Performance Metrics

HCAHPS Performance Trend

A standard measure of the “Patient Experience” in the hospital is the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. CMS now incorporates these scores into the Value Based Purchasing formula for hospital reimbursement. Apogee Physicians recognizes the significance of the Patient. Apogee Physicians provided strategic focus in this key area of Hospitalist Program performance. A review of HCAHPS scores for the “Communication with Physicians” questions for the years 2011, 2012, 2013 & 2014 reflect scores above the national average as well as scores that improve year over year. More important, these scores reflect Apogee Physicians commitment to promoting an excellent experience of care for the patients.


The key drivers of success for Hospitalist Physician productivity improvement are applicable to the many challenges facing healthcare leaders today. Effective physician leadership working collaboratively with the organization stakeholders produces a formidable partnership. The availability of proven operational resources along with timely data provides a platform for solving problems and meeting the ever-growing expectations using data-driven principles.

The HCAHPS “Communication with Physician” effort demonstrates how Apogee Physicians are committed to “Making “The Best Practice the Common Practice.” A specific opportunity to improve was identified and quantified. The Apogee Hospitalist Programs executed a data-driven action plan. The results have been quantified and hardwired into the daily practice pattern for the physicians. The impact of this project reinforced the Apogee Physicians culture of excellence and continual improvement.


 
 

Core Measures Performance Trend

The evidence-based measures of Quality Care in the hospital setting are the CMS Core Measure standards for common diagnoses. CMS now incorporates these scores into the Value Based Purchasing formula for hospital reimbursement. Apogee Physicians recognizes the significance of evidence-based Quality Care and is committed to excellence. The Apogee Hospitalist Programs relied on Apogee local and national Physician Leadership, the Apogee Clinical Operations Playbook and the Apogee Data Reporting and Analytics resources to meet and exceed our hospital partner’s expectations for this important performance measure.

Apogee Physicians provided strategic focus in this key area of Hospitalist Program performance. A review of Core Measure scores for the common diagnoses for the years 2011, 2012 & 2013 reflect scores that exceed the expected scores and improve year over year. Apogee Physicians promise to “Make the Best Practice the Common Practice” is reflected in Apogee Physicians impressive results in this key performance area.

 

Improving CMA LOS

A key value indicator for hospital leaders is the Case Mix Adjusted – Cost Per Case (CMA CPC) for inpatients. The CMA CPC reflects the acuity of the patient’s illness as well as the cost of receiving inpatient hospital care. A strategically aligned Hospitalist Medicine Program should accurately document the acuity of the patient and achieve optimal efficiency of care for the patient based on their condition on a consistent basis. The Hospitalist Programs participating in this project relied on Apogee local and national Physician Leadership, the Apogee Clinical Operations Playbook and the Apogee Data Reporting and Analytics resources in a strategic action plan to meet and exceed the hospital partner’s expectations.

A key value indicator for hospital leaders is the Case Mix Adjusted – Cost Per Case (CMA CPC) for inpatients. The CMA CPC reflects the acuity of the patient’s illness as well as the cost of receiving inpatient hospital care.



A strategically aligned Hospitalist Medicine Program should accurately document the acuity of the patient and achieve optimal efficiency of care for the patient based on their condition on a consistent basis. The Hospitalist Programs participating in this project relied on Apogee local and national Physician Leadership, the Apogee Clinical Operations Playbook and the Apogee Data Reporting and Analytics resources in a strategic action plan to meet and exceed the hospital partner’s expectations.

Apogee Physicians provided strategic focus in this key area of Hospitalist Program performance producing a CMA CPC of $6225 by year end compared to the Partner Hospital System average CMA CPC for Hospitalist of $6724. The data represents 31 Apogee Hospitalist Programs with a data sample size of > 55,000 inpatient admissions. Apogee’s promise to “Make the Best Practice the Common Practice” is reflected in the impressive results in this key area. The documented results indicate the best clinical operations practices implemented in these 31 Hospitalist Programs substantially impacted the Apogee Physicians performance on CMA CPC.

The 31 hospitals included in the project represent all Apogee Hospitalist programs with a comprehensive data sharing structure with the system partner that were in continuous operation during the project time frame of January 2013 – December 2013. The key drivers of success for the CMA CPC improvement project are applicable to the many challenges facing healthcare leaders today. Effective physician leadership working collaboratively with the organization stakeholders produces a formidable partnership. The availability of proven operational processes along with timely data provides a platform for solving problems and meeting the ever-growing expectations using data-driven principles.

The CMA CPC improvement effort demonstrates how Apogee Physicians are committed to “Making “The Best Practice the Common Practice”. A specific opportunity to improve was identified and quantified. The Apogee Hospitalist Programs executed a data-driven action plan. The results have been sustained and hardwired into the daily physician practice pattern. The impact of this project reinforced the Apogee Physicians culture of continual improvement.