Outcomes Management

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Preferred Group Practice Results

Published: October, 2001

The ALERT system provides monthly reports comparing results for PGPs, and a graph is generated that depicts the results for all groups with at least 50 cases with two data points. The following graph presents the results for 13 groups that meet this criterion of at least 50 cases. The chart also plots the combined results for all groups and for all solo practitioners.

The Outcomes Benchmark is the overall expected effect size for the entire sample (.33 effect size). The individual group results are plotted by adding their individual Change Index to this benchmark value. While the actual effect size for each group will vary slightly from the results plotted here, this method provides a fair means of comparison while conveying information about the general magnitude of the effect size.

The results are plotted with a 90% confidence interval, meaning that there is a 5% chance that the results are above the interval and 5% below the interval. Based on this criterion, four of the 13 groups exceed the benchmark at the 95% confidence level. None of the groups are significantly below the benchmark.

These four groups are responsible for elevating the overall results. If these groups are removed from the calculation of aggregated effect size, the Outcome Index score for the remaining groups and individual providers is .00, meaning that the PBH outcomes are virtually identical to those in the data repository.

A patient seen in one of these four groups averages over 33% more improvement per episode of care than patients treated elsewhere in the network. The reasons for the superior results are not apparent. These results present an opportunity to determine how care is delivered in these groups and then promote "best practices" within other groups.


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Sunday, February 05, 2012