Increasingly, the quality data your hospital gathers and generates through claims is being used by employers, insurers, and benefits consultants. And that data is beginning to drive where patients go for specialized surgery—and that could be outside the local market.
“There has been the premise that health care will continue to be delivered locally,” says Shane Wolverton, a senior vice president with Comparion Medical Analytics, Inc.
Now, he says, in certain areas and for some elective procedures, surgical programs are going to be competing on a regional or even national basis.
The firm developed the CareChex Quality Rating System that BridgeHealth and others use to select top-performing centers. The database uses sophisticated software to create a composite quality score and rating that uses risk-adjusted outcomes as well as process and patient satisfaction measures to identify the centers with the best results.