Spatial Analysis for Medicare Spending. Does Higher Spending Translate to Better Health or Better Quality Health Care? Compare Health Care Spending to.

Slides:



Advertisements
Similar presentations
1 Why Not The Best: The Commonwealth Fund Benchmarking Website to Track and Facilitate Performance Improvement Anne-Marie J. Audet, M.D., Sc.M., S.M. Academy.
Advertisements

Barbara Rudolph, PhD, MSSW NAHDO Consultant. To enhance the value of statewide APCDs by cataloging measures and reporting practices To develop and disseminate.
Preventable Hospitalizations: Assessing Access and the Performance of Local Safety Net Presented by Yu Fang (Frances) Lee Feb. 9 th, 2007.
Systems Approach Workbook A Systems Approach to Substance Use Services and Supports in Canada Communication Tools: Sample PowerPoint presentation The original.
1 Using Root Cause Analysis to Reduce Hospital Readmissions Jennifer Wieckowski, MSG Health Services Advisory Group of California, Inc. (HSAG-California)
Risk Management / CQI Nutr 564: Management Summer 2002.
PEBB Disease Burden Report PEBB Board of Directors August 21, 2007 Bdattach.10.
AHCCCS Data Sets Improve Population Heath Management Rene Q. Lizarraga, B.S. Thomas M. Ball, M.D., M.P.H. The University of Arizona Health Plans.
Leading Age Maryland Annual Conference 2015 Maryland Healthcare and Aging Services Intersections Workshop Session F Wednesday, April 22, :45 – 3:45.
Healthcare Operations Management © 2008 Health Administration Press. All rights reserved. 1.
Medicare Quality Improvement and Provider Technical Assistance: An Overview of the Next Five Years December 8, 2014 Mary Fermazin, MD, MPA, Chief Medical.
Peterson-Kaiser Health System Tracker How do U.S. health care resources compare to other countries?
Hospitalizations for Severe Sepsis Among Elderly Medicare Beneficiaries William Buczko, Ph.D. Research Analyst Centers for Medicare & Medicaid Services.
Surveillance of Heart Diseases and Stroke Using Centers for Medicare and Medicaid (CMS) Data: A Researcher’s Perspective Judith H. Lichtman, PhD MPH Associate.
The Big Puzzle Evolving the Continuum of Care. Agenda Goal Pre Acute Care Intra Hospital Care Post Hospital Care Grading the Value of Post Acute Providers.
1 Canadian Institute for Health Information. Hospital Care for Heart Attacks Among First Nations, Inuit and Métis Released January 31,
Preventable Hospitalization Costs: A County-Level Mapping Tool State Healthcare Quality Improvement Workshop: Tools You Can Use to Make a Difference January.
PREVENTING READMISSIONS OF CONGESTIVE HEART FAILURE PATIENTS Daidreanna Whiteman Senior Project Columbus State University Summer 2014.
Medicare Patients Rights and Better Care Transitions Michael Burgess New York StateWide Senior Action Council, September 13, 2012.
Research and analysis by Avalere Health Are Medicare Patients Getting Sicker? December 2012.
Preventable Hospitalization Costs: A County-Level Mapping Tool June 16, 2008 Marybeth Farquhar Agency for Healthcare Research and Quality Melanie Chansky.
3 Key “Do’s” of Public Reporting R. Adams Dudley, MD, MBA Professor of Medicine and Health Policy Support: Agency for Healthcare Research and Quality,
The Business Case for Bidirectional Integrated Care: Mental Health and Substance Use Services in Primary Care Settings and Primary Care Services in Specialty.
An Overview of NCQA’s Relative Resource Use Measures.
Getting Better Value in Health Care Public Employers Health Purchasing Committee 5-23 DRAFT.
Informing Public Policy to Address Health Care Disparities Boisey Barnes, MD, F.A.C.C. Founding Member and Trustee Association of Black Cardiologists.
Preventable Hospitalization Costs and Mapping Tool John Bott Center for Delivery, Organization, and Markets July 21, 2010.
Reaching Out to Reduce Readmissions William C Crowe, Jr, DNP, APN, ACNP-BC, FNP-BC; Paul M Smith, RN; Jodi Whitted, MSSW, LCSW Erlanger Health System,
1 AHRQ Annual Conference Progress of a Learning Network: Working to Reduce Disparities by Improving Access to Care Bethesda, Maryland September 14, 2009.
Peterson-Kaiser Health System Tracker How do U.S. health care resources compare to other countries?
Virginia Chamber of Commerce Health Care Conference Steve Arner SVP / Chief Operating Officer June 6, 2013.
Georgia Medical Care Foundation The Care Transitions Community Initiative Working Together Across Care Settings.
DataBrief: Did you know… DataBrief Series ● October 2011 ● No. 24 Medicare’s Highest Spenders In 2006, Medicare spent almost 90 times more per capita on.
Survey Methodology Four Point Scale Very SatisfiedSatisfiedDissatisfiedVery Dissatisfied.
THE URBAN INSTITUTE Examining Long-Term Care Episodes and Care History for Medicare Beneficiaries: A Longitudinal Analysis of Elderly Individuals with.
1 Factors that Influence Hospitalization for Chronic Medical Conditions P.O. Box · 3040 Cornwallis Road · Research Triangle Park, NC Phone:
Improving Value in Health Care: Challenges and Potential Strategies Arnold M Epstein October 24, 2008 Congressional Health Care Reform Education Project.
MAKING CARING CONNECTIONS: CONTINUITY OF CARE TRANSFER PROJECT Management Presentation Hospital Presenter’s Name Date.
Transforming Maryland’s Health Care & Engaging Communities Charles County Forum on Maryland’s All Payer System Transformation Carmela Coyle President &
From Knowledge to Practice Translation A Multidisciplinary Intervention to Reduce 30 day Heart Failure Readmissions.
The Tahoe/Carson Valley Transitions in Care Collaborative “A Solution for Improved Care Management in Rural Environments”
Adrian Pană Bogdan Ileanu Cristina Vladu Ioan Suru.
All Hands On Deck. Impacting Patient Readmissions Sherry Sweek, RHIA, CPHQ, CPMSM, Director, Quality Improvement Southeast Georgia Health System
1 © Greenway Health, LLC. All rights reserved. Confidential and proprietary. Not for distribution except to authorized persons. Population Health: A Fundamental.
The Science of Compassionate Care Donald J. Parker President and CEO.
Vantage Care Positioning System®: Make Your Case with Medicare Spending Data November 2014 avalere.com.
The Effect of Hospitals’ Post-Acute Care Ownership on Medicare Post-Acute Care Use 1. Department of Family and Community Medicine, University of Missouri-Columbia.
1 The Perspective of the Industry on the Role of Disease Management and Chronic Care in Medicare, Medicaid, and Health Reform Gordon K. Norman, MD, MBA.
Peterson-Kaiser Health System Tracker How has diabetes care in the U.S. changed over time?
Outpatient Center. West Baltimore Chronic Disease Profile and Acute Care Utilization.
PREVENTION OF READMISSIONS By Michael Burns Widener University.
OECD REVIEW OF QUALITY OF HEALTH CARE RAISING STANDARDS: DENMARK Ian Forde Health Policy Analyst OECD Health Division 28 May 2013.
Ventilator-associated Pneumonia Among Elderly Medicare Beneficiaries in Long-term Care Hospitals William Buczko, Ph.D. Research Analyst Centers for Medicare.
NHQR Efficiency Measurement: Potentially Avoidable Hospitalization Trends & Costs Roxanne M. Andrews, Ph.D. Agency for Healthcare Research and Quality.
Cardiovascular Risk: A global perspective
Current CMS Quality Reporting Programs Physician Quality Reporting System (PQRS) Electronic Health Records (EHR) Incentive Program (Meaningful Use) Value-Based.
Anil Hanuman, DO SMO, CareMore
ACT Northwest Benton, Washington, Madison Counties
Transitions of Care Progress Report
Cindy Hatton President & CEO Susan Levitt V.P. Clinical Services/COO
IBH, Cost (Risk Adjusted)
MARYLAND HEALTH SERVICES COST REVIEW COMMISSION
Felipa de Mello Sampayo ISCTE-IUL BRU-IUL
Chronic Disease Challenges & Opportunities for Improvement
Borrowing Strength across Outcomes to Strengthen Impact Estimates:
MARYLAND HEALTH SERVICES COST REVIEW COMMISSION
Epidemiological Terms
Illustrative Performance Improvement Targets
Presentation transcript:

