WINTER 2006

In This Issue

Michigan Mortality Rates (Part II)

Core Options Updates

IDS User Group Meeting

IDS Physician Module

MSHPM Activities

MHA Strategic Plan

AHA Survey Results

Michigan Mortality Rates (Part II)

In the summer edition of Data Points, it was reported that severity adjusted inpatient mortality had declined by 8% between 2003 and 2004. The improvement was driven by declines in MDC 4 – Respiratory System DX (5.43% in 2003 to 4.97% in 2004) and MDC 5 – Circulatory System DX (2.56% to 2.37%). This pattern is consistent with steady long-term declines in mortality rates. The overall mortality rate between 1996 and 1999 varied minimally, fluctuating between 2.32% and 2.36%. Since 2000, the overall mortality rate has declined steadily reaching 1.92% in 2004.

When examining mortality rates for several major conditions, improvements were noticed in almost all areas. The mortality rate for Acute Myocardial Infarction (PDX = 410) was between 8% and 10% from 1996 to 2000 and is now under 7%. Stroke (PDX = 430-436) mortality rate, which was between 6% and 7.5%, is now between 5% and 6%. Finally, the mortality rate for Pneumonia (PDX = 480-486) has fallen over 6% and it is currently under 4%.

Overall, mortality rates in hospitals vary by season with the highest in the first quarter and lowest in the third quarter. However, the mortality rate for pneumonia is generally higher in the third quarter, even though there are far more pneumonia hospitalizations during the first quarter.

Next

 

Core Options™ Updates

With a new year upon us, Data Services would like to provide Core Options™ clients with a series of updates on the following topics: RHQDAPU, JCAHO goals and objectives, JCAHO selection forms, and BCBS incentive program. If you have any questions regarding these topics, please contact Teresa Osieczonek.

Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU)

For the fiscal year payment update in 2006, the Centers for Medicare and Medicaid Services (CMS) requires hospitals to continuously submit data regarding the ten quality measures for the following three medical conditions: acute myocardial infarction, heart failure, and pneumonia. For additional information regarding the submission requirements, please refer to your Quality Improvement Organization (QIO) and/or visit Quality Net Exchange. Submissions to CMS are automatically handled by Data Services staff on behalf of all Core Options™ clients.

Future Goals and Objectives for JCAHO

For long-term planning purposes, a number of hospitals are interested in knowing more about the future goals and objectives of the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO). For more information, please visit the JCAHO Website.

JCAHO Selection Forms

Data Services is still waiting for the 2006 selection forms to be distributed. Once the forms are available, Data Services will email the appropriate link to all clients.

The reason the selection forms are not available is related to the uncertainty concerning the introduction of the Surgical Care Improvement Project (SCIP) measures, Children's Asthma, and the potential reintroduction of the ICU measures effective July 1, 2006. While no official decision has been made, it is anticipated that a fourth core measure set will be required and the measure selection will be at the discretion of each organization. Since the potential SCIP measure set will be comprised of four modules, there have been discussions that healthcare organizations could meet any increased measure requirements by using one or several of the modules.

To view the DRAFT algorithms for the SCIP, please visit the SCIP Website.

Blue Cross and Blue Shield Incentive Program

For Michigan hospitals, please visit the Blue Cross and Blue Shield Website to learn more about the 2006 Incentive Methodology for Hospital Peer Groups 1- 4.

Top Next

 

IDS User Group Meeting

The IDS User Group meeting immediately followed the Michigan Society for Healthcare Planning and Marketing fall conference. A new format, which included client presentations, was used for the meeting this time. Over half of the meeting was dedicated to presentations by IDS clients and the remaining time was used to address IDS updates, future enhancements, and the Monthly Financial Survey. Based on the meeting evaluations, the new format was a success.

The first guest presenter was Michael Rich, Vice President at VHA Michigan. He shared information on combining financial and market data, including the importance of the data and the types of financial indicators that should be used. He displayed a variety of tables and graphs to illustrate how the IDS market data can be used in conjunction with financial data from the VHA. Within the IDS, users have the opportunity to import their own hospital specific financial data and then run financial market share reports. For more information on the IDS financial module, please go to IDS, click on Help, and select Presentations Online.

