Are We Measuring the Right KPIs and Finding the Right Patients to Manage? – A novel approach to improving both

While American health policy pursues value-based purchasing, the development of performance indicators for this purpose lags behind. Improvements will hinge in part on information reflecting a population’s needs and the effectiveness of health care organizations at meeting those needs. The current crop of disease-specific process measures may not be the pay-for-performance we really need to change systems and create lasting impacts on population health.

This presentation first discusses a composite score of primary care metrics creating the “Value Index score,” which emphasizes the measurement of outcomes across a population and promotes lasting systemic change.

Second, it discusses a new approach to identifying cohorts who can be helped by care management but may not be identified through typical methods. These patients are flying “under the radar” but have complex needs and interactions with systems of care, and your success in identifying and caring for these individuals is mandatory!

Learning Objective(s):

  1. Define key elements of primary care performance

  2. Describe the impact of the phenomena of “regression to the mean” and false positives that result in risk identification

  3. Assess the concept of rate-based performance measurement