Quality Benchmarks Collaborative

Benefits
Uses comparative analysis to establish meaningful, achievable benchmark targets Accelerates EHR adoption by promoting accountability and driving behavior change Updates benchmarks monthly for timely comparisons Includes consultations with business advisors to facilitate result interpretation, rootcause analysis and adoption of outcomes measures related to meaningful use Provides a virtual network community to facilitate sharing of best practices Provides ability to link process measures to patient demographic and diagnosis data for outcomes analysis To receive Medicare and Medicaid reimbursements under the Health Information Technology for Economic and Clinical Health (HITECH) Act, hospitals must report on 15 hospital quality measures using certified electronic health record (EHR) technology to collect and calculate data. McKessons certified EHR systems include a component, McKesson Quality eMeasures, that calculates and submits the required measures to the Centers for Medicare & Medicaid Services (CMS) and the states. However, solely reporting on those measures will not enact the cultural change necessary for health reform. Organizations need actionable information observed results and benchmarks to establish and achieve meaningful targets. By subscribing to McKessons Quality Benchmarks Collaborative service, healthcare organizations have
eMeasure Name / Short Description eSTK2 Discharged w/Antithrombotic Med eSTK3 Discharged w/Anticoag Med for Afib eSTK4 Thrombolytic Therapy eSTK5 Antithrombotic Med by Hosp Day 2 eSTK6 Discharged on Statin Med eSTK8 Stroke Education eSTK10 Assessed for Rehabilitation eVTE1 Prophylaxis All Inpatients eVTE2 Prophylaxis ICU Patients eVTE3 VTE Anticoag Overlap Therapy eVTE4 VTE UFH Monitored by Protocol eVTE5 VTE Discharge Instructions eVTE6 Hospital Acquired VTE eED1 Arrival to Departure-Overall eED1.1 Arrival to Departure-Obs eED1.2 Arrival to Departure-MH dx eED1.3 Arrival to Departure-Non Obs/MH eED2 Admit to Departure-Overall eED2.1 Admit to Departure-Obs eED2.2 Admit to Departure-MH dx eED2.3 Admit to Departure-Non Obs/MH Quarter 1 Rate 91.5% 87.7% 85.7% 70.2% 97.5% 63.1% 59.4% 90.7% 98.8% 100.0% 78.4% 97.4% 40.0% 303 502 287 320 179 120 133 189

a unique opportunity not only to report measures, but also to compare results, share best practices and accelerate EHR adoption.

The Benchmarking Advantage

McKessons Quality Benchmarks Collaborative contains measures compiled as a by-product of the clinical quality measure reporting required by CMS under HITECH. Using McKesson Quality eMeasures as a foundation, the service enables subscribers to compare their results to other providers to understand their comparative performance. While traditional quality benchmark services use manually collected data, Quality Benchmarks Collaborative electronically captures clinical data at the point of care for quality metrics comparison. Comparative analyses translate into benchmark targets, setting a new standard of excellence for quality measurement.
Quarter 2 Rate 95.2% 95.0% 69.2% 81.3% 93.3% 70.3% 73.5% 92.2% 98.8% 98.0% 89.5% 93.3% 11.1% 278 457 261 291 163 109 121 172 Quarter 3 Rate 97.3% 85.7% 80.0% 90.8% 90.5% 75.5% 69.1% 93.2% 98.8% 89.7% 80.4% 87.5% 0.0% 247 407 232 259 145 97 108 153 Quarter 4 Rate 94.9% 93.0% 50.0% 73.8% 92.9% 55.4% 58.2% 94.0% 98.9% 90.9% 90.9% 86.0% 33.3% 186 305 174 194 109 73 81 115 Rolling 12 MO Rate 94.7% 89.8% 71.1% 79.7% 93.5% 66.9% 65.1% 94.7% 98.9% 95.3% 85.6% 90.3% 22.2% 253 418 239 266 149 100 111 157 Mean Benchmark Rate 92.0% 88.0% 87.5% 79.8% 92.5% 73.8% 71.1% 92.0% 98.6% 95.8% 79.1% 92.1% 10.3% 248 400 201 240 90 100 111 158 50th Percentile Benchmark Rate 90.8% 87.8% 87.5% 78.8% 92.4% 72.6% 69.7% 91.7% 98.6% 95.6% 78.3% 92.2% 9.0% 270 430 273 296 75 80 90 140 75th Percentile Benchmark Rate 94.9% 88.4% 87.5% 82.1% 92.7% 76.6% 74.6% 92.6% 98.8% 96.3% 81.2% 91.9% 1.2% 200 330 180 222 62 78 83 132

Quality Benchmarks Collaborative captures clinical data at the point of care for quality metrics comparison.

