MPIRICA is proud to announce and welcome our newest advisor, Nate Randall, Founder and President of Ursa Major Consulting.
Nate brings a wealth of experience to MPIRICA as a seasoned expert in the employee benefits space. He began his career as a consultant, working for industry leaders such as Milliman and Hewitt. After joining Safeway as a Benefits Manager in 2009, he was a key partner and drove innovation in price transparency, reference based pricing and was involved in the drafting of several aspects of the Affordable Care Act. In 2011 Nate joined Tesla to head the Global Benefits and Employee Experience team, where he created and scaled a comprehensive, award-winning benefits solution as the company grew from 900 to 13,000 employees. Read more »
The startling headline about hospital outcomes tells it like it is.
This week, Reed Ableson of the New York Times reported on the results of a study from the academic journal PLOS One, which revealed something that may not surprise you if you have been following MPIRICA for any amount of time.
In the article, the study was described as showing that “there is considerable variation in outcomes that really matter to patients, from hospital to hospital, as well as region to region.”
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Today, when healthcare consumers who need surgery start their research of potential hospitals or surgeons, they are bombarded with confusing amounts of ratings, “best of” lists, and hoards of big data. When it comes to patient reviews, can you trust an anonymous Yelper to guide you to a quality surgeon? And when you come across websites with a ton of data like complication rates, volumes, mortality, or readmissions, how do you make appropriate conclusions about the risks you potentially face when you choose your healthcare provider? Read more »
Patient Safety Monitor Journal, a premiere magazine focused on cutting edge best practices in patient safety, recently profiled MPIRICA in a piece titled “Surgeon ratings websites aim to make a mark on patient care.”
The article sets the tone with a bit of history, in which ProPublica, a non-profit news organization, seemed to lead the charge around healthcare quality transparency with their “Surgeon Scorecard” in July 2015.
However, its methodologies quickly came into question. Critics believed the scorecards were based on “unreliable data points to rate surgeons’ complication rates,” and failed “to account for the many factors that can alter a patient’s outcome.”
Shortly after the ProPublica release, MPIRICA launched surgeon quality scores, which had been in development for several months and were modeled similarly to our hospital quality scores released earlier in 2015. Both are distinctly different from that of ProPublica’s because we incorporated “a risk adjustment model that’s been utilized by experts… for nearly 30 years.” Read more »
This week, we welcome guest blogger Dr. Donald Fry, an academic surgeon, healthcare quality expert, and member of MPIRICA’s medical analytics team to address the complex problem of measuring complications and explain why prolonged risk-adjusted length of stay is one of the strongest indicators of quality.
I have spent a great deal of my career over the last three decades looking at issues related to complication rates. One thing that has become clear is that there’s nothing clear about calculating complication rates.
As an industry, we have been collectively looking at complications for almost as long as surgical procedures have been done, but the cruel reality in 2016 is that we still do not know the accurate estimate of complication rates in surgical care. How is this possible.
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Dear Acting Administrator Slavitt:
At MPIRICA, our goal is to promote the ability for patients to make informed decisions based on doctor and hospital quality, and we have been pushing the industry as a whole to empower consumers with unambiguous quality measures based on clinical outcomes.
We saw the Centers for Medicare & Medicaid Services’ (CMS) plan to consolidate 60+ disparate quality metrics, into a single 5 star ratings system on the Hospital Compare website as a generally positive step for patients and the industry as a whole. So when CMS announced in late April that they will delay the release of the updated star ratings, in response to letters from 60 senators (April 11) and 225 congressional leaders (April 18th), we were disappointed. The lawmakers offered no recommendations for CMS to achieve its laudable goal of a greatly simplified medical quality measure. Read more »
In healthcare, death goes by another name – mortality. It’s as if our industry believes using another term lessens the permanent and devastating loss people feel over the death of a loved one. For these people, questions of “how” and “why” will linger for years, and for some, not a day will pass without thoughts of “what might have been” or “if only…”
As to the “how,” for over a quarter of a million families each year, the answer is excruciating: medical error. That’s the heartbreaking finding by Johns Hopkins researchers, published last week in the British Medical Journal, and covered by nearly every major news outlet, including US News and World Report, Washington Post, and NPR. Read more »
The MPIRICA Quality Score is the most comprehensive and robust score available in the industry. Developed in exclusive partnership with MPA Healthcare Solutions and backed by a team of physicians (each with decades of healthcare analytics experience), the score is based purely on objective outcomes, not subjective reviews. The score is calculated using the most recent 3 years of data for hospitals (4 for physicians) and considers hundreds of relevant risk adjustment factors. Read more »
I’m pleased to bring you news about an exciting development for our company and the MPIRICA Quality Score: we are expanding to include outpatient surgeries!
According to the National Center for Health Statistics, 35 million procedures are performed in outpatient settings annually. When most people think of “outpatient,” the procedures that typically come to mind are sports related injuries like knee meniscus or shoulder rotator-cuff repair. However, the reality is that even advanced surgeries have moved out of inpatient settings. In fact, Blue Cross Blue Shield recently reported that 82% of spine surgeries are now performed in an outpatient setting. Unfortunately for patients wondering about the quality of outcomes from outpatient surgeons or facilities, there is nowhere to turn because the data simply does not exist. Read more »
Since our first wave of customers began signing on just a few months ago, we have had almost no time for a break. Recently, we stepped back and took stock, and found ourselves thinking: “wow, our customers are cool.” Many of them are leaders in their space, or pioneers that created their space, and we thought it would be interesting for our readers to get a profile of these companies, and see the wide range of reasons why organizations choose to become MPIRICA customers.
For the first of our customer profiles blogs, it seemed only fitting that we showcasing Point Inside, our first customer. Working with them was a big milestone for MPIRICA, because it represented our first revenue and validated our concept of bringing quality transparency to employers.
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