CareDiscovery CLINICAL PERFORMANCE
IMPROVEMENT SOLUTION
Hospital executives, medical officers, and
management teams are under constant pressure
to balance operational efficiency with increased
financial profitability and continued efforts to
improve patient quality. Truven CareDiscovery™
Clinical Performance Improvement Solution
provides powerful insights into a hospital or health
system’s quality measures and resource utilization
to support improvement with objective, fact-based
information.
CareDiscovery helps you improve clinical
processes, efficiency, and quality outcomes.
CareDiscovery Transform provides guided reports
that support risk-adjusted outcome analysis,
meaningful performance benchmarks, and adhoc analysis for focused improvement efforts.
CareDiscovery Advance highlights risk-adjusted
outcomes and comparative data on key quality
indicators and utilization of specific medications,
lab tests, radiology, and other ancillary services.
Population Finder: Simplifies the
identification of specific groups of
patients for analysis and reporting
The Population Finder guides users through
the process of creating targeted populations of
inpatient or outpatient discharges that can be
utilized for analysis and reporting.
The Population Finder also facilitates the creation
of populations from the very straightforward to
the very complex by simplifying the definition of
intricate inclusion and exclusion criteria. It uses a
variety of data elements in this process, including:
• Clinical Code Sets (Service Line, CRG, MS-DRG,
Diagnoses, Procedures, etc.)
• Demographics (Admit Source, Admit Type,
Discharge Status, Payer, Age Group, etc.)
• Core Measures (Core Measure Set Name, Core
Measure Name, etc.)
• Physicians (Physician Number, Physician Role,
Physician Specialty, etc.)
• Pre-defined Conditions
• Complications (AHRQ IQIs and PSIs, ECRI
Complications, HACs, etc.)
• RAMI Mortality
• User Defined Fields
For CareDiscovery Advance users, additional
transaction details are available for defining
populations, including CDM codes, STC codes,
transaction reporting groups, and transaction
day-of-service data elements. For users who have
added Core Measure data to CareDiscovery, these
are also available as population inclusion and
exclusion criteria.
Analysis Wizard: Provides access to “analytic
pathways” to help you address your quality
business challenges
Population Finder - Easily identify patient populations in a guided, but flexible,
step-by-step process.
BENEFITS
• Detect actionable
clinical performance
issues
• Prioritize opportunities
with presentationready reports on quality
business issues
• Assess which outcome
metrics have the
highest potential
for improvement —
clinically and financially
• Set improvement
goals based on
relevant, dependable
information
FEATURES
• Save time with a
navigationally friendly
work environment
• Evaluate outcomes
with mission-critical
metrics, including riskadjusted complications,
mortality, and
resource utilization
• Drill into transaction
level details to identify
specific opportunities
to evaluate and track
improvement in care
Analysis Wizard provides four
focused topics on relevant
business themes and one
comprehensive topic to meet
all other needs. The four
focused topics include:
• Simultaneously
compare to the
national norm and
top 10 percent
benchmarks – across
the system, hospital,
service lines, MS
DRGs, and physicians
• Overall Facility or System
Performance
• Physician Utilization
• Patient Safety and
Complications
• Outpatient
• Drive change and
demonstrate excellence
to the organization,
the board, and
the community
• Support quality
improvement and
medical staff services
with one source of
consistent information
Facility and System Health Report
This executive-level report provides an overview
of a facility’s or system’s performance. It delivers
both point-in-time and trended-over-time quality
performance metrics tracked by CareDiscovery.
Complications are an important measure of quality,
so this report highlights the top five complications
that have occurred for each of the complication
methodologies: Truven ECRI, CMS HAC, and
AHRQ PSI.
Physician Utilization Report
The Physician Utilization Report simplifies the
process of discovering important physician practice
variations. You will receive resource utilization
data (in the form of cost variances) by physician
alongside your quality outcome metrics. The
combination of data elements enables you to see
the big picture of how utilization and outcomes
coincide, which helps to identify situations where
achieved outcomes do not support observed
resource utilization.
CareDiscovery Advance (transaction detail)
customers will also be able to acquire fine-grain
detail regarding drivers of the resource variance
so they have comprehensive information to inform
their constituents.
See system-level comparison to the national average and top 10-percent benchmark
values for key quality metrics.
The Facility and System
Health Report also
features a click-through
report providing the most
relevant clinical details
about each discharge.
This gives clinical users
a brief overview of each
patient’s treatment.
Patient Safety and Complications Report
Keep an eye on your patients to minimize
complications with the Patient Safety and
Complications Report. This report provides indepth information on a comprehensive panel of
patient safety and complication indicators for the
populations you select. The information in this
report elucidates relative opportunities in average
LOS, estimated cost, and mortality that would
be potentially avoidable if complications were
prevented.
The Facility and System
Health Report helps
you succinctly describe
your organization’s
performance on key
quality improvement
metrics over time. It
shows you a “final
Patient Safety and Complications Report - See the impact that complications of care
number” (both trended
have on other quality metrics.
over time and for the
entire timeframe)
describing your performance compared to both
the norm and benchmark in each of the metrics.
The report also provides some detail into the most
pressing negative events that are occurring with
their patients.
Outpatient Report
This report provides resource utilization data (in
the form of total and average estimated costs) for
a facility’s outpatient encounters. This enables a
detailed review of utilization by principal diagnosis
and first-listed procedure, as well as the physicians
who were involved.
