Tag Archives: Scott Harris

Milliman launches new features in Hospital Performance Index

Milliman today announced that its Hospital Performance Index (HPI) software, a benchmarking tool for payers and providers that uses statistical methods to identify opportunities for increased efficiency in patient populations, has added two new capabilities.

The first new feature involves observation status benchmarks, which have become more important over the last two years with the institution of the 72-hour rule. HPI can now produce national and regional averages for observation statistics, allowing for quick comparison of individual facilities to national, regional, and state norms. Custom reporting is also available. With such wide discrepancy in rates regarding observation status by facility throughout the United States, this tool can now shed light on the relative performance of every facility in the country.

The second new feature involves readmission rate benchmarks by diagnosis-related group (DRG). HPI now provides data on the relative readmission rate performance of each hospital in the country, information that is crucial for both hospitals and payers. This new feature will enhance the existing functionality around potentially avoidable admissions and potentially avoidable inpatient days.

“These additions to HPI were very much driven by market demand,” said John Cookson, a principal at Milliman. “Hospitals and payers want more and better data so that they can make smarter decisions, improve efficiency, and contain costs. Now that HPI has information on observation status and readmissions rates, they are in a much better position to accomplish those goals.”

Health IT Down Under

As the business of healthcare becomes more global, best practices will increasingly migrate around the world. A recent example of this trend has emerged in Austrailia, where hospitals are using the Milliman Care Guidelines via handheld devices in order to improve outcomes, reduce unnecessary care, and optimize length of stay. In the words of Milliman Principal Scott Harris:

“The tool helps avoid delays in care, can reduce underuse, overuse and misuse of medical resources, provides planning tools to anticipate patient needs and includes patient education tools…One of the key outcomes we have shown is that using these tools can appropriately shorten patient length of stay in hospital.  This not only improves the patient experience, but reduces the possibility of hospital acquired infections and can place the patient at a more suitable care setting.”