Measuring quality beyond the hospital

Doug Koekkoek, M.D.
Chief medical officer, Oregon Region

May 15, 2013

As your regional chief medical officer, I’ve spent most of my energy focused on hospital quality metrics. But the state’s pay-for-performance measures for coordinated care organizations require a broader perspective.

The Oregon Health Authority bases its financial incentives on how well CCOs can improve not just individual outcomes but overall population health, with an emphasis on disease prevention. In general it expects its members to improve accessibility to care, eliminate health care disparities and curb rising costs.

Some of the CCO quality metrics involve:

  • Depression and substance abuse screening
  • Timely post-hospital follow-up for behavioral health discharges
  • Primary care access
  • Early prenatal care
  • Management of diabetes and hypertension
  • Colorectal cancer screening

Fortunately we have strong partners in Providence Medical Group and Providence Health Plan, both of which have a successful track record with these types of population health objectives.

Gathering enrollment information and guiding patients to appropriate services and treatments before they get sick is essential to our success. Please visit the state’s website for more details on these metrics, and say thanks to our colleagues in primary care who are shouldering the load of this work.