e xpe nse s Wo rkfo rc e E xpe rie nc e = 4.5 F T E / Sa tisfa c tio n Sc o re s Impro ve b y 5% o ve r Impro ve Civil Se rvic e Hiring , b a se line , Pa tie nt fro m F o rm 3 Sub missio n to Pla c e me nt a t the sta rt wo rk da te < 90 da ys Inc re a se b y 25% the # o f a ppro pria te le ve l o f c a re c lie nts se e n in Be ha vio ra l E sta b lish a unifie d in Ac ute a nd SNF unde rsta nding o f Sta ff Ro le He a lth Ce nte rs who ha ve Institutio na l Ope ra tio ns in the Suc c e ss o f SF HN b y a n id e ntifie d Prima ry do c ume nting 50% o f Ac hie ve 75% Ca re Pro vid e r in the surve ye d sta ffs’ a b ility to Ava ta r e le c tro nic he a lth ma mmo g ra m sc re e ning re fe re nc e “Wa y F o rwa rd re c o rd (E HR) ra te fo r e lig ib le prima ry Pla n*” c a re c lie nts F uture Me tric s 3 Wa y F orwa rd Me tric s
Way Forward Metrics Dashboard Indicators At T a rg e t/ Go a l De no te s dire c tio n o f able o utc o me favor De no te s dire c tio n o f able o utc o me unfavor F uture Me tric s Wa y F orwa rd Me tric s 4
Way Forward Metrics Report Highlights 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” F uture Me tric s 5 Wa y F orwa rd Me tric s
Way Forward Metrics % Wa y F orwa rd Me tric s Ba se line T a rg e t Q3 Q4 T re nd Cha ng e 1. Ac hie ve Prima ry 0.2% Ca re We ig hte d 1,011 1,350 1,201 1,203 Pa ne l Size = 1,350 2. Ac hie ve Prima ry Ca re suppo rt sta ff ra tio pe r -0.2% 4.1 4.5 4.49 4.48 unwe ig hte d a c tive pa tie nt pa ne l = 4.5 F T E F uture Me tric s 6 Wa y F orwa rd Me tric s
Way Forward Metrics 3. 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 in Ac ute a nd Skille d Nursing F a c ility Institutio na l Ope ra tio ns % Division Q3 Q4 Ba se line T a rg e t T re nd Cha ng e 34.8% L a g una Ho nda 22 23 23 31 Sa n F ra nc isc o -5.6% 661 628 762 719.3 Ge ne ra l Ho spita l 3.2% Ca re T ra nsitio ns 410.33 390 457.9 472.6 F uture Me tric s 7 Wa y F orwa rd Me tric s
Way Forward Metrics % Wa y F orwa rd Me tric s Ba se line T a rg e t Q3 Q4 T re nd Cha ng e 4. Me e t o r e xc e e d b udg e te d pe rfo rma nc e ≥ 0% 232.33% 0.1% 1.44% - in re ve nue s a nd e xpe nse s 5. Impro ve b y 5% o ve r Ba se line da ta c a lc ula te d 19.1% 20.1% b a se line Wo rkfo rc e Ne xt c olle c tion pe r iod in 2 ye ar s E xpe rie nc e 6. Impro ve Civil Se rvic e Hiring , Co ntro lle r’ s o ffic e me tho do lo g y 190 90 F ro m F o rm 3 sub missio n to sta rt no t a me na b le to q ua rte rly re po rting wo rk da te = 90 da ys o r le ss 8. E 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 100% 50% Sta ffs’ a b ility to re fe re nc e o ur Ba se line da ta a va ila b le fo r SF GH o nly “Wa y F o rwa rd Pla n”: Inc re a sing the Va lue o f Se rvic e s Pro vide d to o ur c o nstitue nts; Pa tie nts, Wo rkfo rc e a nd SF Re side nts & Co nsume rs *SF GH Data Only F uture Me tric s 8 Wa y F orwa rd Me tric s
