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MO-14-19-PR April 2014
Primaris Quality Measures Solutions
www.healthcarecoremeasures.com
Here’s Who We Are
Quality improvement is our passion – today
and for more than 30 years
Founded in 1983 as the Missouri Patient Care
Review Foundation
Name changed to Primaris in 2004 to reflect
increased scope of health care consulting
services
Corporate office located in Columbia,
Missouri
2012 & 2013 Best Place to Work in
Healthcare via Modern Healthcare
Mission and Vision
Mission
Our mission is to drive the best quality results in
healthcare. We work to improve clinical outcomes
and the patient experience. We work directly with
physicians, providers, patients and payers to improve
the quality of healthcare for all.
Vision
The recognized leader in healthcare quality business
solutions.
The Primaris Solution
Flexible solutions
Subject matter expertise
Quality improvement process
Return on investment
Flexible Solutions
Outsourced quality measures abstraction for
CMS/TJC core measures and hospital data registries
– Short-term, long-term and interim
Retrospective quality measures validation audits
Quality measures education and training services
Performance and clinical documentation
improvement consulting and training services
Perfect blend of chart abstraction and value-added
services
Subject Matter Expertise
Involved in 1999 TJC quality measures pilot project
Keep up with constant changes to reporting
requirements and keep our clients up-to-date on new,
existing and modified measures
Highly driven and process focused teams are led by
project leads with 7+ years quality reporting
experience.
Staffing and Competencies
Résumés provided on all staff in proposals
Ongoing staff education program led by Director of
Analytical Services
Rigorous hiring process which includes
demonstration of knowledge and up-to-date
competencies.
Quarterly IRR
Quality Improvement Process
Primaris configures reporting and feedback to include
charting process improvement and best practices
URAC accredited in Health Utilization Management
– URAC accreditation process verifies that organizations have
addressed quality in their structure and operations.
Quality Improvement in Action
Here are some changes that hospitals have realized
thanks to working with Primaris:
– Documentation optimization. Example: Adoption of
standardized VTE prophylaxis order form listing approved
reasons for not ordering.
– Process redesign. Example: An immunization order follows
patient from unit to unit until it is fulfilled prior to discharge.
– Improved performance on metrics used in public reporting
and value based purchasing. Example: Hospital reports no
outliers over a 12-month period in removing urinary catheter
after surgery or documenting an acceptable reason for
continuing the catheterizations.
IRR Process
Primaris abstractors maintain minimum 95% IRR
– Recent averages have been 98.3%
Cases selected using stratified random methodology
If an abstractors IRR falls below 95%, the score is reported
to the Director and Program Manager
– A written performance improvement plan is established, clearly
identifying improvement requirements and expectations
– Unresolved disagreements are forwarded to Program Manager or
Director of Analytics for review and final resolution
Return on Investment
Reporting burden continues to increase
Free up nurses and QI staff to focus on quality
improvement and patient care
Accurate and timely quality measures abstraction
results in:
– Improving your quality of care
– Maintaining your excellent reputation
– Securing the reimbursement your organization earns
100% Client Retention
Customer loyalty is the best indicator
Primaris has never lost a client to in-sourcing or
to a competitor
Working collaboratively with clients, Primaris
builds and maintains the exact blend of chart
abstraction and value-added services to meets
customer needs
What Our Clients Say
Primaris’ partnership with us is characterized by their collaborative
approach, constant communication and attention to detail…Having
Primaris on-board is almost like having our own abstraction
department. ~Northern Hospital of Surry County
Primaris is the complete core measures solution. ~Deaconess Health System
Primaris works with our quality department using a collaborative
and collegial approach…we are always confident our core
measures data abstraction will be correct and on time.” ~Loma Linda
Medical Center
We are so pleased with the work your team provides. It really has
given us the opportunity in-house to work on the improvement
efforts.” ~Ukiah Valley Medical Center
Our Promise
We will abstract your records with the scrutiny
needed to ensure accurate risk adjustment for
your patients
As we find gaps in documentation, we will
recommend tools to help your practitioners
better represent the patient population of Client

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Primaris Quality Measures Solutions

  • 1. MO-14-19-PR April 2014 Primaris Quality Measures Solutions www.healthcarecoremeasures.com
  • 2. Here’s Who We Are Quality improvement is our passion – today and for more than 30 years Founded in 1983 as the Missouri Patient Care Review Foundation Name changed to Primaris in 2004 to reflect increased scope of health care consulting services Corporate office located in Columbia, Missouri 2012 & 2013 Best Place to Work in Healthcare via Modern Healthcare
  • 3. Mission and Vision Mission Our mission is to drive the best quality results in healthcare. We work to improve clinical outcomes and the patient experience. We work directly with physicians, providers, patients and payers to improve the quality of healthcare for all. Vision The recognized leader in healthcare quality business solutions.
