3Q16 Core Measures and 1Q17 MBQIP Data May 19, 2017 Joshua Salander, MBA, PMP Consultant

Reports delivery 3Q16 reports were emailed on May 18, 2017 Quarterly Reports Quarterly Trend Charts

MICAHQN Reports Schedule Qtr CMS Data Deadline* Data Provided By* 1st Qtr August 15 August 31 2nd Qtr November 15 November 30 3rd Qtr February 15 February 28 4th Qtr May 15 May 31

2015 MICAQHN Survey What did the data show? How about strategic planning? What quality initiatives are you participating in? What are the top diagnoses?

2015 MICAQHN Survey

2015 MICAQHN Survey 34 Hospitals Participated Discharge data Top diagnoses codes Medical specialties available Patient satisfaction surveys Accreditation Quality initiative participation PSO EHR HIE ACO

2015 MICAQHN Survey Inpatient Discharge Data Total Registrations Range 1 – 4585 Average – 810 25th Percentile – 294 50th Percentile – 504 75th Percentile – 842 Total Registrations Total – Over 2 million Range 9493 – 215,431 Average – 65,046 25th Percentile – 33,412 50th Percentile – 61,067 75th Percentile – 84,732 Over 300,000 Emergency Department Visits Over 16,000 ED Transfers

2015 MICAQHN Survey Top 6 Inpatient Diagnoses Top 6 ED Diagnoses Pneumonia COPD Sepsis Heart Failure Osteoarthritis UTI Top 6 ED Diagnoses Abdominal Pain Chest Pain UTI Respiratory Infection Bronchitis Headache

2015 MICAQHN Survey Ten Conditions with most all-cause, 30-day readmissions for Medicare patients (by total number of readmissions) Congestive Heart Failure Septicemia Pneumonia Pulmonary Cardiac UTI Renal Failure AMI Complication of Device Cerebrovascular Disease (Stroke) Source: https://www.hcup-us.ahrq.gov/reports/statbriefs/sb172-Conditions-Readmissions-Payer.pdf

2015 MICAQHN Survey Accreditation Data Joint Commission – 19 CMS/State Only – 11 DNV – 4 HFAP – 4 ISO - 2

2015 MICAQHN Survey Quality Initiatives MHA – 31 IHI – 7 ISMP – 6 GAE – 8 Leap Frog – 7 Michigan Health & Safety Coalition – 2 Keystone ICU – 1 Keystone HAI – 11 Joint Commission – 19 RM&PSI – 14 GWTG Stroke – 3 Priority Health – 9 BCBSM – 33 Any Readmission Initiative – 11 Keystone OB – 2 Keystone CAUTI – 20 Keystone Pain Management – 18 Keystone Sepsis – 9 MBQIP – 31 HEN 2.0 – 28 NHSN – 33 Meaningful Use Stage 2 – 30 HIE – 31 ACO – 15 And More….

2015 MICAQHN Survey What do you want to see about your peers? How do you use this information?

Joshua Salander, MBA, PMP Thank you! Joshua Salander, MBA, PMP Consultant jsalander@persevion.com (989) 666-7033