mckesson-health reform measurement_moser

8/2/2019 McKesson-Health Reform Measurement_Moser

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Enter rise Intelli ence

Aggregates the right clinical,

financial and operational dataand transforms it into

intelli ence for decision makin

and behavior change

Empowers all stakeholders atany level of the organization to

take action

Leads to the creation of a

culture of excellence

Providingthefoundationforsustainableperformanceimprovement


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Objectives

Understand meaningful use measurement from a vendor perspective,

an w a prov ers s ou expec rom a ven or par ners p

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

McKesson Corporation Confidential and Proprietary 3


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Health Reform

The Qualit Im erative

Healthcare can be improved

Quality and cost go hand in hand Its not easy!

14%ofJointCommissionaccreditedhospitalsachievetopperformanceratings14%ofJointCommissionaccreditedhospitalsachievetopperformanceratings



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Health Reform

Challen es

Alignment of measures across initiatives

Maturity of IT standards Clarification of scope and methodology

STK2 eSTK2



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Vendor Perspective

Shared Ex ectations

Provider

Government

Vendor



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Vendor Perspective

Government Visibilit

Committee membership/participation

ONC committee (vendor representation for inpatient provider)

National Quality Forum

Measures committee Kathleen Aller

Voting member Connie Moser

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

. .



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Vendor Perspective

Provider Partnershi

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

Encourage and facilitate adoption

Help structure good clinical and IT governance

Facilitate networking across customer base

Host leadership congresses

Enable sustainable improvement

Guide providers through data analysis and reporting

Using data to improve care not just to submit

Engage physician accountability through data



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Vendor Perspective

Research and Develo ment

A new type of product management

Regulatory expertise

Clinical content

Understanding of measures and the tie to workflow

Flexibility to meet changing requirements

Recognize the role, needs and development

input from each Legal

Clinicians

Regulatory

Clinicians 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

Our recommendations:

Align quality measures with clinical and operational

workflow

Balance aspirations with market readinessmp oy cons s en og c across a measure se s


http://www.qualityforum.org/Projects/Measure_Harmonization.aspx


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Harmonizing Measures

In the Meantime

Be mentally ready for change

Operational

Workflow

Payment

Thoseorganizations

that

can

improvetheircollective

competencytousedatato

Gather data once, use for many purposes

Normalize and index disparate data

Payment reform is a continuum

,

aregoingtobemilesahead.Its

avery,verygoodtimeforthose

placesthat

provide

excellent

Use the same data to model different measures

Get legal and regulatory expertise on your

side

manner.Theyregoingtoriseto

thetop.

HealthsystemCMIO

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 S stem Partici ation

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 S stem Partici ation

You need to have a voice

Avenues for responses to measures

comment period

It takes time and energy but worth it

Every voice counts!

ThepowerofprovidersinresponsetotheACOproposedru es

multiplefederalagenciesmadethechangesinresponseto"mountainsofcomments"andmanymeetingswithprovidersandpatientgroupssincetheproposedrulewasreleasedMarch31.

DonaldBerwick,

MD,

administrator

for

the

Centers

for

Medicare&MedicaidServices



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Citations

The Big Idea: How to Solve the Cost Crisis in Health Care; Harvard Business

. .

http://hbr.org/2011/09/how-to-solve-the-cost-crisis-in-health-care/ar/1

Improving Americas Hospitals - The Joint Commissions Annual Report on 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;

. -

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: - : p.m.

Beyond Meaningful Use Reporting:ata- r ven n ca mprovement

Kim Halbur, MBA, RHIA, CPHQus ness v sor, n erpr se n e gence, c esson

www.mckesson.com enterpriseintelligence

Thank ou for our time and attention.

mckesson-health reform measurement_moser

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