The Power of Public Reporting John Toussaint, MD President/CEO ThedaCare

Hospital Charge and Quality Comparison for Heart Attack Care

Key Stakeholders United Healthcare WPS WEA Trust Humana Wellpoint Wisconsin Collaborative for Healthcare Quality SE Business Group on Health Foundation Alliance Wisconsin Medical Society

Principals for Health Data Sharing and Aggregation Data quality: Data aggregation requires the need for relevance, reliability, comparability and consistency of data at all times, and as much completeness as feasible Independence: An aggregator must be independent of all other businesses and professional organizations in its decision-making, and trustworthy. Inclusiveness: Data from all relevant stakeholders, to the extent feasible, including private (employer and health plan) and public (Medicare and DoD entities, should be collected and aggregated Transparency: There will be full and open disclosure at all times regarding the intended uses of the health data that are aggregated and shared, the standards used in these processes, and in all other aspects of health data management engaged in. Entities contributing data should have input into the manner which data will be used.

Principals for Health Data Sharing and Aggregation Fairness and neutrality: The rules and standards by which data submitted, collected, aggregated, reported and shared must be fair and equitable to the parties who participate. The data collection and aggregation process itself should not confer an economic advantage or impose an economic disadvantage to any party. Data sources: Where applicable, data based on agreed upon standards should be collected from all relevant stakeholders, including health insurance plans, providers, employers, and public purchasers. Protection of data: Health data held by individuals, medical practices, corporations, private sector firms, health plans and departments of the government constitute assets that must be protected with regards to their privacy, security, and confidentiality, but also with regards to their privacy, security, and confidentiality, but also with regards to the business, social, and personal value which they represent to each of these parties

Principals for Health Data Sharing and Aggregation Use of Standards: In all cases possible, data sharing, collection, aggregation, and reporting efforts should be based on useful, affordable, and industry-accepted standards. Standardized implementation of these efforts across the country should be a major goal. Access: Contributors should have access to their own data, as well as information which allows them to compare their data against benchmarks.. Affordability: Systems designed to share, collect, aggregate, and report quality and efficiency performance data must be affordable, and not introduce unfunded mandates or requirements that impose significant new cost on constituents. To that end, and to the extent possible, the preferred method for data transmission, storage, and management would be electronic. Consistency with applicable laws: When undertaking activities related to data sharing and aggregation, stakeholders must comply with applicable laws (e.g., antitrust guidelines).

Physician Efficiency Quality Index