HealthPartners Communication Toolkit
HealthPartners is pleased to provide you with this communication toolkit
to assist in your efforts to disseminate clinical indicator results to your
providers. The toolkit consists of PowerPoint slide templates that you
can customize with your results.
Included in the toolkit:
– Clinical indicators overview
– Sample comparison graphs for Optimal Diabetes Care, Optimal
Coronary Disease Care, Optimal Depression Care and Preventive
Services
– Partners in Excellence measures and targets for 2007, 2008 and 2009
To use this as a PowerPoint document, click File, Save As and save it
to your system.
A technical supplement to the Clinical Indicators Report is available and
includes measurement detail, optimal component rates, trended plan
rates over time and external benchmarks. The report and supplements
are available at www.healthpartners.com/quality.
10.30.08 2008 HealthPartners Clinical
Indicators Communication Toolkit
HealthPartners Clinical Indicators
16th Edition
Over fifteen years of
collaboration,
measurement innovation
and performance
improvement
10.30.08 2008 HealthPartners Clinical
Indicators Results
Clinical Indicators
2007 / 2008 Results
• The primary purpose is to provide valid and reliable information for providers
to use in their efforts to improve patient care and outcomes
• Rates are displayed for HealthPartners provider groups based on patient
volume, Partners in Excellence program participation, geographic location
and strategic relationship with HealthPartners
• Each graph displays provider performance, 95% confidence intervals,
average medical group performance and performance goal
• Results reflect claims data, chart audit results, patient survey and provider
self-reported data
• Clinical Indicators data is reported at the medical group level and supports
HealthPartners’ Partners in Excellence program. This important initiative
provides financial recognition to medical groups for superior performance.
• HealthPartners uses this information to support internal quality improvement
initiatives which may include provider incentive and tiering programs
10.30.08 2008 HealthPartners Clinical
Indicators Results
Clinical Indicators
2007 / 2008 Results
• Measure Title
• Description
• Methodology
– Products included
– Denominator/numerator definitions
– Attribution
– Sample size if applicable
• Results
10.30.08 2008 HealthPartners Clinical
Indicators Results
Clinical Indicators
2007 / 2008 Results
Comparative provider performance on 54 measures
reported by primary care, specialty and hospital related to:
Behavioral Health Medication Management
Diabetes Care Prevention
Optimal Lifestyles Musculoskeletal
Heart Health Tobacco Use & Cessation
Health Information Technology
Hospital Performance
Immunizations
10.30.08 2008 HealthPartners Clinical
Indicators Results
What’s New?
• ADHD follow-up visit after new Rx (Primary Care)
• Alcohol assessment (Primary Care & OB/GYN)
• Follow-up after mental health admission
(Hospital)
• Heart failure readmissions (Cardiology)
• Abdominal hysterectomy rates (OB/GYN)
10.30.08 2008 HealthPartners Clinical
Indicators Results
What’s New?
• Orthopaedic post-operative complications
• Annual monitoring for patients on persistent
medications (Primary Care & Cardiology)
• Antibiotic treatment in bronchitis (Primary Care)
10.30.08 2008 HealthPartners Clinical
Indicators Results
Optimal Diabetes Care
Managing All Risk Factors
100%
• Blood pressure
75%
under 130/80
• Daily aspirin use
50%
• LDL < 100
• HbA1c < 7.0
25%
• Non-smoker
0%
Blood Aspirin LDL HbA1c Tobacco Your Group Average
pressure Free Optimal Optimal
Rate Care
10.30.08 2008 HealthPartners Clinical
Indicators Results
Optimal Coronary Artery Disease Care
Managing All Risk Factors
100%
• Blood pressure
75%
under 130/80
• Daily aspirin use
50% • LDL < 100
• Non-smoker
25%
0%
Blood Aspirin LDL Tobacco Free Your Group Average
pressure Optimal Rate Optimal Care
10.30.08 2008 HealthPartners Clinical
Indicators Results
Preventive Services
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Adult Me mbe rs BMI C hild & Adol BMI
UTD Asse ssme nt Me mbe rs UTD Asse ssme nt
Adult C hild & Adol
Your Rate 2007 Avg Rate
10.30.08 2008 HealthPartners Clinical
Indicators Results
Optimal Depression Care
100%
• Documented five or
more symptoms of
75% major depression
• Documented symptom
follow-up within three
50%
months
• Antidepressant
25% medication for 180
days
0%
Symptoms Follow Up Medication Your Group Average Optimal
Optimal Care Care
10.30.08 2008 HealthPartners Clinical
Indicators Results
How we compare to others
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
O ur rate Me dical Group Me dical Group Ave rage
1 2 Me dical Group
10.30.08 2008 HealthPartners Clinical
Indicators Results
Partners in Excellence Program
• Forms the basis for HealthPartners financial and public
recognition for medical/specialty groups achieving either
excellent or superior performance in clinical quality, patient
experience and affordability measures.
• Rewards are based on medical group performance as
measured by the clinical indicators measurement set,
Consumer Choice satisfaction survey and other defined
measurement tools.