Karen Wright, Senior Data Analyst at Oakwood Healthcare System, was the second presenter. Karen presented on a variety of topics, including how Oakwood uses its intranet to share quarterly IDS market share data, the Medical Staff Profile Study, and the Southeast Michigan Data Exchange. All employees at Oakwood are able to access this information directly from Oakwood's intranet.

The third presenter was Duane Miller, CFO at Carson City Hospital. Duane discussed how the Carson City Hospital Executive Team uses the IDS Market Scan product to share market share data with physicians and board members. IDS Market Scan is a product offered exclusively to IDS clients. IDS Market Scan is a detailed market analysis and includes supporting graphs, charts, and maps. All of the information is derived from the IDS program. For more information about IDS Market Scan, please contact Bob Zorn.

The remainder of the meeting focused on IDS updates, future enhancements, and the Monthly Financial Survey (MFS). In terms of IDS updates, clients should be aware that the IDS now includes Wisconsin residents treated in Wisconsin border counties. To restrict a report to only Michigan patients, filter on District Council of Patient (or District Council of Hospital) not equal to zero. In addition, Data Services continues to offer Data Express, which is a series of inpatient and outpatient reports that are sent to each hospital on a quarterly basis. These reports can now be customized to include saved filter statements and User Defined Fields.

Data Services is in the process of making enhancements to the IDS program. A few of the enhancements discussed at the meeting included the following: trend reports will include a percent change column so that clients can compare data from one time period to another; a new Two Dimensional Market Share Report will be in a table format just like the Hospital Specific Two Dimensional Market Share Report; and users can print summary level information about each report. In addition, Data Services is considering adding a physician module to the IDS. Click here to read more about the physician module.

To conclude the meeting, Laura Schmidt from the MHA talked about the MFS, which is a web-based database of key hospital financial and utilization performance indicators. There is no cost for Michigan hospitals to participate in the MFS. New to the MFS is a key financial indicator report, which is a summary report of financial data. To learn more, please contact Laura at the MHA.

Save the date! The next IDS User Group meeting will be held on May 19 at the Hotel Baronette in Novi. More information and registration materials will be forthcoming in the spring.

Top Next

 

IDS Physician Module

Data Services is considering developing a new physician module for the IDS. The module would include the following three components: (1) physician supply and demand report by physician specialty for a given region, (2) physician productivity report by physician specialty and geography, and (3) physician lists for a specific geography.

In order to obtain feedback about the physician module, Data Services sent a brief survey to all IDS clients in October. The survey results, which were presented at the fall IDS User Group meeting, indicated that IDS clients are very interested in a physician module. More information about the survey results can be found in the IDS User Group presentation. To obtain a copy of the presentation, please go to IDS, click on Help, and select Presentations Online.

To make the physician module as useful as possible to IDS clients, Data Services staff members conducted two focus groups at the beginning of February. One session was in Lansing on February 3 and the other session was in Southfield on February 10. If you were unable to attend one of the focus groups, but would like to provide feedback about the module, please contact Michelle Stawski.

Top Next

 

MSHPM Activities

On behalf of the Michigan Society for Healthcare Planning and Marketing (MSHPM), I would like to thank all of you who attended the fall conference on October 28 at the Holiday Inn West Lansing Conference Center. The focus of the conference was on capacity planning and marketing campaigns in Michigan. The marketing panelists covered various regions including Detroit, Grand Rapids, Ispheming, and Saginaw. For those MSHPM members who were unable to attend the fall conference, a summary is posted on the MSHPM Website under the Members Only section. Based on the conference evaluations, the information presented was very well received.

I would like to take a moment to thank the MHA for their generous support of MSHPM and for sponsoring breakfast at the fall conference. MSHPM is very grateful for the supportive role that the MHA consistently provides.

