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.
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.
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:
- (numbers and costs per month):
Members, dependants, beneficiaries, gender, age distribution,
geographic distribution, membership change, employer groups,
analysis - (costs per discipline): General
Practitioners, clinical specialists, medicines, physicians,
other costs, total costs.
Indicators - (patients with): Hypertension/CVD
patients, asthma, diabetes, depression, HRT/osteoporosis, other
Practitioners and Clinical Specialists referrals (numbers and
specialist referrals, special investigations, hospital
admissions, prescriptions, downstream cost analysis.
(numbers and costs): Admissions,
bed-days, by hospital categories, admission type, added on
costs, ICU, per member per month, length of stay per admission.
Medicine (numbers and costs): Prescriptions,
prescription items, items per script, demographic profile of
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.
Per member and beneficiary, divided into specialists and
dentists, encounters per 1000 beneficiaries, procedures per
encounter, in-hospital dental procedures per 1000 beneficiaries.