Measuring Quality: the implications of a data revolution ► Matt James, CEO, PHIN
From April 2017, the UK’s Private Healthcare Information Network (PHIN) will go live with a mammoth website representing nearly 2 million datapoints covering the output of 14,000 consultant doctors with private practice at over 500 hospitals. Patients will be able to search for hospitals or doctors by procedure and make immediate comparisons on essential quality measures.
Adopting NHS measures will facilitate direct and fair comparison of standards between the public and private sectors. That will make the UK one of very few countries where such comparison is possible.
Lessons from the future ►John Howard, Partner, KPMG
Around 80-90% of payments to Medicaid providers in New York State will be based on quality outcomes by 2020. Much the new system, perhaps the most advanced of its kind in the world, are already up and running. Here John looks in detail at the implication for providers, whether they are delivering elective acute care or chronic disease management programmes. How is the new system affecting consumers and the behaviour of referring doctors? How is New York using big data to analyse outcomes?
Delivering quality per capita ►Daniel Öhman, CEO, GHP Speciality Care
The DRG system with payment per activity is a significant hurdle to improvements. In a unique customer collaboration with focus on outcomes, GHP has been able to deliver significant cost savings, quality improvements and innovations through the entire care pathway. GHP is a Nordic clinic chain which is now also manages hospitals in the GCC. Here Daniel looks at new contracts where GHP is paid by Sweden’s largest insurer on a per capita basis for orthopaedic and spine patients.