MSHPM elections for the Executive Committee were held in December and I would like to introduce the new Executive Committee for 2006 - 2007:

President:
Michelle Hornberger
Beaumont Hospitals
Vice President:
Monica Harrison
Oakwood Healthcare System
Treasurer:
Karen Wright
Oakwood Healthcare System
Secretary:
Barbara Bressack
Henry Ford Health System
Members at Large:

Patricia Adams
Trinity Health


Jennifer Berry

Chelsea Community Hospital


Michael Rich
VHA Michigan

Rich Rossway

Bell Hospital

In addition, I would like to recognize the outgoing Executive Committee members who served for the past two years. I appreciate their hard work and dedication! Thank you to the following team members who were part of the 2004-2005 Executive Committee:

Vice President:
Michelle Stawski
MHA
Treasurer:
Lisa Wright
St. John Health
Secretary:
Jim Gilson
Bon Secours Cottage Health Services
Members at Large:

Patricia Adams
Trinity Health

Lorri Rishar
Sparrow Health System

Rich Rossway
Bell Hospital

Aiisya Williamson
Trinity Health

Membership renewal started in January. Similar to last year, the renewal process is online and all MSHPM members should have received an email regarding the renewal. To join MSHPM or renew your membership, you may fill out a membership form online.

Save the date! Please mark your calendar for the MSHPM spring conference scheduled for May 19 at the Hotel Baronette in Novi. The new Executive Committee will be busy finalizing conference topics and speakers over the next month, but if you have a particular topic of interest, please contact the Executive Committee.

MSHPM encourages anyone with comments, questions or general feedback to email the Executive Committee. Our goal is to continue to promote active participation among members so that we can be responsive to your educational and professional needs. Thank you for your continued support of MSHPM.

Michelle Hornberger
President, MSHPM

Top Next

 

MHA Strategic Plan

In 2004, the Michigan Health & Hospital Association Board of Trustees commissioned the development of a strategic plan for the association and its members. The strategic plan for the association builds from a strategic assessment of both national and state-specific emerging healthcare trends.

The strategic map outlines the MHA's strategic plan. Each section builds on the next, beginning with the mission and vision of the MHA. The section entitled, Association Advocacy, represents the long established, fundamental activities of the association that support both short-term and long-term goals and objectives. The Association Goals section outlines the four pillars of the association: funding, access, quality, and health improvement. This section also contains the long-term goals for each of the four pillars.

The strategic plan was created through broad input from members to determine which issues MHA should address to proactively assist hospitals in Michigan's rapidly changing healthcare environment. After collecting member input, MHA staff was divided into four groups based on the four pillars of the association. These groups met on a weekly basis to sort through member feedback and develop long-term goals and intermediate activities.

In November 2005, board members and staff were divided into four subcommittees based on the four pillars. The subcommittees will meet starting in February to develop broad direction for the MHA in each of the four pillars. The resulting work from these groups will guide MHA's activities, resources, and legislative interactions. In September, the board will discuss and finalize the work of each subcommittee. Members with questions or who would like more information on the MHA strategic plan can contact Sarah Fink at the MHA.

Top Next

 

AHA Survey Results

Recently, the American Hospital Association released results from its annual survey reflecting hospital fiscal year 2004 operations. Based on this data, Michigan hospitals continued to experience significant volume increases during 2004, particularly outpatient volume. Although Michigan hospital margins improved during 2004, they continue to lag behind national margins. The attached graphs offer a comparison of these volume statistics and margins for both Michigan hospitals and hospitals nationally for the period 1995 to 2004. Hospitals are urged to use this data to help trustees, staff and others understand healthcare trends. If you have questions about the graphs, please contact Vickie Seal at the MHA.

Data obtained from the hospitals that participate in the MHA Monthly Financial Survey (MFS) indicate the negative trend in the patient service margin continues for the period January through September 2005, with a patient margin of negative 1.7 percent, which is improved from negative 4.1 percent for the same period in 2004. In addition, the operating margin for the same period has improved from a positive 0.7 percent in 2004 to positive 2.7 percent in 2005. Total margin has also improved from positive 1.9 percent in 2004 to 3.8 percent in 2005.

The MHA Monthly Financial Survey program is a free service offered by the MHA to provide hospitals with timely data for benchmarking various financial and utilization trends and financial statistics. In addition, the MFS provides the MHA with current data reflecting financial performance of the state's nonprofit hospitals. This is a very valuable resource, as other data sources are often outdated. Hospitals that are not currently participating may enroll by contacting Laura Schmidt at the MHA.

For additional data highlights from the AHA annual survey, please click here.

Top