Using Electronic Data to Assess Physician Quality and Efficiency: Promise and Perils Peter V. Lee Consumer-Purchaser Disclosure Project Invitational Working Session September 29, 2006

2 © Consumer-Purchaser Disclosure Project, 2006 Agenda Welcome and Introductions Overview of Electronic Data –Definition, Issues, and Opportunities Use for Quality Assessment Use for Efficiency Assessment Performance Reporting and Medicare Policy

3 © Consumer-Purchaser Disclosure Project, 2006 Goals of Meeting Understand how electronic data is used to assess quality and efficiency; particularly for physicians and physician practices Understand the strengths and weaknesses of using electronic data, as well as how weaknesses can be minimized Gain insight into the implications of using electronic data for performance reporting for Medicare policy Discuss opportunities to advocate for its appropriate use in assessing performance

4 © Consumer-Purchaser Disclosure Project, 2006 Overview of Electronic Data Who produces electronic data? –Health plans, purchasers, public health agencies, providers, pharmacies What type of information is available in electronic data? –Demographic, diagnoses, procedures, revenue codes, lab results, prescriptions filled

5 © Consumer-Purchaser Disclosure Project, 2006 Issues to Consider Accuracy and validity of performance reporting Integrity of data Burden of collection Patient privacy

6 © Consumer-Purchaser Disclosure Project, 2006 Future Directions Adding data fields to assess performance Electronic health record Interoperability standards Platform for expanded rewards for performance

7 © Consumer-Purchaser Disclosure Project, 2006 The Disclosure Project: The Consumer-Purchaser Disclosure Project is a coalition more than 50 of the nation’s leading consumer, labor, and employer organizations that working to advance publicly reported, nationally standardized measures of clinical quality, efficiency, equity, and patient centeredness for health plans, hospitals, medical groups, physicians, other providers, and treatments. The Disclosure Project is supported by financial and in-kind support of participating organizations and by financial support from the Robert Wood Johnson Foundation. For more information: Visit our website: Contact: Katherine Browne Managing Director (202)