Metrics

By: Mhs  11-11-2011

MHS COST-EFFECTIVENESS METRICS

The MHS Metrics are tools for monitoring and identifying trends, risks, claiming and treatment patterns, as well as other valuable information for client medical schemes.

The MHS approach to intervention is based on the epidemiological interpretation of data. MHS Metrics enables ongoing monitoring of facts regarding healthcare delivery by providers and health-seeking behaviour of members. Clinical trends are monitored within the scheme and the epidemiological reports that are generated supplement any (often not as powerful) accounting reports. This empowers client schemes to better understand the behaviour and other issues that lie behind the costs they incur.

MHS Metrics assists schemes with the design of appropriate benefits and analysis of numerous cost-centres. It is a powerful adjunct to our other product offerings - the interventions must begin with the analysis of facts, and this product takes the analysis of data to a deeper level, thereby enriching the interpretation.

The relatively unlimited possibilities for analysis render this product constantly evolving. Numerous reports can be generated monthly or quarterly from the statistical analysis of patient groups. The following are examples of categories of analysis and the variables which can be analysed therein:

Demographic Audit - (numbers and costs per month):


Members, dependants, beneficiaries, gender, age distribution, geographic distribution, membership change, employer groups, average costs.

Cost centre analysis - (costs per discipline):

General Practitioners, clinical specialists, medicines, physicians, other costs, total costs.

Health Status Indicators - (patients with):

Hypertension/CVD patients, asthma, diabetes, depression, HRT/osteoporosis, other chronic patients

General Practitioners and Clinical Specialists referrals (numbers and costs):

Consultations, specialist referrals, special investigations, hospital admissions, prescriptions, downstream cost analysis.

Hospitalisation (numbers and costs):

Admissions, bed-days, by hospital categories, admission type, added on costs, ICU, per member per month, length of stay per admission.

Prescription Medicine (numbers and costs):

Prescriptions, prescription items, items per script, demographic profile of usage.

Pathology and Radiology:

Cost per member and beneficiary per month, number of encounters per 1000 beneficiaries, tests per encounter, MRI's CT -scans and ultrasound per 1000 beneficiaries.

Dentistry (numbers and costs):
Per member and beneficiary, divided into specialists and dentists, encounters per 1000 beneficiaries, procedures per encounter, in-hospital dental procedures per 1000 beneficiaries.


Other products and services from Mhs

11-11-2011

radiology

Interaction with existing MHS Coordinated Provider Networks for the implementation of radiology Benchmarks and Clinical Rules and generally for the promotion of rational, appropriate and cost-effective utilisation of radiology services. Ongoing evaluation of the level and appropriateness of radiology services provided by practitioners in their rooms. Inclusion of radiology service parameters as a component of MHS Practice Profiles.


11-11-2011

MHS FULL BROCHURE TEXT

With the Benchmarks as a point of departure, further drill-down options include more detailed practice profiles, summaries of the transaction details that make up the Benchmarks as well as access to the individual transactions that made up each Benchmark – the latter is subject to measures to protect patient confidentiality.