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Best practices for data analysis 16 jan12
1. Best Practices for Data Analysis
A Chasing Logic Case Study
Wayne Pan, MD, MBA
Chief Medical Officer
Pacific Partners Management Services, Inc.
Breakthrough Strategies to Boost HEDIS Scores & Quality Management • The Reach Resort, Key West • January 16, 2012
2. Best Practices for Data Analysis
A Chasing Logic Case Study?
Wayne Pan, MD, MBA
Chief Medical Officer
Pacific Partners Management Services, Inc.
Breakthrough Strategies to Boost HEDIS Scores & Quality Management • The Reach Resort, Key West • January 16, 2012
3. to recap....
Breaking Down the Silos for Risk Adjustment, HEDIS & Care Management:
From Streamlining Charts to Capturing & Sharing the Right Data
A Complementary Duo - Risk Adjustment and HEDIS: How to Ensure a Plan is
Effectively Accomplishing Objectives for Both
Practical Steps to Improve the Integrity, Quality & Timeliness of Data & Supplemental Data
How Star Rating Measures Correlate with Overall HEDIS Quality
The State of Health Care Quality – Plans, Providers and
Consumers in the New World
of Star Ratings and Exchanges
A Two-Part Discussion on Effective
Quality Improvement Partnerships
A Collaborated Effort: Plans & Providers Working
to Improve Clinical Outcomes
Provider Education & Incentives:
Creating Tools & Toolkits for Providers
That They Will Use
4. we cannot continue to keep quality,
risk adjustment/stratification,
cost-effectiveness,
medical management,
network management, and
member engagement in
separate silos
54. processes
P4P/CMS 5 STAR dashboard
incentive bonus based on quality
Ascender for HCC process
paper quarterly physician workplan
hospitalists perform HCC coding
55. platform
common web-based communication platform
facilitates administrative functions
rules-based management of processes
intuitive user-interface
embed quality reminders into office/provider workflow
provider feedback
provide actionable clinical data at point of care
allow patients to access their own data
allow patients to provide feedback and enter their own data
67. When you improve a little bit
each day, eventually big things
occur. Don’t look for big, quick
improvement. Instead, seek
small improvement one day at a
time. That’s the only way it
happens - and when it happens,
it lasts.
John Wooden
69. Virtually nothing comes
out right the first time.
Failures, repeated
failures, are finger posts
on the road to
achievement. The only
time you don’t want to
fail is the last time you try
something. One fails
forward toward success.
Charles F. Kettering