McKesson Enterprise Intelligence - Quality Benchmarks Collaborative

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Quality Benchmarks Collaborative™ Benefits – Uses comparative analysis to establish meaningful, achievable benchmark targets – Accelerates EHR adoption by promoting accountability and driving behavior change – Updates benchmarks monthly for timely comparisons – Includes consultations with business advisors to facilitate result interpretation, rootcause analysis and adoption of outcomes measures related to meaningful use – Provides a virtual network community to facilitate sharing of best practices – Provides ability to link process measures to patient demographic and diagnosis data for outcomes analysis

a unique opportunity not only to report measures, but also to compare results, share best practices and accelerate EHR adoption.

To receive Medicare and Medicaid reimbursements under the Health Information Technology for Economic and Clinical Health (HITECH) Act, hospitals must report on 15 hospital quality measures using certified electronic health record (EHR) technology to collect and calculate data. McKesson’s certified EHR systems include a component, McKesson Quality eMeasures™, that calculates and submits the required measures to the Centers for Medicare & Medicaid Services (CMS) and the states.

The Benchmarking Advantage McKesson’s Quality Benchmarks Collaborative contains measures compiled as a by-product of the clinical quality measure reporting required by CMS under HITECH. Using McKesson Quality eMeasures as a foundation, the service enables subscribers to compare their results to other providers’ to understand their comparative performance.

However, solely reporting on those measures will not enact the cultural change necessary for health reform. Organizations need actionable information – observed results and benchmarks – to establish and achieve meaningful targets. By subscribing to McKesson’s Quality Benchmarks Collaborative™ service, healthcare organizations have

While traditional quality benchmark services use manually collected data, Quality Benchmarks Collaborative electronically captures clinical data at the point of care for quality metrics comparison. Comparative analyses translate into benchmark targets, setting a new standard of excellence for quality measurement.

Quarter 1 Rate

Quarter 2 Rate

Quarter 3 Rate

Quarter 4 Rate

Rolling 12 MO Rate

Mean Benchmark Rate

50th Percentile Benchmark Rate

75th Percentile Benchmark Rate

eSTK2 Discharged w/Antithrombotic Med

91.5%

95.2%

97.3%

94.9%

94.7%

92.0%

90.8%

94.9%

eSTK3 Discharged w/Anticoag Med for Afib

87.7%

95.0%

85.7%

93.0%

89.8%

88.0%

87.8%

88.4%

eSTK4 Thrombolytic Therapy

85.7%

69.2%

80.0%

50.0%

71.1%

87.5%

87.5%

87.5%

eSTK5 Antithrombotic Med by Hosp Day 2

70.2%

81.3%

90.8%

73.8%

79.7%

79.8%

78.8%

82.1%

eSTK6 Discharged on Statin Med

97.5%

93.3%

90.5%

92.9%

93.5%

92.5%

92.4%

92.7%

eSTK8 Stroke Education

63.1%

70.3%

75.5%

55.4%

66.9%

73.8%

72.6%

76.6%

eSTK10 Assessed for Rehabilitation

59.4%

73.5%

69.1%

58.2%

65.1%

71.1%

69.7%

74.6%

eVTE1 Prophylaxis All Inpatients

90.7%

92.2%

93.2%

94.0%

94.7%

92.0%

91.7%

92.6%

eVTE2 Prophylaxis ICU Patients

98.8%

98.8%

98.8%

98.9%

98.9%

98.6%

98.6%

98.8%

eVTE3 VTE Anticoag Overlap Therapy

100.0%

98.0%

89.7%

90.9%

95.3%

95.8%

95.6%

96.3%

eVTE4 VTE UFH Monitored by Protocol

78.4%

89.5%

80.4%

90.9%

85.6%

79.1%

78.3%

81.2%

eVTE5 VTE Discharge Instructions

97.4%

93.3%

87.5%

86.0%

90.3%

92.1%

92.2%

91.9%

eVTE6 Hospital Acquired VTE

40.0%

11.1%

0.0%

33.3%

22.2%

10.3%

9.0%

1.2%

eED1 Arrival to Departure-Overall

303

278

247

186

253

248

270

200

eED1.1 Arrival to Departure-Obs

502

457

407

305

418

400

430

330

eED1.2 Arrival to Departure-MH dx

287

261

232

174

239

201

273

180

eED1.3 Arrival to Departure-Non Obs/MH

320

291

259

194

266

240

296

222

eED2 Admit to Departure-Overall

179

163

145

109

149

90

75

62

eED2.1 Admit to Departure-Obs

120

109

97

73

100

100

80

78

eED2.2 Admit to Departure-MH dx

133

121

108

81

111

111

90

83

eED2.3 Admit to Departure-Non Obs/MH

189

172

153

115

157

158

140

132

eMeasure Name / Short Description

Quality Benchmarks Collaborative captures clinical data at the point of care for quality metrics comparison.


