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Overview

Overview. Using UDS Feedback Report as a Management Tool. Susan Friedrich, JSI. Why is it important?. National performance Program improvement Ensuring the health of your patients. Focusing Your Efforts. Too much information and not enough time!

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Overview

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  1. Overview

  2. Using UDS Feedback Report as a Management Tool Susan Friedrich, JSI

  3. Why is it important? National performance Program improvement Ensuring the health of your patients

  4. Focusing Your Efforts • Too much information and not enough time! • A Snapshot Approach – focus on a few high impact measures for initial review to identify • Strengths • Possible areas of improvement

  5. Snapshot of Performance • Patient profile – who are you serving? • Quality of care – are standards of care high? • Efficiency – are we maximizing our resources? • Financial security - are we in a good financial position?

  6. Comparison Groups • Program • Current year, prior year and 2 year change • Reported for total patients and AI/AN population • Averages • Comparison group – Full Ambulatory, Limited Ambulatory or Information and Referral • National average (all UIHP programs) • BPHC Average (applicable to Full Ambulatory programs)

  7. Feedback Report • Performance measures • Access • Describes patients you serve • Quality of Care • Utilization and GPRA measures • Efficiency • Evaluates capacity • Financial Cost/Viability • Assesses costs and viability

  8. Patient Profile • % Growth in patients • AI/AN patients • % AI/AN of total patients • Total patients • % patients using medical services • Patient demographics • Patients with financial, cultural and linguistic barriers • % Uninsured, Medicaid, other public • % < 200% FPL Evidence that program is serving priority populations:

  9. Patient Profile Did you grow? Who are you serving?

  10. Quality of Care • Visits per patient (continuity) • Rates of service use • GPRA • Chronic Disease (diabetes control) • Routine and Preventive care (screenings, immunizations and assessments) • Behavioral health (tobacco, mental health and domestic violence) Evidence that program is delivering quality care: • GPRA Measures • Continuity of care • Prevalence rates

  11. Quality of Care Are you improving or getting worse? How do you compare? What is your performance?

  12. Efficiency • Growth in visits • Provider FTEs • Panel size (patients/provider FTE) • Visits per provider (productivity) • Medical Team Ratio >1 • Staff Ratios Evidence that program is operating a cost effective services delivery model:

  13. Efficiency Did your visits grow with patients? How do you compare? Are you at capacity? Are you at capacity?

  14. Financial/Cost Viability • Cost • Cost per patient and visit • % administrative costs • Charge to cost ratio • Surplus/deficit as % of total costs • Diversification of Funding • % income from IHS • % income from patient service • IHS funding per AI/AN patient • Financial Viability • Change in net assets as % of expense • Working capital to expense ratio • Debt to equity ratio Evidence that program is financially viable:

  15. Financial/Cost Viability Are your costs reasonable? Do fees cover costs?

  16. UDS Reference Guide • Provides formulas for all measures • Format “replicates” the report format • In the formula section, each measure is identified with: • A number • A name, corresponding to the name on the report • A formula for calculating the measure

  17. Calculations for Performance Measures % Pediatric: (T3A Lines 1-15, Col A+B) /(T3A L39 CA + T3A L39 CB) T= Table + = add - = subtract L= Line * = multiply C= Column / = divide

  18. Averages Average Defined: The value obtained by dividing the sum of a set of quantities by the number of quantities in the set. • Program Type (Full Ambulatory, Limited Ambulatory, Information and Referral • UIHP National Averages (from all urban programs) • BPHC National(from FQHCs)

  19. Identifying Strengths & Weaknesses • Compare your performance with peer groups • How do you compare with similar programs? • Look at your performance over time • Are things trending in the right direction? • Identify strengths and weaknesses • Develop and implement strategy for improvement

  20. Contact Information • Susan Friedrich or Priscilla Davis • John Snow, Inc. (JSI) • UDS Helpline: 1-866-698-5976 • email: helpuds@uihpdata.net • website: www.uihpdata.net

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