Health Data Check
Overview
Pioneer Health Network
Jason Friesen, Executive Director
Pioneer Health Network
The Network was formed in 1995 and
incorporated as a 509(a)(3) in 1997.
16 Hospitals (All county-owned except one)
Largest are 99 & 87 Beds in counties of
35,000 and 20,000 respectively.
The others are Critical Access Hospital size
in counties that average 3,500 population.
11 members own long-term care services.
13 own physician practices.
Health Data Check (HDC)
Data from over 120
hospitals and 70 CAHs
across the country
Developed by rural
hospitals for rural
hospitals
Currently includes
operational, financial and
productivity data.
Project began in 1999
Why did we create our own program?
Benchmark
Your
Hospital
National Avg.
<100 beds
Labor Hours per adjusted
Patient Day
35
25
Supplies as a % of Net Patient
Revenue
30%
27%
These Programs have many disadvantages:
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I’m a CAH, I can’t compare to a 99 bed hospital!
I have Long-Term care which changes my dynamics, do any of
my peer group?
How do their operations allow for an average of 10 hrs per
patient day less than mine? Who can I call to get some
answers?
Health Data Check
Benchmark
Your
Hospital
Hosp
A
Hosp
B
Hosp
C
Network
Avg
System
Avg
Labor Hours per adjusted
Patient Day
35
30
22
20
27
25
Supplies as a % of Net
Patient Revenue
30%
25%
29%
24%
30%
27%
As a Network:
 You can share identities with each other.
 Make hospital-to-hospital comparisons.
 Learn directly from regional peers as to how they
have obtained certain efficiencies.
 Utilize current Network-based peer group forums to
analyze the data.
Financial Benchmarks
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%
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22.
Outpatient Revenue as a % of Total Patient Revenue
Gross Patient Revenue per Adjusted Patient Day
Net Patient Revenue per Adjusted Patient Day
Contractual % of Gross Patient Revenue
Bad Debt % of Net Patient Revenue
Labor Cost per paid Hour (exclude Providers)
Benefits as a % of Total Salaries and Wages
Supplies % of Net Patient Revenue
Gross Days in Accounts Receivable
Operating Margin: (All revenues except Non-Operating/Total Expenses)
Tax Subsidies as a % of Operating Revenue
Total Margin: (All revenues/All expenses)%
Current Ratio: (Current Assets/Current Liabilities)