  • 4. The Primaris Solution Flexible solutions Subject matter expertise Quality improvement process Return on investment
  • 5. Flexible Solutions Outsourced quality measures abstraction for CMS/TJC core measures and hospital data registries – Short-term, long-term and interim Retrospective quality measures validation audits Quality measures education and training services Performance and clinical documentation improvement consulting and training services Perfect blend of chart abstraction and value-added services
  • 6. Subject Matter Expertise Involved in 1999 TJC quality measures pilot project Keep up with constant changes to reporting requirements and keep our clients up-to-date on new, existing and modified measures Highly driven and process focused teams are led by project leads with 7+ years quality reporting experience.
  • 7. Staffing and Competencies Résumés provided on all staff in proposals Ongoing staff education program led by Director of Analytical Services Rigorous hiring process which includes demonstration of knowledge and up-to-date competencies. Quarterly IRR
  • 8. Quality Improvement Process Primaris configures reporting and feedback to include charting process improvement and best practices URAC accredited in Health Utilization Management – URAC accreditation process verifies that organizations have addressed quality in their structure and operations.
  • 9. Quality Improvement in Action Here are some changes that hospitals have realized thanks to working with Primaris: – Documentation optimization. Example: Adoption of standardized VTE prophylaxis order form listing approved reasons for not ordering. – Process redesign. Example: An immunization order follows patient from unit to unit until it is fulfilled prior to discharge. – Improved performance on metrics used in public reporting and value based purchasing. Example: Hospital reports no outliers over a 12-month period in removing urinary catheter after surgery or documenting an acceptable reason for continuing the catheterizations.
  • 10. IRR Process Primaris abstractors maintain minimum 95% IRR – Recent averages have been 98.3% Cases selected using stratified random methodology If an abstractors IRR falls below 95%, the score is reported to the Director and Program Manager – A written performance improvement plan is established, clearly identifying improvement requirements and expectations – Unresolved disagreements are forwarded to Program Manager or Director of Analytics for review and final resolution
  • 11. Return on Investment Reporting burden continues to increase Free up nurses and QI staff to focus on quality improvement and patient care Accurate and timely quality measures abstraction results in: – Improving your quality of care – Maintaining your excellent reputation – Securing the reimbursement your organization earns
  • 12. 100% Client Retention Customer loyalty is the best indicator Primaris has never lost a client to in-sourcing or to a competitor Working collaboratively with clients, Primaris builds and maintains the exact blend of chart abstraction and value-added services to meets customer needs
  • 13. What Our Clients Say Primaris’ partnership with us is characterized by their collaborative approach, constant communication and attention to detail…Having Primaris on-board is almost like having our own abstraction department. ~Northern Hospital of Surry County Primaris is the complete core measures solution. ~Deaconess Health System Primaris works with our quality department using a collaborative and collegial approach…we are always confident our core measures data abstraction will be correct and on time.” ~Loma Linda Medical Center We are so pleased with the work your team provides. It really has given us the opportunity in-house to work on the improvement efforts.” ~Ukiah Valley Medical Center
  • 14. Our Promise We will abstract your records with the scrutiny needed to ensure accurate risk adjustment for your patients As we find gaps in documentation, we will recommend tools to help your practitioners better represent the patient population of Client