Page 43 - COPR- April2018

KPI Name System Leader Measure Definition

Brian Smith Numerator: Operating Income
Dr. Anton Decker Denominator: Net Operating Revenue
Operating Margin
Numerator: Community Benefit Dollars
Denominator: Total Operating Expenses
Community benefits are programs or activities that provide treatment or
promote health and healing as a response to identified community needs and
Community
meet at least one of the following community benefit objectives:
Mark Skaja
– Improve access to care
Benefit
– Enhance population health
– Increase general knowledge
– Relieve or reduce the burden of government to improve health
Numerator: Prior year growth minus current year growth
Tom Golias Denominator: Prior year growth
Net Revenue David Cannady Net Operating Revenue (system) and Net Patient Revenue (region) are
Growth
Dr. Anton Decker reported based on Mercy Health’s internal financial statements. This is
measured as the % YTD improvement compared to prior year.
Number of patient safety targets achieved.
Rita Snyder
Patient Safety Janice Maupin The metrics tracked include: falls with harm per 1,000 patient days,
Dr. Jim Kravec Clostridium difficile (C-diff) per 10,000 patient days, and PSI-90 composite
score.
Numerator: Observed readmissions per clinical focus group
Denominator: Expected readmissions per clinical focus group
Reducing Cheryl Dalton- The population for the metric includes all patients with unplanned
Avoidable Norman readmissions within 30 days of discharge of an index readmission for the
Dr. Sam El-Dalati following focus groups: Chronic Obstructive Pulmonary Disease (COPD),
Readmissions
Heart Failure, Pneumonia. Performance period for this metric is July 2018-
September 2018.
Number of primary care access targets achieved.
The access target is a composite of the following metrics: new patient visits
Primary Care Staci Lucius
Dr. Erin Fries for providers > 3 years with capacity, total wRVU productivity for providers >
3 years with capacity, MyChart activation rate, time to a new patient visit, and
Access
patient satisfaction with access.
Number of opioid epidemic targets achieved.
Wayne Bohenek The opioid metrics tracked include: opioid burden per unique patient seen
Reducing Opioid Dr. Larry Graham per month, percent of morphine equivalent daily dose > 30 days for opioid
Epidemic
Dr. Herb Schumm naïve patients (outpatient prescriptions), school partnerships, and screening
brief intervention and referral to treatment (SBIRT) screenings.

Number of Primary Care 6 targets achieved.
Disease The Primary Care 6 consists of the following measures: pneumonia
Prevention Anita Mattingly vaccination, colorectal cancer screening, breast cancer screening, Hb A1c
Dr. Chip Roper
control in diabetics, controlling high blood pressure, and depression
(Primary Care 6)
screenings.

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