versie xxx. bijgewerkt op 27-9-2007 8:45 door xxx 1 evt. klantlogo 1 x 3,56 cm benchmarking...
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Evt. klantlogo1 x 3,56 cm
Benchmarking High-Value HealthcareWith Web-Based MIS
Marc BergErik-Jan Vlieger
Information Builders Summit 2008June 1-5
Nashville, TennesseeUSA
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Voetnoot 1
Overview
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Bringing in the Market
Dutch Health Care System Change
From budget-based system, based on very generic parameters...
• number of admissions, number of beds, number of specialists
... we moved to a system based on DRGs / DBCs
Product-based payment systems enable steering on actual patient-
outcomes vs costs
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A healthcare system realizing high quality, efficient care
Define product
• Set quality measures
• Set indication
Obligatory reporting of quality performance
Obligatory reporting of costs / price
When properly done, this will generate thrust towards lower cost, high quality care
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HipreplacementHipreplacementQuality
Patient centeredness
Effectiveness
Patient Safety
Price
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Insurance companies, patients, Medicare etc will choose more consciously (‘pay for performance’)
Quality and cost together drive choice
I.Insurance companies contract selectively
II.Patients choose more
consciously
II.Price/quality ratio starts to matter!
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... to decide where there added value lies
Hospitals need information on costs / quality
I. Do what you can do well… …and do that as good as
you can… and communicate your
results openly
I. III.II.
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Required information in a ‘balanced score card’
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DBC information
• number, code, date, age patient, zip code, gender
ICD-9 diagnosis
Activities registration
• OR interventions, days in hospital, visits to outpatient clinic, diagnostic
heart test, endoscopies, etc
Admittance and discharge information
• Referred from home, which GP, referred from other hospital
• Discharged to home, to nursing home, to morgue
Balanced score card is filled with information derived from standard hospital registrations
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Outsourcing the most difficult task: knowing which question to ask (quality, safety, patientcenteredness,
financial) and how to ask it
Outsourcing the most difficult task: knowing which question to ask (quality, safety, patientcenteredness,
financial) and how to ask it
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Voetnoot 1
Overview
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• No additional registration required
• Delivers trend- and benchmarkinformation about produced and
experienced quality, market position and financial results...
• on the right levels in the hospital
• with clear relationsips visible beween levels
• continuously real-time accessible
… to maximize added value per euro/dollar
Pi® gives you:
1. your own performance over time (trendinformation)
2. your performance compared to your competitors (benchmarkinformation)
3. where you have potential to improve
4. the ability to monitor your improvement
Proposition of Pi®
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Voetnoot 1
Overview