The Challenge of Measuring Provider Performance

What separates a high-performing health care organization from its peers? Although there are several factors, the three attributes that truly differentiate them are their: commitment to developing a high-value culture;
focus on continuous innovation to develop effective population health management programs; and pledge to achieve continuous performance improvement over time.

As such, it is critical for health care organizations to find novel ways to engage providers to help improve quality, reduce the cost of care, and track progress. Finding data that helps measure provider performance in these areas is not difficult, in fact, there is an overwhelming amount of data but much of it is unreliable, with equally undependable models that only somewhat predict performance. You can spend a lot of time and money on crunching data using proprietary models and end up with metrics that you cannot trust, nor verify. The challenge is the absence of a single, reliable, and transparent way to measure provider performance that can be used as an industry standard for making critical decisions.

Introducing the CareJourney Index

CareJourney did a rigorous analysis of the most successful open methodologies and developed a reliable way to measure and track provider performance across over 950,000 providers, including Primary Care Physicians (PCPs) and Specialists, across dozens of industry-accepted cost and outcome metrics using easy-to-understand Cost and Outcome scores.

A Breakthrough in Measuring Provider Performance. No Black Boxes.

Our Index allows you to run quick comparisons of provider cost efficiency and quality outcomes by allowing you to model provider accountability based on patient episodes, instead of individual treatments or procedures. By analyzing risk-adjusted cost performance and combining over 20 different outcomes metrics, we’ve developed a simple and easy way to stratify providers into high or low performing categories on either their cost or quality score for any region in the country. This saves valuable time and side-steps additional costly analysis required to analyze episodic costs and quality measures across disparate data points.

Measure What Matters

The CareJourney Index scores PCPs and Specialists on two five-point scales, one for Cost and one for Outcomes, corresponding to quintiles of performance against similar providers in their region. Our approach has unlocked a novel way to leverage already-accepted metrics, building on standard component algorithms for attribution, risk-adjustment, and episode bundling, thereby making them auditable and comprehensive.

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