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Introducing Leapfrog Hospital Insights

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Title: Introducing Leapfrog Hospital Insights


1
Introducing Leapfrog Hospital Insights
November 28 December 1, 2006
2
What is Leapfrog Hospital Insights?
  • Leapfrog Hospital Insights is The Leapfrog
    Groups new, most comprehensive voluntary
    hospital public reporting initiative
  • Expands health care transparency by gathering
    hospital quality efficiency information
  • Provides hospitals with data feedback that
    enables hospital performance comparisons guides
    future improvement efforts

3
Why Participate in Leapfrog Hospital Insights?
  • Benchmarking opportunity for national quality
    efficiency measures
  • Opportunity for public recognition from The
    Leapfrog Group on Leapfrogs Web site
  • Lay a foundation for implementation of the
    Leapfrog Hospital Rewards Program
  • Prepare for the expanding demand and utilization
    of national hospital performance measures,
    especially efficiency measurement
  • Demonstrate leadership in improving quality,
    safety and efficiency of care

4
What does Leapfrog Hospital Insights do?
  • Measures hospital performance on the two areas
    that matter to quality improvement clinical
    quality and efficiency
  • Five clinical areas
  • Coronary artery bypass graft (CABG)
  • Percutaneous coronary intervention (PCI)
  • Acute myocardial infarction (AMI)
  • Community acquired pneumonia and
  • Deliveries/newborn care.
  • Hospitals can participate in any of the clinical
    areas that are relevant to them

5
Leapfrog Hospital Insights Measures
  • Quality Measures
  • Leapfrog Survey JCAHO core measures
  • Weighted Rolled-up in an overall quality score,
    by clinical area
  • Resource-Based Measure of Efficiency
  • Average actual LOS / case, broken down by routine
    care days and specialty care days
  • Severity adjusted based on risk factors
  • Re-admission rate to same hospital, by clinical
    condition, within 14 days
  • Overall Performance
  • Nexus of Quality Efficiency

6
Measures by Clinical Area
7
How are the Leapfrog Hospital Insights Data Used?
  • Participating hospitals will be recognized on The
    Leapfrog Group Web site
  • Results will be made available to health plans
    for pay-for-performance initiatives
  • Results will be made available to employers and
    data vendors for incorporation into consumer
    education decision support strategies

8
Leapfrog Hospital Insights Timeline
  • Bi-Annual Data Submission
  • May 15
  • November 15
  • Bi-Annual Data Release
  • January
  • July

9
Data Reporting Process Flow
1
Leapfrog PatientSafety Survey
Leapfrog
Survey Results
  • Clinical Area-specificScores
  • Quality
  • Resource-Based Efficiency

JCAHO CoreMeasures Data
AggregationandScoring
2
Hospital
Leapfrog
3
LFG Efficiency Measures
Core MeasureVendor
New
Hospital Feedbackvia Vendors
10
Leapfrog Hospital Insights Data Requirements
1
  • Leapfrog Hospital Quality and Safety Survey
  • Required for Leapfrog Hospital Insights
    participation in ANY clinical area
  • Current Survey, including affirmations
  • Partial completion no points earned for that
    componentExample process compliance not measured

11
Leapfrog Hospital Insights Data Requirements
2
  • JCAHO Core Measures
  • No additional reporting burden
  • Submitted to Leapfrog by hospitals core measure
    vendor
  • Copy of JCAHO data submission to Leapfrog
  • Add Leapfrog hospital identifier
  • Split HCO into component hospitals (lt1)
  • Extraneous data ignored on submission, e.g.,
    heart failure, unused measures

12
Leapfrog Hospital Insights Data Requirements
3
  • Resource-Based Efficiency Measures
  • Submitted to Leapfrog by hospitals core measure
    vendor
  • By clinical area for which hospital participates
    in Leapfrog Hospital Insights
  • Actual length of stay (LOS), routine and special
  • Severity-adjusted expected LOS, routine and
    special
  • cases with readmit following discharge, within
    14 days, same hospital, any condition at readmit

Total length of stay for Deliveries
Details about risk adjustment models will be
available soon on the new Leapfrog Hospital
Insights Web site
13
Core Measure Vendors are the Data Conduit
  • Registers hospitals on secure Leapfrog web site
  • Submits JCAHO and efficiency data to Leapfrog
  • decertify or replace bad data
  • provides efficiency measures
  • Tracks data confirmations and data/program status
    of participating hospitals
  • Re-distributes hospital-specific data feedback
    reports from Leapfrog
  • Assesses hospital participation fees, allowing
    for fee pass-through to Leapfrog

14
Hospital Data Feedback
  • Hospitals receive their score and weight earned
    for each individual quality measure within each
    clinical area in which they participate.
  • Hospitals receive their scores on each
    individual element within the efficiency measure
    for each clinical area in which they participate.

15
Next Steps
  • How do I participate?
  • Contact your JCAHO core measure vendor about
    submitting data to Leapfrog on your behalf
  • Participate in the Leapfrog Hospital Quality and
    Safety Survey
  • Timeline
  • Next data submission deadline May 2007
  • Release of results July 2007
  • For more information
  • Visit the Leapfrog Hospital Insights web site

16
Appendix
17
Participating Hospital Pricing Structure
1 Hospital elects to be eligible for rewards and
is identified in results. 2 Hospital participates
anonymously to receive benchmark results but
elects not to authorize its identification in
results, though its results are included in the
national ranking
18
Weighting Scoring AMI
19
Weighting Scoring AMI (contd)
20
Weighting Scoring CABG
21
Weighting Scoring CABG (contd)
22
Weighting Scoring PCI
23
Weighting Scoring PCI (contd)
24
Weighting Scoring Pneumonia
25
Weighting Scoring Pneumonia (contd)
26
Weighting Scoring Deliveries
For a hospital indicating in its Leapfrog
survey responses that it electively admits
high-risk deliveries (mothers expected to deliver
complicated newborns), NICU census and Antenatal
steroids measures do not apply. The weights
associated with these measures are allocated to
the remaining measures and the second set of
weights applies.
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