McKesson augments this technology with services provided by business advisors with unique training in benchmarking clinical processes and outcomes.

Customers may choose from benchmark cohorts based on bed size, region, organization type and scope. A web-based dashboard allows users to view immediate results, monitor performance trends and conduct in-depth, diagnostic analyses in minutes through comparisons to benchmarks of their choosing.

Accelerated Adoption Achieving meaningful use is more than a technology initiative. Adopting EHR technology requires organizational and individual behavior change. The Quality Benchmarks Collaborative service uses statistical tools to measure and compare results across caregivers, populations and time segments — providing an impetus to change. McKesson augments this technology with services provided by business advisors with unique training in benchmarking clinical processes and outcomes. These advisors help forge a powerful partnership among your stakeholders as you plan for other health reform initiatives. Services include: – Selection of benchmarks – Intensive education and interpretation of results – Stakeholder-centric education on root-cause analysis – Virtual network communities – Adoption of outcomes measures related to meaningful use

Seamless Delivery McKesson Quality eMeasures is the only prerequisite to participate in the Quality Benchmarks Collaborative service. For current McKesson Quality eMeasures customers, access to the service begins with a simple subscription form. Your account manager will help you set up a benchmarking account, and business advisors will help you establish appropriate comparison populations. For McKesson Performance Analytics™ users, an outcomesbased scorecard is deployed using the benchmarks data. McKesson will provide consultative services to facilitate the use of the benchmarks and the outcomes analysis delivered in the McKesson Performance Analytics solution. For customers not using the McKesson Quality eMeasures solution, our services team will help you establish data access so that your measures can be submitted to the Collaborative. Contact your account executive for more information on Quality Benchmarks Collaborative and other services.

The Outcomes Imperative Stage 1 meaningful use measurement focuses on processes related to evidence-based practice. As meaningful use measurement evolves, the integration of data from the Quality Benchmarks Collaborative registry with the McKesson Performance Analtyics solution will also provide the measurement of outcomes. This advanced analytics solution


Features – Point-of-care quality metrics for quick, accurate comparison – Statistical tools measure results across caregivers, populations and time segments – Peer group selection based on bed size, region, organization type and scope – Web-based dashboard for viewing results, monitoring performance trends and conducting diagnostic analyses – Incorporation of the financial and operational dimensions of care establishes a baseline for health reform metrics – Outcomes-based scorecard using benchmarks data

incorporates the financial and operational dimensions of care and establishes a baseline for health reform metrics. Linking process measures (such as the timely administration of thrombolitics in stroke patients) to other patient demographic and diagnosis data answers a critical question: “Does EHR use make a difference in patient outcomes?” The ability to measure length of stay, mortality, readmissions and other indicators of effective EHR use provides a comprehensive view of your clinical performance and insight into cause and effect — the first step to shared accountability for optimum results.

For More Information For more information on McKesson Performance Analytics, contact your account executive or visit www.mckesson.com/ enterpriseintelligence.

Preparing for the Future Quality Benchmarks Collaborative is a component of the McKesson Enterprise Intelligence portfolio, which is designed to drive transparency and shared accountability across the healthcare enterprise. As health reform triggers additional changes to existing processes of payment and care delivery, McKesson’s advanced analytics and benchmarking solutions will lay the foundation needed to survive in a rapidly changing environment.

McKesson Provider Technologies 5995 Windward Parkway Alpharetta, GA 30005 http://www.mckesson.com

Copyright © 2011 McKesson Corporation and/or one of its subsidiaries. All rights reserved. McKesson Performance Analytics, McKesson Quality eMeasures and Quality Benchmarks Collaborative are trademarks of McKesson Corporation and/or one of its subsidiaries. All other product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. RMG606-06/11


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