The Healthcare Management Council, Inc. Delivering Cost and Quality Benchmarks for your Hospital organization.

HMC’s OPPE Component – Now Available!

The extraordinary insight HMC provides for benchmarking and performance improvement is now available to use in your OPPE scorecards! 

The Joint Commission (JCAHO) requires accredited hospitals to examine and evaluate performance data for all practitioners with privileges on an ongoing basis as part of their Ongoing Professional Practice Evaluation (OPPE) initiative.

JCAHO requires:

• Data on actual performance & performance issues
• Ongoing internal review and evaluation (more frequent than annually)
• Use of data to guide decisions on whether to continue or take action on privileges
• Incorporation of data into credentials files

It’s a worthy initiative – but many hospitals have been struggling to comply with the new standards. 

HMC Can Help
HMC’s clinical benchmarks have long provided “deep-dive” drill downs to examine utilization patterns at the procedure code and diagnosis code level. The drill downs also enable clients to uncover off-quality sources and their costs, and find problems and focus on solving them.

However, with JCAHO’s Ongoing Professional Practice Evaluation (OPPE) initiative the world of physician analysis has been inverted. Rather than find the 10 things to focus on and fix, this initiative requires organizations to examine and evaluate performance data for all practitioners with privileges, on an ongoing basis.

The same information HMC uses to evaluate utilization patterns, off-quality problems, and costs is essential for this task – however, its access and “direction” changes. Instead of “Which physicians drive my biggest quality issues?” the question is:  “How does each physician’s practice compare?” 

The HMC OPPE component shows a profile for each physician – types of cases, quality performance, resource utilization, unexplained practice variation, and economics. This data is compared to internal and external peers. Instead of an annual benchmark for the purpose of setting priorities, it has become an ongoing system applicable at any time during the credentialing and clinical management process. It’s a resource, a scorecard, and a goal setter for physicians – in short, a critical step along the path of evidence-based care.

HMC’s OPPE Component Supports

Medical Staff Governance

• Physician profiles detail performance
  • Quality performance (AHRQ indicators & outcomes)
  • Resource utilization
  • Unexplained practice variation
  • Economics

Risk Management

• Quality analytics identify performance issues, sources, and associated costs

Compliance

• Get out front of JCAHO requirements

Improving Reimbursement and Cost of Off-Quality

• Know the sources and costs associated with “should-not-happen” events

ACO development

• Quality, Economics, Resource Utilization—all in one place

And, it’s fast and easy to get started.  One month from now you’re up and running – just open your browser.

Contact HMC to learn more. 

See example panels from HMC’s web-delivered OPPE scorecard here.