Con­sol­i­da­tion can lead to qual­ity im­prove­ments

Modern Healthcare - - 100 TOP HOSPITALS 2017 - Jean Chenoweth Se­nior vice pres­i­dent of per­for­mance im­prove­ment and the 100 Top Hos­pi­tals pro­gram Tru­ven Health An­a­lyt­ics, IBM Wat­son Health

As Congress con­sid­ers re­vis­ing the Af­ford­able Care Act, ob­jec­tive data show­ing its im­pact on hos­pi­tal and health sys­tem per­for­mance should be con­sid­ered. Tru­ven Health An­a­lyt­ics, part of the IBM Wat­son Health busi­ness, per­formed re­search for Modern Health­care that demon­strates two pos­i­tive find­ings: Hos­pi­tals are pro­vid­ing greater value to the com­mu­ni­ties they serve, as mea­sured by a na­tional bal­anced score­card, and health sys­tems are chang­ing in­di­vid­ual hos­pi­tal per­for­mance for the bet­ter, thereby in­creas­ing value, as mea­sured by the na­tional bal­anced score­card. Change across the hos­pi­tal in­dus­try can be slow. How­ever, from 2011 to 2015, a sub­stan­tial per­cent­age of hos­pi­tals showed sig­nif­i­cant gains across mul­ti­ple do­mains of per­for­mance, rang­ing from in­pa­tient and post dis­charge qual­ity, ef­fi­ciency and pa­tient per­cep­tion of care. Hos­pi­tal ex­penses, un­ad­justed for in­fla­tion, were flat, re­flect­ing no sig­nif­i­cant in­crease over five years for more than 78% of hos­pi­tals. Im­proved per­for­mance across do­mains on the na­tional bal­anced score­card demon­strates that many hos­pi­tals are get­ting stronger and are bet­ter able to in­crease value.

Con­trary to what we have read in pre­vi­ous peer­re­viewed lit­er­a­ture, our study shows the con­sol­i­da­tion of hos­pi­tals into health sys­tems is pos­i­tively af­fect­ing hos­pi­tal per­for­mance when com­pared with in­de­pen­dent hos­pi­tals. The re­sults show that, over­all, hos­pi­tals in health sys­tems con­sis­tently out­per­form their in­de­pen­dent peers across more than half of the mea­sures mak­ing up the bal­anced score­card. The largest im­pact is shown in medium and small com­mu­nity hos­pi­tals. Health sys­tems are mak­ing sta­tis­ti­cally sig­nif­i­cant change in per­for­mance and strength­en­ing mem­ber hos­pi­tals, thereby rais­ing value pro­vided to those com­mu­ni­ties.

What does this mean? Un­der the ACA and value-based pay­ment, payer in­cen­tives are fi­nally align­ing with the mis­sion and pur­pose of providers, and this is a win-win– win for pa­tients, hos­pi­tals and pay­ers.

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.