Unbilled Days in Accounts Receivables
Net Hospital Patient Revenue
Salaries as a % of Total Hospital Expense
Salaries as a % of Net Patient Service Revenue
Hospital Administrative Expense per Adjusted Patient Day
LTCU Average Cost per Day
LTCU Supplies Exp per Day
Clinic Salary Expense as a % of Gross Clinic Revenue
Clinic Supply Expense as a % of Gross Clinic Revenue
Operational Benchmarks
1. Respiratory Therapy: Margin
a. Average Cost per Treatment
b. Number of Treatments
2. Physical Therapy: Margin
a. Average Cost per Treatment
b. Number of Treatments
3. Laboratory: Margin
a. Average Cost per Test
b. Number of Tests
4. Basic Diagnostic (X Rays): Margin
a. Average Cost per Test
b. Number of Test
5. Mammography: Margin
a. Average Cost per Test
b. Number of Tests
6. Ultrasound: Margin
a. Average Cost per Test
b. Number of Tests
7. CT Scan: Margin
a. Average Cost per Test
b. Number of Tests
8. MRI Scan: Margin
a. Average Cost per Test
b. Number of Tests
9. Pharmacy: Margin
a. Average Cost per Charged Unit
b. Number of Units
10. Dietary: Average Cost per Meal
c. Number of Meal Equivalents
11. Laundry: Average Cost per Pound
a. Number of Pounds
12. Housekeeping: Avg Cost per Sq.Ft. Cleaned
a. Number of Square Footage Cleaned
13. Electricity: Average Cost per Facility Sq Ft
a. Number of units used
14. Natural Gas: Avg Cost per Facility Sq.Ft.
a. Number of units used
15. Business Office: Avg Cost to Collect a Dollar
Statistical/Productivity
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Adjusted Patient Days
Average Length of Stay - Acute
Total labor hours per APD (Adjusted Patient Day)
Hospital -Total Nursing hours per APD
Hospital -RN hours per APD
Hospital -Nurse Aid hours per APD
Hospital -LPN hours per APD
LTCU – Total Nursing hours per Patient Day
LTCU – RN hours per Patient Day
LTCU – Nurse Aid hours per Patient Day
LTCU – LPN hours per Patient Day
Clinic – Nursing hours per visit
Clinic- Business office hours per visit
Lab hours per Billed Test
Respiratory hrs per Billed Treatment
Dietary hrs per meal
Med Records hrs per APD
Radiology hrs per procedure
Housekeeping hrs per sq. ft. cleaned
Physical Therapy hrs per treatment
Business Office hrs per APD
Reports
You can select bar-graph
reports for a specific
benchmark
or
you can select a datasheet
report including all of the
benchmarks in a category.
deskHDC
Incident management software program.
Developed in partnership with Nevada Rural
Hospital Partners (14-member hospitals).
Uploads data to web based application
(webHDC) to provide aggregate reporting
Will add CAH specific quality indicators from
8th scope of work when released
deskHDC Risk
Management Program
The program is installed on the Risk
Manager’s computer.
The database is installed on your hospital’s
computer network, with restricted access
rights.
Report follow-up performed by the Risk
Manager who has managerial rights in the
system.
Departments within the hospital can add
incident reports to the system.
deskHDC, Cont.
The Risk Manager can modify the incident
report and access a follow-up/investigation
option only available to them.
Incident information can be uploaded to
webHDC for comparison purposes.
 Note: physician, patient and other PHI is
not uploaded. Individual hospitals are not
identified in the report output.
deskHDC
The application resides on your own hospital network
Easy to use data input screens
Imported from
initial incident
documentation
Form printed
within
DeskQDC
Reviewer
completes by
writing in
comments
This document
is completed by
hand and
returned to the
Risk Manager
Standard of
care is assigned
to each person
involved in the
incident
The form is
then filed and
the information
entered into the
investigation
form in
DeskQDC
The results of the
investigation are
entered into DeskQDC
and saved
MAJOR CATEGORIES:
SLIP/FALL
PROCEDURE/TEST
EQUIPMENT/SUPPLIES
AMA/ELOPEMENT
MEDICATION
CARDIAC/RESPIRATORY ARREST
INTRAVENOUS/BLOOD TRANSFUSION
SECURITY/SAFETY
COMPLAINTS
SKIN INTEGRITY
EMTALA
SURGERY
ANESTHESIA
EMERGENCY DEPARTMENT
OB/GYN/NURSERY
MEDICAL/SURGICAL
LONG TERM CARE
HOME HEALTH/HOSPICE
A variety of report generating capabilities
using Crystal Reports
Dashboard Report
Summary
Meet quality reporting requirements while maintaining
relevance in a rural setting .
Manage your incidents in a consistent and efficient
manner.
Use trending and reporting tools as a basis for staff
education and programs to improve quality of patient
care.
Tool developed with direct input from rural/CAH
hospital staff.
Project Next Steps
Explore partnership opportunities with KHA/KDHE
QHI system.
Make deskHDC and webHDC available to existing
Health Data Check clients by 12/31/06
Expand distribution of deskHDC and webHDC to
other rural hospitals in calendar 2007
Develop tool for measuring patient and employee
satisfaction (Survey Data Check) by 12/31/06
Develop means for consolidating data from all
measurement tools in one location (Performance
Data Check) by 12/31/06
Integrate workman’s comp and infection control
recording/reporting capabilities within deskHDC.
Survey Data Check (SDC)
Web based survey processing and reporting
application
Measurement indicators for patient and
employee satisfaction
Provide ability to upload data to PDC to
produce dashboard reporting
Assess becoming an approved vendor for the
consumer assessment of healthcare
providers and systems ( CAHPS ) program
and adding their survey indicators to SDC
Performance Data Check
(PDC)
Web based tool that provides the user a
dashboard view of all data check applications
and support for an organization’s balance
scorecard (elements to be defined)
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HDC – Operational and Financial Indicators
webHDC – web based Quality Indicators
deskHDC – local PC based Quality Indicators
SDC- Employee and patient satisfaction indicators
Contact Information
Jason Friesen
(620) 276-7700 jason@phn.org
Mary Adam
(620) 276-6100 mary@phn.org