See Improvement Opportunities

Clinigence leverages real-time clinical (EHR) data to allow you to see how your organization is performing as compared to relevant benchmarks. You can use this information to see what areas offer the best opportunity to improve your organization’s quality score.

For example, under the Medicare Shared Savings Program (MSSP), you must reach the 90th percentile among all MSSP ACOs nationwide to receive all points for any measure (green bars on the chart). If you are under the 30th percentile, you get no points (red bars on the chart). Between the two, you get partial points for the measure.

In the sample ACO report, you can see that this organization’s best opportunities for improvement are in the areas of breast and colorectal screening.

Manage Variance to Move

Variation in performance often makes for a powerful tool in driving organizational performance improvement. Visualizing the differences in outcomes among peers can push underperformers to see the need to improve and begin to move. Recognizing top performers is always a motivator for them to finish the good work they’ve been doing. Perhaps most importantly, creating a collaborative environment enables everybody to learn from one another’s experience and adopt best practices that have been proven to lead to better outcomes.

This report shows how different primary care practices in the same ACO featured above are doing on breast cancer screening – an area for improvement for the organization as a whole. The variance in performance – from 88% at the top to 18% at the bottom – may seem shocking at first. And yet, such variance is common. Leverage it to help providers at the bottom to see the need to move. Leverage it to recognize providers at the top to help them finish

Track Progress to Finish

Once you’ve set a goal and got the organization moving towards it, you must continuously track performance to ensure progress. Organizational change does not happen overnight. Progress is hardly ever consistent over time. By tracking performance as closely as possible to real-time you can tell when progress is slowed down or even derailed. A quick analysis of root causes and early intervention to adjust course as needed provide the best bet for making it to the finish line, i.e. achieving your goal.