McKesson augments this technology with services provided by business advisors with unique training in benchmarking clinical processes and outcomes.

Customers may choose from benchmark cohorts based on bed size, region, organization type and scope. A web-based dashboard allows users to view immediate results, monitor performance trends and conduct in-depth, diagnostic analyses in minutes through comparisons to benchmarks of their choosing.

Seamless Delivery
McKesson Quality eMeasures is the only prerequisite to participate in the Quality Benchmarks Collaborative service. For current McKesson Quality eMeasures customers, access to the service begins with a simple subscription form. Your account manager will help you set up a benchmarking account, and business advisors will help you establish appropriate comparison populations. For McKesson Performance Analytics users, an outcomesbased scorecard is deployed using the benchmarks data. McKesson will provide consultative services to facilitate the use of the benchmarks and the outcomes analysis delivered in the McKesson Performance Analytics solution. For customers not using the McKesson Quality eMeasures solution, our services team will help you establish data access so that your measures can be submitted to the Collaborative. Contact your account executive for more information on Quality Benchmarks Collaborative and other services.

Accelerated Adoption
Achieving meaningful use is more than a technology initiative. Adopting EHR technology requires organizational and individual behavior change. The Quality Benchmarks Collaborative service uses statistical tools to measure and compare results across caregivers, populations and time segments providing an impetus to change. McKesson augments this technology with services provided by business advisors with unique training in benchmarking clinical processes and outcomes. These advisors help forge a powerful partnership among your stakeholders as you plan for other health reform initiatives. Services include: Selection of benchmarks Intensive education and interpretation of results Stakeholder-centric education on root-cause analysis Virtual network communities Adoption of outcomes measures related to meaningful use

The Outcomes Imperative

Stage 1 meaningful use measurement focuses on processes related to evidence-based practice. As meaningful use measurement evolves, the integration of data from the Quality Benchmarks Collaborative registry with the McKesson Performance Analtyics solution will also provide the measurement of outcomes. This advanced analytics solution

Features
Point-of-care quality metrics for quick, accurate comparison Statistical tools measure results across caregivers, populations and time segments Peer group selection based on bed size, region, organization type and scope Web-based dashboard for viewing results, monitoring performance trends and conducting diagnostic analyses Incorporation of the financial and operational dimensions of care establishes a baseline for health reform metrics Outcomes-based scorecard using benchmarks data

incorporates the financial and operational dimensions of care and establishes a baseline for health reform metrics. Linking process measures (such as the timely administration of thrombolitics in stroke patients) to other patient demographic and diagnosis data answers a critical question: Does EHR use make a difference in patient outcomes? The ability to measure length of stay, mortality, readmissions and other indicators of effective EHR use provides a comprehensive view of your clinical performance and insight into cause and effect the first step to shared accountability for optimum results.

For More Information

For more information on McKesson Performance Analytics, contact your account executive or visit www.mckesson.com/ enterpriseintelligence.

Preparing for the Future

Quality Benchmarks Collaborative is a component of the McKesson Enterprise Intelligence portfolio, which is designed to drive transparency and shared accountability across the healthcare enterprise. As health reform triggers additional changes to existing processes of payment and care delivery, McKessons advanced analytics and benchmarking solutions will lay the foundation needed to survive in a rapidly changing environment.

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Copyright 2011 McKesson Corporation and/or one of its subsidiaries. All rights reserved. McKesson Performance Analytics, McKesson Quality eMeasures and Quality Benchmarks Collaborative are trademarks of McKesson Corporation and/or one of its subsidiaries. All other product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. RMG606-06/11