Post on 24-Jan-2015
description
transcript
Balanced Performance ManagementBalanced Performance Management&&
BenchmarkingBenchmarking
CAH Quality Improvement Workshop
Because HealthcareDesperately Needs It!
WHY?
National Health Expenditures1965 - 2017
SOURCE: Centers for Medicare & Medicaid Services, Health and Human Services, "National Health Expenditures Accounts, 1965–2017."
SOURCE: NCHS, "Health, United States, 2007: With Chartbook on Trends in the Health of Americans," Hyattsville, MD, 2007.
The Aging of the United States Population1950-2050
Demand for Healthcare is Growing
Demographics - Drive Utilization
Baby boomer hospital admissions increase while non-boomer admissions are projected to decrease
Demographics - Drive Utilization
Total U.S. Hospital Inpatient Days of Care(In Millions)
0
1000
2000
3000
4000
5000
6000
7000 United StatesGermanyCanadaFranceAustraliaUnited Kingdom
0
2
4
6
8
10
12
14
16
United StatesGermanyCanadaFranceAustraliaUnited Kingdom
Average spending on healthper capita ($US PPP)
Total expenditures on healthas percent of GDP
Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2006
Health Care Costs in US Markedly Exceed that of Other Countries and are Increasing More Rapidly
3133 33 35 35
39 40 40 41 4243 44
40 40 4144
56
474645
0
20
40
60
1987 1990 1993 1996 1999* 2002 2005 2008 2011
Source: The Commonwealth Fund; Data calculated from U.S. Census Bureau, March CPS Surveys 1988 to 2006.*Estimates reflect the results of follow-up verification questions and implementation of Census 2000-based population controls.
Too Many Americans WithoutHealth Insurance
Number of Uninsured(in millions)
Too much variation in cost.
Total Rates of Reimbursement per Medicare Enrollee
Healthcare Cost Me Too Much!
RN Shortage:
• Leveling of RN supply between 2005 and 2010, then decreasing over following 10 years
• Continued increase in demand through 2020
• Results in an increasing shortage:
2005 = 220,0002010 = 410,0002015 = 680,0002020 = 1,010,000
Not Enough Nurses!
PCP Shortage:
• Less severe than the RN shortage
• Approximate shortage of 55,000 from 2000-2015,
increasing to 66,000 by 2020
Not Enough Primary Care Providers!
So how does this affect me?So how does this affect me?Healthcare Providers will see increasing political and financial pressure to:
• Improve Safety, Quality, and Outcomes
• Reduce Medical Errors
• Eliminate Duplicative and Unnecessary Care
• Normalize Cost Variation
• Coordinate Care
• Exceed Customer Expectations
• Recruit and Retain Exceptional Staff
• Decrease Cost
• Cover the Uninsured No Problem!
A balanced and sustainable approach
to performance management and
improvement
How do we do it?How do we do it?
What do we have to do?What do we have to do?
• Identify Key Success Factors
• Measure Performance
• Benchmark
• Set Targets
• Action Plans & Accountability
• Celebrate Successes
People Service Quality Finance Growth
Balanced Scorecard
Performance Management
Performance Management
Management Dashboards
Performance Management
Malcolm Baldrige
STAGE I: Strategic Readiness Assessment
STAGE II: Measures Identification, Benchmarking, and Dashboard Development
STAGE III: Dashboard Implementation
STAGE IV: Performance Monitoring & Accountability
STAGE V: Monitoring, Coaching, and Tweaking
Performance Management ProgramPerformance Management
Performance Management
Benchmarking
Contact Information:
Dr. Larry Leaming, DHA, FACHEPresident, Institute for Rural Health Leadership715 Horizon Drive, Suite 401Grand Junction, CO 81506
Toll Free: (877) 783 - 5258
Larry.Leaming@Wha1.org