Using Clinical Performance Measures
Today's health systems are expected to define their value to the marketplace. The rise of consumerism and tightening reimbursement continues to create pressure for high-quality and low-cost care. Healthcare providers no longer strive to only have the best programs and the best outcomes, but they must also strive to do this in a low-cost environment. Quality indicators are now used in reimbursement as either rewards or penalties. Understanding and monitoring these measures is growing in importance, and the ability to manage clinical performance is having a real impact on payments from both governmental and private payers.
A healthcare organization’s ability to sustain high-value care delivery and ensure its long-term financial viability is increasingly dependent on how effectively it can apply data analytics to inform improvement efforts related to quality, cost, and patient experience. To do this, health systems must properly identify and measure quality and safety, and then quantify the adverse impacts. These are then able to be quantified as cost saving opportunities, and initiatives can be built out to support them.
Due to the many disparate data sources and rapid advancement in the area of health analytics, many health systems may find it challenging to know where to begin. Syntellis’ Clinical Performance Measures (CPM) solution helps your organization by obtaining and managing select clinic quality, patient safety, and utilization information in one tool. CPM provides benchmark information that your organization can use as a yardstick to evaluate your current performance to help establish goals and thresholds. CPM dashboards help you process the information and disseminate actionable information to stakeholders.
Axiom Enterprise Decision Support with CPM helps organizations establish a comprehensive view of service line performance across financial and clinical performance measures. Reports and analytics facilitate the conversation between finance and clinical process improvement teams, highlighting opportunities where quality and cost outcomes could be improved. CPM combines both internal and external comparative analytics across four categories – quality, safety, utilization, and readmission.
Key capabilities and features of CPM include:
- Streamlining the patient extract process. Data is sent one time into Axiom to use in cost accounting, decision support, and clinical performance measurement reporting.
- Sixty clinical performance measures, categorized into four areas: Quality, Safety, Utilization, and Readmissions.
- Ability to select up to five peer group comparisons as part of external benchmarks we provide.
- A library of standard reports and dashboards.
