CIVHC has partnered with Colorado Health Institute and other stakeholders to develop meaningful metrics to evaluate Colorado’s progress towards achieving the Triple Aim of better health, improved quality, and cost containment. The metrics dashboard was developed with the following goals in mind:
- Create a dialogue with stakeholders in Colorado. Graphical representation of the metrics will make the information more accessible and initiate conversations. At a glance, stakeholders can see where Colorado stands in relation to target goals and can take actions to help achieve the goals.
- Show how the metrics connect to other efforts. Too often, Coloradans hear of a pilot project or an initiative but fail to connect how these efforts are contributing to improving the performance of our health care system. Dashboards can link initiatives across the state to the metric(s) they are designed to improve.
- Demonstrate how we can move the system over time. By tying metrics to the Triple Aim goals, we can attempt to measure system-wide improvements. In addition, we can ensure that gains made in one area are not made at the expense of other area.
An initial set of metrics and dashboards was established by the Metrics Workgroup and approved by the Board of Directors in December 2011. The Data and Transparency workgroup is finalizing the dashboards which will be available on CIVHC’s website by December 2012 and updated regularly.
Metrics At-a-Glance
Bending the Cost Curve*
- Annual percent change in per capita personal healthcare expenditures
- Personal health care expenditures in Colorado relative to gross state product (GSP)
- Annual change in medical trend relative to the Consumer Price Index (CPI)
- Percentage of health care expenditures associated with outcomes-based models of payment
- Utilization of health care services per 1,000 population (focus on inpatient and emergency hospital visits)
- Medicare hospice utilization and Medicare expenditures during the last six months of life
*The All Payer Claims Database will play a critical role in providing data for the metrics in this category
Improved Population Health
- Percentage of Colorado population ages 0-64 who have any type of health insurance coverage
- Percentage of adults who report they needed to see a doctor within the last 12 months but could not because of cost
- Percentage of adults and children who are obese
- Percentage of physician practices with electronic medical records/linked with health information exchange
Patient-centered Experience
- Patients’ average rating of health care over past 12 months
- Patients' assessment of whether or not doctor or other health provider asked which choice of treatment option they thought was best for them
- Percentage of Coloradans with advanced directives
For more information, contact Jonathan Mathieu, Director of Data and Transparency at jmathieu@civhc.org.