For CareDiscovery Advance customers, this report
displays the total departmental costs as well and
features a click-through to the Transaction Details
Report that displays the transaction detail data
rolling up into the department cost.
The Outpatient Report helps you see and
understand the resource utilization within your
outpatient care setting. You can view the data by
specific diagnosis and procedure code so you can
evaluate whether the utilization is appropriate.
Within a diagnosis or procedure, you can see which
physicians are caring for these specific patients and
evaluate the physician’s utilization. Furthermore
this report submits transaction detail data so you
know precisely what is contributing to the resource
utilization numbers and have detailed information
to inform your constituents.
Comprehensive Report
Use this comprehensive analysis to find all the
information you need. The Comprehensive Report
provides an overview of the different dimensions of
a population, including but not limited to:
•
•
•
•
•
• Many of the most frequently used calculations —
simply “drag and drop” them onto the report
Populations integrate with Ad Hoc — just “send” a
population to Ad Hoc for further analysis thereby
ensuring that the intricate filters are maintained
when designing AdHoc reports. Plus, you can
report on both the Norm and a Benchmark
comparison group on the same AdHoc report.
Classic CareDiscovery: Access to physician,
condition, and core measure insights
Your most used components are still accessible in
the new CareDiscovery. Just click the “Classic” tab
to access:
Physician Insights
With Physician Insights, you can provide physicians
with reports that credibly reflect performance on
relevant quality measures and that can be used to
provide objective feedback to your medical staff.
These reports help reduce practice variation with
data on LOS, complications, mortality, and case
distribution. Additionally, the reports highlight
specific individual actions that affect utilization
and cost. Compare physician performance based
on facility, patient population, physician role, and
custom groups of physicians, and create batch
reporting for up to 300 physicians.
Payer
Discharge Status
Admit Source
Readmissions
Attending Physician
The Comprehensive Report gives you relevant
descriptive breakdowns of a population so you
can more easily understand its overall make-up.
It helps you answer questions like: Is this a mainly
Medicare population? Are they mainly coming
in from the ED? Which attendings are seeing the
most patients in this group? The report provides
descriptive background information and context
to investigate the quality outcome metrics of the
population.
Ad Hoc: Access the entire patient record
and provide one report to the end user with
comprehensive insights
All of your discharge data elements are accessible
and reportable in this single, comprehensive Ad
Hoc package, including:
• Inpatient data
• Outpatient data
Individual Physician Report - Customizeable view of patient
demographics and quality indicators by physician.
Physician Insights also supports physician
recredentialing and hospital profiling efforts with
a comprehensive report on important patient care
data required for the recredentialing process.
With the recent enhancements to Physician
Insights, reports can be run on custom-created
physician groups according to specialty,
subspecialty, and even group practice affiliations.
Highly interactive drill-down and drill-over
capabilities make a powerhouse of information
that quickly yields the data you’re looking for.
Condition Insights
Pinpoint and implement improvements in care.
Powered by the transaction-level billing data in
CareDiscovery Advance, Condition Insights lets
you benchmark process of care details around
commonly treated healthcare conditions to
find specific process and quality improvement
opportunities.
You’ll discover the practice patterns that
represent significant volume, cost, and/or
variability in standards of care. Plus, pinpoint
and implement lab, radiology, pharmaceutical,
and other treatment regimen changes that can
drive improvement in specific clinical populations
without having to pull the medical record or chart.
Core Measures Insight
A direct connection to your core measures
data, Core Measures Insight combines core
measures data elements from any tool with your
CareDiscovery clinical performance solution. Add a
new dimension to your view of quality from process
to outcomes, and enable better communication
between staff and physicians.
With core measures data appended to the existing
CareDiscovery discharge data, you can leverage
CareDiscovery to identify the root cause of what
might be driving variances in the clinical outcome
metrics for specific core measure populations. Core
Measures Insight gives you the ability to:
• Report on post-abstracted, patient-level core
measures data already submitted to CMS
• Segment your patient populations within
CareDiscovery by six core measure sets including
AMI, HF, PN, SCIP, STK, and VTE, and report on
clinical quality metrics for those patient sets
• Provide further detailed reporting using AdHoc
YOUR STRATEGIC PARTNER TO SUPPORT AND
MAXIMIZE THE VALUE AND IMPACT TO YOUR
ORGANIZATION
The Truven Health AnalyticsSM Client Services
Manager and Clinical Services teams complement
your team and extend CareDiscovery insights to
help address key strategic and clinical questions,
drive change, and implement solutions. Our
Clinical Services experts help you maximize the use
of comparative data and expedite achievement of
quality goals with:
Client Service Manager
• Engagement management: ongoing
coordination of services and monitoring of
data submissions; data analysis support,
progress tracking, and participation in
performance improvement meetings
Performance Improvement Services
• A onetime executive and physician
education session on how to use the
data to impact change
• Three hours annually of clinical services
ABOUT TRUVEN
HEALTH ANALYTICS
Truven Health Analytics delivers
unbiased information, analytic
tools, benchmarks, and services to
the healthcare industry. Hospitals,
government agencies, employers,
health plans, clinicians, and life
sciences companies have relied
on us for more than 30 years. We
combine our deep clinical, financial,
and healthcare management
expertise with innovative technology
platforms and information assets
to make healthcare better by
collaborating with our customers to
uncover and realize opportunities
for improving quality, efficiency,
and outcomes. With more than
2,000 employees, we have major
offices in Ann Arbor, Michigan;
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©2012 Truven Health Analytics
All rights reserved.
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