Why Measurement Matters Session Outlines


Why Measurement Matters Session Outlines and Learning Objectives

A Five-Part Live Audio Conference Training Series & Web Seminar co-sponsored by Medstat and MCOL. From September 14th through September 23rd, 2004. A unique series of five online training workshops via live audio conferences, web summit presentations and CD-ROM toolkit. Each session will highlight ways to use the principles of measurement to drive business results.

Measuring for Profitable Growth
	Part I: A Competitive Advantage: Customer Relationship Management September 14, 2004, 1 ET, 12 CT, 10 PT Michael Sherman, MD, Vice President and General Manager, Thomson Medstat
	Part II: A New Frontier: Consumer Segmentation for Health Plans September 15, 2004, 1 ET, 12 CT, 10 PT Laurie Lee, Vice President, Thomson Medstat

Learning Objectives:

Discover innovative approaches in strategic marketing and customer relationship management that can yield favorable competitive outcomes.
Explore new ways to measure book-of-business performance at the account and consumer level that have a positive impact on profitable growth.
Learn how to apply proven market segmentation techniques to both current and prospective membership that can contribute successfully to risk management.

Detailed Information: This topic will be covered in two seminar sessions. Session one will address the positive effects of assessing book-of-business performance at the customer account level and then collaborating with customer accounts to address performance concerns. Session two will reveal the benefits of consumer segmentation to support risk management and profitable growth, cost-effective strategic marketing, and savvy marketing communications.

Part I: A Competitive Advantage – Customer Relationship Management. This session will focus on advancing customer relationship management to a new level – beyond traditional customer service to the establishment of a rewarding collaborative relationship between the health plan and the account customer. The presenter will illustrate the success of measuring book-of-business performance in a new framework to support profitable growth, strengthen customer relationships, and secure new business through competitive advantage.

Part II: A New Frontier – Consumer Segmentation for Health Plans. This session will direct the audience to focus their attention on the consumer market and the ability to deploy organizational marketing efforts in a profoundly new manner for many of today’s health plans – especially those looking to seize opportunities related to the consumer-centric movement and the new federal government Medicare Advantage program promulgated in the Medicare Modernization Act of 2003. The presenter will illustrate the power of linking consumer segmentation to book-of-business performance at the member/enrollee level and then targeting marketing efforts to support risk management and member/enrollee compliance with care management and preventive screening initiatives.

Measuring Disease Management Program Impact

September 21, 2004, 1 ET, 12 CT, 10 PT.
Ron Ozminkowski, Director of Health and Productivity Management Research, Thomson Medstat
David Schutt, MD Associate Medical Director, Thomson Medstat

Summary: Selecting the right disease management program participants is more science than art. Learn how to use the right selection criteria and establish measurement parameters that remove ambiguity from ROI calculations.

Learning Objectives:

Discover how to build a business case for disease management.
Learn what questions to ask an outsourced disease management vendor and how to evaluate success.
Determine how the science of predictive modeling can be applied alongside other severity adjustment methods to zero in on the right disease management program participants.

Detailed Information: This session will guide participants through a discussion of when and why to implement disease management programs. Once disease management is identified as a strategy, participants will learn the following:

Selecting Targeted Conditions: Determine the right conditions through careful analysis of both cost and use criteria. Presenters will highlight cases when selecting high cost and high use conditions may provide the improved health outcomes or cost reductions Plans are seeking.
Selecting Participants: Attendees will explore the use of predictive modeling techniques as well as analytic methods for determining a person-specific opportunity score to help select program participants. Through use of these tools, Plans can enroll the members that best leverage a disease management program investment to improve overall health outcomes and manage cost.
Measuring & Communicating Program Results: This section of the session will address issues such as time intervals for measurement, linkage between initial program goals and measurement as well as tracking methods.

Measuring Network Performance
	Part I: The Fundamentals September 22, 2004, 1 ET, 12 CT, 10 PT David Schutt, MD Associate Medical Director, Thomson Medstat
	Part II: New Innovations in Network Performance Management September 23, 2004, 1 ET, 12 CT, 10 PT Jon Conklin, Vice President, Performance Measurement, Thomson Medstat

Summary: In this two-part program, learn what quality metrics are most appropriate for your organization and determine what processes and incentive programs will deliver the desired results.

Learning Objectives:

Determine the importance of matching selection of program metrics with goals.
Learn the types of measures available – when to use what type of measure.
Understand the benefits of a balanced portfolio of measures and how to apply them in measuring performance.

Detailed Information: These two programs will help participants understand the role of establishing quality metrics as a key to measuring network performance:

Part I: The Fundamentals. An extensive discussion of provider profiling techniques will arm participants with new approaches to engage physicians and assess performance based on criteria they determine as fair and credible. In part one of the program, we will discuss:

Network Management Program Components: Speakers will lead a discussion on the importance of a well rounded program to measure network performance.

Measures Selection & Monitoring: Engaging physicians in the process of selecting the right measures and validating the measure benchmarks will frame this portion of the program. A variety of measure types will be shared. Aligning the selection of measures with performance goals and priorities will be explored as well as reporting and communication formats.
Practice Pattern Analysis: How to disseminate practice pattern observations will be discussed. Additionally, techniques for detecting coding errors and fraud will be also be touched on.

Part II: New Innovations in Network Performance Management. Medstat experts will share insights on the many new pay-for-performance models emerging as the next frontier in rewarding quality. A discussion of these models and their origins will be presented. Attendees will understand how measure sets are selected based on the model and how “payments” are calculated in some of the programs. Early results being generated through those efforts and the prospect of future refinements to the programs will also be explored.

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