Analyzing Your Key Performance Measures

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Analyzing Your Key Performance Measures

  1. 1. Analyzing Your KeyPerformance Measures Gina Mazza RN, BSN Total Performance Director March 2011
  2. 2. Foundation for this Presentation• Insights from Fazzi’s work with hundreds of home health and hospice agencies• Benchmark comparisons from Operational/Financial Service: BestWorks• Insights from current realities for home health care ©2011
  3. 3. Quality and Financial Matrix ©2011
  4. 4. Strategic Management Model What’s Going To Happen?What Should WeDo About It? What Are The Implications? ©2011
  5. 5. Two Approaches to Benchmarking• Internal Benchmarking: Identifying, measuring and tracking over a period of time.• Comparative Benchmarking: Tracking performance indicators AND comparing them to national standards and best practice standards, i.e. top 20%. ©2011
  6. 6. Quality Performance Measures Home Health Compare Hospitalization Rate Home Health Process Measures Patient Satisfaction Measures ©2011
  7. 7. HHCAHPS: Initial Results Fazzi National Database Care of Patients 89%Overall Rating of Care 85%Communications BtwnProviders and Patients 85% Specific Care Issues 82% Likelihood of Recommending 81% ©2011
  8. 8. HHCAHPS: Best Practice Results Fazzi National Database Care of Patients 94%Overall Rating of Care 93%Communications BtwnProviders and Patients 91% Specific Care Issues 89% Likelihood of Recommending 91% ©2011
  9. 9. Key Financial Performance Measures Profit Margin Case Mix Weight Cost per Visit Staffing Ratio ©2011
  10. 10. Profit Margin National Top Performers AverageMedicare Profit 11.6% 29%Home Health 3.85% 13.2%All Payers ©2011
  11. 11. Impact of Underscoring and Revenue Revenue/ 500 SOCAverage Case What it Would Episode Mix Weight Net Revenue Mean $2,192.97* National $2,872.79 $1,436,395 N/A 1.31** 1.25 $2,741.21 $1,370,606 ($65,789) 1.20 $2,631.56 $1,315,782 ($120,613) 1.15 $2,521.92 $1,260,958 ($175,438) 1.10 $2,412.27 $1,206,134 ($230,262) 1.05 $2,302.62 $1,151,309 ($285,086) 1.00 $2,192.97 $1,096,485 ($339,910) .95 $2,083.32 $1,041,661 ($394,735) ©2011 *Current CMS Standardized 60 Day Rate for Episodes as of Jan. 1, 2011 **MedPAC, Report to the Congress: Medicare Payment Policy, June 2010
  12. 12. Medicare Episode Drivers Medicare Case Mix All Cost/Nsg Profit Weight Visits Visit National 11.6% 1.2 16 $157 Average Top 29% 1.26 15 $138Performers ©2011
  13. 13. Home Health All Payers Drivers Nsg Non Profit Cost/ Visits/ Visiting Margin Nsg Visit Day Staff National $157 6.8/ 3.85% 4.2 Average 100 ADC Top $138 6.6/100 13.2% 5Performers ADC ©2011
  14. 14. How ShouldWe Approach Change? “Never change things by fighting the existing reality. Instead, build a NEW model that makes the existing model obsolete." Buckminster Fuller ©2011
  15. 15. New Options That Are Now Being Initiated1. Accountable Care Organizations (ACOs): Work together, lower costs and improve quality.2. Bundled Payments: One payment to cover the services for the patient across health sectors.3. Value Based Contracting: Rewards and penalties.4. Patient Centered Medical Home Program: Physician manages cases and share in savings.5. Care Transition Programs: Improve quality and improve patient experience during transitions of care. ©2011
  16. 16. What Are the Goals of All These Initiatives?1. Save money.2. Improve quality outcomes.3. Improve patient experience.4. Address patients with chronic disease.5. Reduce unplanned hospitalization. ©2011
  17. 17. What Should the Goals of Every Home Care Agency Be?1. Save money – Reduce cost/visit and cost/episode.2. Improve quality outcomes – Top 1/3 of Home Health Compare measures.3. Improve patient experience – Top 1/3 of HHCAHPS.4. Address patients with chronic disease – Create a teach back/chronic disease education program.5. Reduce unplanned hospitalization – Be in top 10% of lowest hospitalization rates in the country. ©2011
  18. 18. To Be a Success, Remember… If all you do… Is all you did. Then all you’ll get… Is all you got. ©2011
  19. 19. Questions and Answers ©2011
  20. 20. Fazzi Associates 413-584-5300www.fazzi.com ©2011

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