Spatial Analysis for Medicare Spending

Does Higher Spending Translate to Better Health or Better Quality Health Care? Compare Health Care Spending to HCC Scores and Hospital Readmission Rates Examine Spatial Patterns

Hot Spot Map of Per Capita Medicare Spending

Higher HCC scores indicate a sicker population: higher incidence of diabetes, heart disease, hypertension, and other chronic health conditions Hot Spot Map of HCC Scores Hierarchical Condition Categories (HCC)

Hot Spot Map of Hospital Readmissions Consistently high readmission rates indicate that the medical needs of patients are not being adequately addressed

Spending HCC Scores Readmissions

Where should we focus efforts to reduce health care costs? Analyze Preventable Hospital Admissions Prevent Unnecessary Hospital Admissions

Map of Preventable Hospital Admissions Red – diabetes and lower extremity amputation Orange – bacterial pneumonia and dehydration Yellow – hypertension Green – bright spots: low rates for all above factors

Are the Factors Promoting Higher Spending the Same Everywhere? Understanding the Factors that Promote Higher Spending Provides Tools for Reducing Costs Explore Factors Contributing to Higher Spending

Geography matters Factors vary over regions Global policies may not be effective Map of Spatial Data Relationships Exploring Data Factors for higher spending Region 3: - Dehydration - Imaging - Hospital readmissions Region 7: - Days in nursing facilities - Congestive heart failure - Number of hospital beds

Where does each Factor have the Biggest Impact on Health Care Spending? Understanding Where each Factor is Most Important to Health Care Costs is Key Remediate Using Targeted Strategies

Focus on Region 3 Dehydration and Imaging are factors that affect high Medicare spending in the South. Analyze these factors individually

ImagingDehydration Darker areas are: not necessarily where imaging costs are highest where imaging costs are an important contributor to higher health care costs where greatest impact on decreased spending might be, if remediation efforts were focused there Where is each factor most important?

Dehydration Contributes to Higher Health Care Costs Darker – where dehydration problems are an important contributor to higher health care costs

Imaging Costs Contribute to Higher Spending Darker areas are: not necessarily where imaging costs are highest where imaging costs are an important contributor to higher health care costs where greatest impact on decreased spending might be, if remediation efforts were focused there

Which Programs or Policies Will Have the Biggest Impact? Knowing Which Programs or Policies Will Make the Biggest Difference Gives You An Advantage Compare “What-If” Analyses Evaluate the Impact of Investments

After Before Messaging programs – importance of staying hydrated Target families, nursing care facilities and medical staff What if Dehydration was Reduced by 75%?

Darker – associated with highest per capita Medicare costs Dehydration: Before Remediation The Impact of Reducing Dehydration Issues

Dehydration: After Remediation The Impact of Reducing Dehydration Issues by 75%