Health Data Check Overview

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Health Data CheckOverview
Pioneer Health Network

• Jason Friesen, Executive Director

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Pioneer Health Network

• The Network was formed in 1995 and incorporated
  as a 509(a)(3) in 1997.
• 16 Hospitals (All county-owned except one)
• Largest are 99 87 Beds in counties of 35,000
  and 20,000 respectively.
• The others are Critical Access Hospital size in
  counties that average 3,500 population.
• 11 members own long-term care services.
• 13 own physician practices.

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Health Data Check (HDC)
Data from over 120 hospitals and 70 CAHs across
the country
Developed by rural hospitals for rural hospitals
Currently includes operational, financial and
productivity data.
Project began in 1999
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Why did we create our own program?

• These Programs have many disadvantages
• Im a CAH, I cant compare to a 99 bed hospital!
• I have Long-Term care which changes my dynamics,
  do any of my peer group?
• How do their operations allow for an average of
  10 hrs per patient day less than mine? Who can I
  call to get some answers?

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Health Data Check

• As a Network
• You can share identities with each other.
• Make hospital-to-hospital comparisons.
• Learn directly from regional peers as to how they
  have obtained certain efficiencies.
• Utilize current Network-based peer group forums
  to analyze the data.

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Financial Benchmarks
1.               Outpatient Revenue as a of
Total Patient Revenue 2.               Gross
Patient Revenue per Adjusted Patient
Day 3.               Net Patient Revenue per
Adjusted Patient Day 4.               Contractual
of Gross Patient Revenue 5.               Bad
Debt of Net Patient Revenue 6.              
Labor Cost per paid Hour (exclude
Providers) 7.               Benefits as a of
Total Salaries and Wages 8.              
Supplies of Net Patient Revenue 9.              
Gross Days in Accounts Receivable 10.        
Operating Margin (All revenues except
Non-Operating/Total Expenses) 11.         Tax
Subsidies as a of Operating Revenue 12.        
Total Margin (All revenues/All
expenses) 13.         Current Ratio (Current
Assets/Current Liabilities) 14.         Unbilled
Days in Accounts Receivables 15.         Net
Hospital Patient Revenue 16.         Salaries as
a of Total Hospital Expense 17.        
Salaries as a of Net Patient Service
Revenue 18.         Hospital Administrative
Expense per Adjusted Patient Day 19.         LTCU
Average Cost per Day 20.         LTCU Supplies
Exp per Day 21.         Clinic Salary Expense as
a of Gross Clinic Revenue 22.         Clinic
Supply Expense as a of Gross Clinic Revenue  
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Operational Benchmarks
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Statistical/Productivity

• Adjusted Patient Days
• Average Length of Stay - Acute
• Total labor hours per APD (Adjusted Patient Day)
• Hospital -Total Nursing hours per APD
• Hospital -RN hours per APD
• Hospital -Nurse Aid hours per APD
• Hospital -LPN hours per APD
• LTCU Total Nursing hours per Patient Day
• LTCU RN hours per Patient Day
• LTCU Nurse Aid hours per Patient Day
• LTCU LPN hours per Patient Day
• Clinic Nursing hours per visit
• Clinic- Business office hours per visit
• Lab hours per Billed Test
• Respiratory hrs per Billed Treatment
• Dietary hrs per meal
• Med Records hrs per APD
• Radiology hrs per procedure
• Housekeeping hrs per sq. ft. cleaned

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deskHDC

• Incident management software program.
• Developed in partnership with Nevada Rural
  Hospital Partners (14-member hospitals).
• Uploads data to web based application (webHDC) to
  provide aggregate reporting
• Will add CAH specific quality indicators from 8th
  scope of work when released

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deskHDC RiskManagement Program

• The program is installed on the Risk Managers
  computer.
• The database is installed on your hospitals
  computer network, with restricted access rights.
• Report follow-up performed by the Risk Manager
  who has managerial rights in the system.
• Departments within the hospital can add incident
  reports to the system.

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deskHDC, Cont.

• The Risk Manager can modify the incident report
  and access a follow-up/investigation option only
  available to them.
• Incident information can be uploaded to webHDC
  for comparison purposes.
• Note physician, patient and other PHI is not
  uploaded. Individual hospitals are not
  identified in the report output.

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deskHDC The application resides on your own
hospital network
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Easy to use data input screens
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Imported from initial incident documentation
Form printed within DeskQDC
This document is completed by hand and returned
to the Risk Manager The form is then filed and
the information entered into the investigation
form in DeskQDC
Reviewer completes by writing in comments
Standard of care is assigned to each person
involved in the incident
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The results of the investigation are entered into
DeskQDC and saved
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MAJOR CATEGORIES
SLIP/FALL PROCEDURE/TEST EQUIPMENT/SUPPLIES AMA/EL
OPEMENT MEDICATION CARDIAC/RESPIRATORY
ARREST INTRAVENOUS/BLOOD TRANSFUSION SECURITY/SAFE
TY COMPLAINTS SKIN INTEGRITY EMTALA SURGERY ANESTH
ESIA EMERGENCY DEPARTMENT OB/GYN/NURSERY MEDICAL/S
URGICAL LONG TERM CARE HOME HEALTH/HOSPICE
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A variety of report generating capabilities using
Crystal Reports
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Dashboard Report
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Summary

• Meet quality reporting requirements while
  maintaining relevance in a rural setting .
• Manage your incidents in a consistent and
  efficient manner.
• Use trending and reporting tools as a basis for
  staff education and programs to improve quality
  of patient care.
• Tool developed with direct input from rural/CAH
  hospital staff.

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Project Next Steps

• Explore partnership opportunities with KHA/KDHE
  QHI system.
• Make deskHDC and webHDC available to existing
  Health Data Check clients by 12/31/06
• Expand distribution of deskHDC and webHDC to
  other rural hospitals in calendar 2007
• Develop tool for measuring patient and employee
  satisfaction (Survey Data Check) by 12/31/06
• Develop means for consolidating data from all
  measurement tools in one location (Performance
  Data Check) by 12/31/06
• Integrate workmans comp and infection control
  recording/reporting capabilities within deskHDC.

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Survey Data Check (SDC)

• Web based survey processing and reporting
  application
• Measurement indicators for patient and employee
  satisfaction
• Provide ability to upload data to PDC to produce
  dashboard reporting
• Assess becoming an approved vendor for the
  consumer assessment of healthcare providers and
  systems ( CAHPS ) program and adding their survey
  indicators to SDC

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Performance Data Check(PDC)

• Web based tool that provides the user a
  dashboard view of all data check applications and
  support for an organizations balance scorecard
  (elements to be defined)
• HDC Operational and Financial Indicators
• webHDC web based Quality Indicators
• deskHDC local PC based Quality Indicators
• SDC- Employee and patient satisfaction indicators

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Contact Information

• Jason Friesen
• [phone] jason_at_phn.org
• Mary Adam
• [phone] mary_at_phn.org