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

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

3. 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

30. 2015 MICAQHN Survey What did the data show?
How about strategic planning?
What quality initiatives are you participating in?
What are the top diagnoses?

31. 2015 MICAQHN Survey

32. 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

33. 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

34. 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

35. 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:

36. 2015 MICAQHN Survey Accreditation Data Joint Commission – 19
CMS/State Only – 11
DNV – 4
HFAP – 4
ISO - 2

37. 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….

38. 2015 MICAQHN Survey What do you want to see about your peers?
How do you use this information?

39. Joshua Salander, MBA, PMP
Thank you!
Joshua Salander, MBA, PMP
Consultant
(989)