It’s Not About The Box Improving Care at Group Health with People, Process and Technology

November 19, 2008

The Triple Aim – IHI’s biggest initiative

Filed under: Population management,Quality / Affordability — Tags: , , — Matt Handley @ 9:36 am

I  am at a meeting of the “Triple Aim” collaborative in Chicago right now – The Institute for Healthcare Improvement (IHI) is sponsoring this effort to help like minded organizations collaborate in their efforts to simultaneously solve for quality/health, the care experience and affordability.  I had dinner last night with participants from KP Colorado and KP MidAtlantic, Breakfast with participants from Great Britain.  All kinds of different perspectives on population health.

My goal at this meeting is to find some other organizations to help us accelerate the content of care work – benchmarking in consultative specialty areas and share best practices.  While hopeful, there are only a few groups with high performing specialty groups like ours.

One of the challenges all organizations face is helping us all get out of our silos in thinking about satisfaction, cost and quality.  Our Primary Care leadership has done a great job in doing this with the Medical Home work.  The team from Bolton, a Primary Care Trust in England has a great diagram to help keep it simple – you can see it here:  Bolton Triple Aim diagram

November 13, 2008

Puget Sound Health Alliance – Community Checkup 2008

Filed under: Measurement — Tags: , — Matt Handley @ 1:37 pm

The Puget Sound Health Alliance (PSHA) has posted the updated community checkup report (link).  While HEDIS reports the performance of health plans, PSHA reports the comparative effectiveness of care delivery systems – our first direct comparison of the Group Practice with our local competitors.  Last year we were the hands down winner – this year we are still out front, but if we listen carefully we can hear footsteps.

We are far in front of other clinics and systems in our ability to measure our performance – this report uses claims date only and a model of “attribution” – pairing a patient with a doc and clinic – that is an approximation of what we can do with our clinic data and assignment of PCP.  The data about our performance is directionally correct, but the numbers for our populations (e.g., number of diabetics, asthmatics, etc) is off a bit, as we might expect from claims data.

The plans to improve our HEDIS performance – taking full advantage of every touch or visit to close care gaps, making outreach more effective and eventually intervening at specialty visits as well as visits in primary care – will help us maintain or increase our advantage in providing excellent care to our patients.  We will have to improve considerably to do so as other clinics put in place systems to improve care.

You can see the relative performance of all of the clinics in the pdf through the link below.  You can access the community check up directly through this link –

PSHA Clinic Performance 2008

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