May 31, 2012
Everyone likes to know the score – or almost everyone. My presentation at the National Council meeting this year, In Pay For Performance, You Get Exactly What You Pay For , focused on the growth of the use of performance measures in compensation. Payers and consumers like those scores. But, most measurement systems are not without their critics – something we have reported on earlier (see MU Consumerism Requirements Draw Fire all members).
Like them or not, the use of performance measurement systems in the health and human service system continue to increase. I recently read the new rankings in Florida, APD Updates Provider Rankings ) – this system measures the performance of six types of provider organizations – adult day training; waiver support coordination; supported employment services; and services provided by three types of group homes: intensive behavior support services, behavior-focused residential habilitation, and standard residential habilitation– and then posts those rankings on the Florida Agency for Persons with Disabilities (APD) web site (see APD Provider Scorecards Overview).
What is required to be ranked #1 in Florida? Each of the six groups has its own scorecard which ranks common factors, such as the number of consumers on a caseload, average expenditures, and expenditure increases/decreases over the previous fiscal year. Additionally, providers are ranked on quality assurance/quality improvement (QA/QI) using a system developed by the Delmarva Foundation. The Delmarva scorecard includes over 60 measures, weighted on a one-to-five scale. Some of the most highly-weighted measures include: reporting all instances of abuse, neglect, and exploitation (5), tracking and addressing medication errors (5), tracking and addressing all incident reports(5), and meeting all minimum provider education and experience requirements (3).
For a quick comparison, Medicare’s hospital quality of care rankings on the new Hospital Compare website, tracks process of care measures (37 measures), outcomes of care measures (6), use of medical imaging (4), patient experiences (10), patient safety measures (5), number of patients, and spending per hospital patient.
And, to get a sense of other performance measurement systems, check out these resources:
Improving health care quality with performance measures isn’t only about engaging consumers to make better decisions about their health plans, but also about ranking all the measures provider organizations need to make the best service decisions.
Monica E. Oss
Chief Executive Officer, OPEN MINDS
For another free resource, see: Performance Measures For the Chronic Complex Population all members
This is free for the next sixty days to all registered OPEN MINDS Circle members.