Why Not The Best: The Commonwealth Fund Benchmarking Website to Track and Facilitate Performance Improvement AHQA May 25, 2011 Anne-Marie J. Audet, M. D. , Sc. M. , S. M. 1
Why. Not. The. Best. org Why Is It Needed? WNTB addresses a health system reform strategy: public reporting of performance data to raise benchmarks and achieve high-quality, efficient care. WNTB was created to fill an important gap – Lack of easily accessible standardized public data on organization-level performance – Most performance reporting sites target consumers; WNTB aims to stimulate health care leaders’ quality improvement efforts – Numerous ranking and scoring sites report on a variety of measures • Methods are not necessarily validated or transparent • Sites not linked to resources for improvement 2
Why. Not. The. Best. org What Does it Include? Health Care Settings • Safety Net Hospitals • Teaching Hospitals • Academic Medical Centers • Hospital Systems • Physicians (planned) Measures Filters Benchmarks Safety • Quality-Overall Recommended Care • Quality-Heart Attack Care • Quality-Pneumonia Care • Quality-Heart Failure Care • Quality-Surgical Care Improvement • Patient Experience (Hospital • State • County • Hospital Referral Region • Health System • Bed size • Ownership Type (For Profit, Not. For Profit, Public, Government) • Safety Net Hospital • Teaching Hospital • Academic Hospital • Top 1% • Top 10% • Top 25% • National Average • State Average • Hospital types • HRRs • Health Systems • Central Line- CAHPS® Rating 9 or 10) • Readmission Rates • Mortality Rates • Reimbursements • Health Care-Associated Infections • AHRQ Inpatient Quality Indicators and Patient Safety Indicators Associated Blood Stream Infections • Patient Safety Indicators • Transfusion reactions • Deep Vein Thrombosis • Pulmonary Embolus • Failure to rescue 3
What is Unique about WNTB? • Profiles of 4, 500 hospitals and over 500 hospital systems Scope of Measures and Flexibility in Generating Performance Reports • Hospital-based quality: 30 Hospital Quality Alliance measures • 10 measures from the Hospital Consumer Assessment of Healthcare Survey (HCAHPS) • Central line-associated bloodstream infections data from 937 hospitals • Nine states have partnered with WNTB to publicly report hospitallevel AHRQ Patient Safety Indicators. 3 other states to follow • Interactive maps of county-level performance Improvement Resources and Wide Range of Benchmarking Capabilities • 58 Health care delivery improvement tools • 38 Case studies • Allows users to compare against “others like me” – safety net, teaching hospitals, hospital systems; to others in their region, to top 1%, 10%, 25%, national average • Interactive Maps of Performance at state, hospital referral region 4 and county level
Impact of WNTB, 2008 -2010 • Launched at the Institute for Healthcare Improvement Annual Conference, 12/2008. • Reached new audiences of over 7500 leaders: Chief Executive Officers, Chief Medical and Quality Officers, Chiefs of Nursing, Chief Information Officers; private sector ranking groups (Thompson Reuters). • Tool used to prepare reports for hospital boards, train staff in process improvement. • Recommended as one of top hospital profiling sites by Wall Street Journal and featured in health blogs: ABC News, WSJ, and US News. • Included as resource for HHS Value Exchange Networks. • Recent inquiry from White House (re. Obama Open Government Directive). • Veterans Administration outreach to Fund staff re. design of their own performance reporting site. • Special partnership with nine states, Consumer Reports, and The Leapfrog Group around safety transparency. • International interest from Canada and UK Ministry of Health. 5
Why. Not. The. Best. org Demo Jaz-Michael King, Senior Director e. Services & Health Care Transparency, IPRO Follow us on Twitter @whynothebest Contact us at wntb@cmwf. org
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