Way Forward Metrics 7. I 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) % Wa y F orwa rd Me tric s Ba se line T a rg e t Q3 Q4 T re nd Cha ng e - “I like the se rvic e s tha t I -0.2% 4.56 4.78 4.5 re c e ive d he re ” N=2033 “I wo uld re c o mme nd 0.2% this a g e nc y to a frie nd 4.49 4.71 - 4.4 o r fa mily me mb e r” N=2001 F uture Me tric s 9 Wa y F orwa rd Me tric s
Way Forward Metrics 7. I 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) % Wa y F orwa rd Me tric s Ba se line T a rg e t Q3 Q4 T re nd Cha ng e “I like the se rvic e s tha t I -0.4% 4.47 4.69 4.47 - re c e ive d he re ” N=2208 “I wo uld re c o mme nd 0.0% - this a g e nc y to a frie nd 4.47 4.69 4.47 - o r fa mily me mb e r” N=2220 F uture Me tric s 10 Wa y F orwa rd Me tric s
Way Forward Metrics Jail He alth % Wa y F orwa rd Me tric s Ba se line T a rg e t Q3 Q4 T re nd Cha ng e “Ho w wo uld yo u ra te -13.0% the c a re yo u re c e ive d 86% 90.3% 79% 68.46% fro m JHS? ” N=660 L a g una Honda Hospita l % Wa y F orwa rd Me tric s Ba se line T a rg e t Q3 Q4 T re nd Cha ng e Ove ra ll sa tisfa c tio n 1.0% 84% 88% 97% 98% N=52 N=63 Re c o mme nd to o the rs -1.0% 81% 85% 100% 99% F uture Me tric s 11 Wa y F orwa rd Me tric s
Way Forward Metrics 7. I 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) % Wa y F orwa rd Me tric s Ba se line T a rg e t Q3 Q4 T re nd Cha ng e “We wa nt to kno w yo ur ra ting o f yo ur c a re fro m -24% 80.4% 84.4% 81.4% 61.9% this a g e nc y's ho me he a lth pro vide rs.” N=44 N=21 “Wo uld yo u re c o mme nd this a g e nc y to yo ur fa mily 6.9% 82.2% 86.3% 79.5% 85.5% o r frie nds if the y ne e de d ho me he a lth c a re ? ” F uture Me tric s 12 Wa y F orwa rd Me tric s
Way Forward Metrics Pr imar y Car e (CG- CAHPS) % Change Way F or war d Me tr ic s Base line T ar ge t Q3 Q4 T r e nd Ove ra ll Ra ting o f 0.1% 59.4% 62.37% 71.6% 71.7% Pro vide r 9 o r 10 N=612 San F r anc isc o Ge ne r al Hospital Spe c ialtie s (CG- CAHPS) % Change Way F or war d Me tr ic s Base line T ar ge t Q3 Q4 T r e nd Ove ra ll Ra ting o f -1.4% 62% 65.1% 70.8% 69.8% Pro vide r 9 o r 10 N=1,014 San F r anc isc o Ge ne r al Hospital Inpatie nt (HCAHPS) % Change Way F or war d Me tr ic s Base line T ar ge t Q3 Q4 T r e nd Ove ra ll Ra ting o f 9.5% 63.3% 66.5% 59.9% 65.6% Ho spita l 9 o r 10 N=151 Wo uld De finite ly 7.1% 59.7% 62.7% 60.6% 64.9% Re c o mme nd Ho spita l F uture Me tric s 13 Wa y F orwa rd Me tric s
Way Forward Metrics % Wa y F orwa rd Me tric s Ba se line T a rg e t Q3 Q4 T re nd Cha ng e 9. Ac hie ve a 75% ma mmo g ra m 1.62% sc re e ning ra te fo r 73.5% 75% 74% 75.2% e lig ib le prima ry c a re c lie nts 10. Inc 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 1.4% 50.2% 62.3% 72.4% 73.4% Ce nte r who ha ve a n ide ntifie d Prima ry Ca re Pro vide r in Ava ta r HE R F uture Me tric s 14 Wa y F orwa rd Me tric s
Way Forward Metrics Observations and Reflections So me me a sure s to ppe d o ut So me me a sure s no t a c tio na b le Drive rs ve rsus “wa tc h me tric s” Va ria tio n in me tric s/ to o ls T a rg e ts ≠ benchmarks F uture Me tric s 15 Wa y F orwa rd Me tric s
Recommend
More recommend