10.30.08 2008 HealthPartners Clinical
Indicators Communication Toolkit
2007 Partners in Excellence Program –Primary Care
Measures Excellent Target Superior Target Medical Group
Rate
Optimal Diabetes Care 25% 30%
Optimal Coronary Artery Disease Care 55% 60%
Optimal Depression Care 40% 45%
Evidence-based Cervical Cancer Screening 45% 55%
Generic Drug Use – Adult 68% 73%
Generic Drug Use – Pediatrics 68% 73%
Part 1: BMI Assessment – Adult 80% 90%
Part 2: Preventive Services – Adult 90% 95%
Breast Cancer Screening (small groups only) 80% 85%
Cervical Cancer Screening (small groups only) 85% - single target
Part 1: BMI Assessment – Pediatric 80% 90%
Part 2: Preventive Services – Pediatric 90% 95%
Pediatric Immunization Combo 3 - Pediatric 70% 80%
Patient Satisfaction – How well doctors listen – Adult 75% 80%
Patient Satisfaction - Convenient Appt Time -Peds 75% 80%
10.30.08 2008 HealthPartners Clinical
Indicators Results
2007 Partners in Excellence Program –Specialty Care
Specialty Measures Excellent Target Superior Target Medical Group
Rate
Cardiology Congestive Heart Failure Program 2 service 4 service
agreements agreements
Comprehensive Inpatient Cardiology Score of 3 or 4 on Score of 3 or 4
AMI or HF on both
composite; score measures
of 2 on other
OB/GYN Evidence-Based Cervical Cancer Screening 45% 55%
Generic Drug Use 65% 70%
Behavioral Optimal Depression Care 40% 45%
Health Generic Drug Use 60% 65%
Physical Oswestry Compliance Initial 40% Combined
Therapy Longitudinal 30% 40%Initial
30% Longitudinal
10.30.08 2008 HealthPartners Clinical
Indicators Results
2008 Partners in Excellence Program –Primary Care
Measures Excellent Target Superior Target
MNCM Optimal Diabetes Care DDS 25% 30%
MNCM Optimal Coronary Artery Disease Care DDS 60% 65%
Optimal Depression Care 45% 50%
Evidence-based Cervical Cancer Screening 45% 55%
Preventive Services – Adult 75% 80%
Generic Drug Use – Adult 72% 76%
Generic Drug Use – Pediatrics
Breast Cancer Screening (small groups only) 80% 85%
Part 1: BMI Assessment – Pediatric 80% 90%
Part 2: Preventive Services – Pediatric 90% 95%
Pediatric Immunization Combo 3 - Pediatric 90% 95%
Patient Satisfaction – Convenient Appt Time – Adult 63% 68%
Patient Satisfaction - Convenient Appt Time -Peds 75% 80%
HealthPartners Innovations in Health Care Award
10.30.08 2008 HealthPartners Clinical
Indicators Results
2008 Partners in Excellence –Specialty Care
Specialty Measures Excellent Target Superior Target
Cardiology Congestive Heart Failure Readmission 30 day ≤ 5% 30 day target plus
90 day ≤ 15%
Generic Drug Use 72% 76%
OB/GYN Generic Drug Use 75% 80%
Evidence-Based Cervical Cancer Screening 45% 55%
Preventive Services Due to change in
measure
components, targets
will be reset
Behavioral Health Generic Drug Use 67% 72%
Optimal Depression Care 55% 60%
ENT Generic Drug Use 70% 75%
Physical Therapy Oswestry Compliance Initial 50% Combined
Longitudinal 30% 50%Initial
30% Longitudinal
10.30.08 2008 HealthPartners Clinical
Indicators Results
2009 Partners in Excellence –Primary Care
Details available December, 2008
• MNCM Optimal Diabetes Care DDS
• MNCM Optimal Vascular Disease Care DDS
• Optimal Depression Care
• Evidence-based Cervical Cancer Screening
• Alcohol Assessment
• Preventive Services – Adult
• Generic Drug Use
• Optimal Care for Acute Low back Pain
• Patient Satisfaction
• HP Innovations in Health Care Award
• Part 1: BMI Assessment – Pediatric
Part 2: Preventive Services – Pediatric
• Pediatric Immunization Combo 3 – Pediatric
• HealthPartners Innovations in Health Care Award
10.30.08 2008 HealthPartners Clinical
Indicators Results
2009 Partners in Excellence –Specialty Care
Details available December, 2008
Cardiology Heart Failure Re-admissions
Generic Drug Use
Patient Shared Decision Making
Patient Satisfaction
OB/GYN Generic Drug Use
DVT/PE Infection Measure
Alcohol Assessment
Patient Satisfaction
Orthopaedics DVT/PE Infection Measure
Patient Satisfaction
Behavioral Health Generic Drug Use
Optimal Depression Care
ENT Generic Drug Use
Physical Therapy Oswestry Compliance
10.30.08 2008 HealthPartners Clinical
Indicators Results