Quality & Outcomes

Through better care coordination, Mount Carmel Health Partners is reducing costs by decreasing the volume of unnecessary tests, procedures, Emergency Department visits and readmissions that can add up over time resulting in:

• Significantly lower total cost of care for our attributed patients compared to the central Ohio market
• Improved overall quality scores, including acute, chronic management and preventive care-related metrics
• Reduced ambulatory-sensitive admissions along with decreased overall inpatient utilization

Compared to the central Ohio market, healthcare costs for Health Partners-attributed patients are significantly lower and continue to trend downward. To achieve these cost and quality improvements, Health Partners provides access to evidence-based care guidelines which support and strengthen our focus on quality. All due to the integration of primary care, specialty care, acute and post-acute care, urgent care wellness promotion, and condition-specific education.

Both process (e.g., provide recommended screenings) and health outcomes (e.g., decreased morbidity and mortality) have improved, as has the balance of quality, efficiency, and profitability. We have more information about the quality of care being purchased by employers through report cards, dashboards, gaps in care reports, and other measurement tools. And our member providers are seeing the financial impact of our quality and cost improvements compared to the Central Ohio market while the overall cost of care has gone down.

The Quality Department works on closing HEDIS quality gaps in care. We do this by:

• Identifying a broad range of health issues.
• Addressing those health issues.
• Working together to close the care gaps.

A gap in care is defined as the discrepancy between recommended best practices and the care that is provided. This can manifest itself in several different ways, but the most common include individuals missing age-based routine or annual screenings.