Why Nobody Believes the Numbers:
The Outcomes Measurement Guide for Grown-Ups

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Disease Management Purchasing Consortium Measurement Package

THE FOLLOWING IS THE RECOMMENDED SYLLABUS FROM THE DOCUMENT LIBRARY FOR PEOPLE INTERESTED IN MEASUREMENT OF DISEASE MANAGEMENT AND WELLNESS RESULTS

TITLE

DESCRIPTION

“Apples to Apples” Final RFP Template  $2000, 8 pages; rfp-apples-to-apples.doc  (1999-2006)

The “special sauce” that ensures getting a “goof-proof” bid from finalist vendors, with near-absolute comparability between bids and assumptions.  No meaningful biostatistical or measurement fallacies are possible in responding to this.  Available free only as part of a brokered bid process, to full Consortium members only.   Otherwise, $2000. 

 

Benchmarking of Chronic Disease Event Trend  $1000; package of spreadsheet, slides, overview and sample report benchmarking.zip (2006)

 

Reasonably valid, reliable, and easily executed way to check your DM success against benchmarks in the field and against your own history.  It avoids the complexity and regression to the mean associated with typical pre-post outcomes measurement.

Comprehensive Presentation on Measurement and Measurement Fallacies in Wellness and Disease Management  $1000; 120 slides Comprehensive Presentation.ppt (2007)

 

This is the "crack the case" presentation -- a very accessible proof of the fallacies in measurement of both wellness and disease management is coupled with detailed instructions on how to avoid them and get a valid measurement instead.

Contracting To Avoid Biostatistical Bias  $300; 14 pp.  bias and control in disease management (2001-2003)

 

A primer on biostatistics as applied to disease management…and how to minimize the gap between reported outcomes and actual economic outcomes.

Employer How-To Package ($500, 7 pp.  EBNColumns.doc (2005)

 

A collection of all the 2005 Disease Management columns for Employee Benefit News. for procurement and measurement

 

Employers:  Small and Mid-Size Group Measurement $200 3 pp. Small Group Mesurement.doc (2006)

Just as pediatricians say, “A child is not a little adult,” a small (<30,000) group is not a little large group.  They are specifically exempted from the DMAA Outcomes Guidelines Report.  This groundbreaking new approach describes four ways to measure performance in these groups…and get DMPC Small Group Measurement Certification too.

 

  How Many Adverse Events Must Be Avoided to Pay for a DM Program? (1,2,13) $200 Spreadsheet. Small Group NND (2008)

 Ever wonder how much utilization you must avoid to pay for your DM program? This spreadsheet allows you to input assumptions based on your own experience to reveal the “magic number” for breaking even and for obtaining the ROI you believe you might be achieving  

 

Incidence, Prevalence and cost of all major disease categories $500; spreadsheet incidenceprevalence.xls (1999-2006)

 

Reflects the latest changes in incidence, is adjusted for age and payor category.  All cost information is Consortium-approved so there is no issue of people using different definitions.  Useful as benchmark to check your own calculations of your own population

Incidence, Prevalence and Cost of All Major Disease Categories, Group Health of Puget Sound  

$100; 1 pg. Incidence-prevalencePuget.xls  (1999)

 

The only HMO ever to analyze its entire claims database rigorously enough to publish the results.     (Note:  there are problems with the data they may not even be aware of, mentioned in the analysis.  However it is still helpful.)

 

Outcomes Benchmarking (2,13)  

$4000 non-members, $1000 members 30 Slides plus explanations. Outcomes Benchmarking  (2008)

 

Part of the DMPC “Special Sauce,” this is the world’s only database of comparative health plan and employer outcomes of event avoidance in chronic disease. Payors are strongly encouraged to compare their own data to the database        

 

Pricing and Scoring of RFPs  $1000—non-members $200--members; spreadsheet abstract—blinded.xls (2004-2006)

 

PMPM 5-disease, by year and level of risk, across a range of (unnamed) vendors.  Includes ROIs and effect of guarantees on pricing, savings and ROIs.  Demonstrates how scoring works

 

Quality and Disease Management  $100, 5 pp. Article on Quality in Disease Management.doc (2003-2005)

 

The straight scoop on quality measures—validity, relevance, and correlation with actual outcomes.  The only guidance you’ll ever need on how to develop a quality measurement strategy.

Reporting Fallacies;  A Quiz  $1000 non-members; $500 members; 48 slides; ROI issue spotter.ppt  (2004-2006)

 

A bestseller.  No health plan or employer executive responsible for vendor contracting or reporting should consummate an agreement without taking and passing this quiz.  These are real examples of mistakes in reporting identifiable from the reports themselves (no backup data needed) that escaped every auditor and reviewer…except of course DMPC.  Includes some published examples.

 

Return on Investment:  The Solution $1000 non-members; $500 members  22 pp. Return on Investment and Savings Methodologies (2005)

 

This is the single most valid and usable measurement tool in use today, co-authored also by Ariel Linden DrPH and actuary Ian Duncan.  Full refund to anyone who can find a mathematical fallacy in it.

What Will It Take to Show an ROI in Disease Management? $500 20 pp. Linden Article.pdf (2006)

DMAA Award-Winning Article by Ariel Linden on applying sound measurement principles to disease management

Entire package:

Non-members: $1900
Members: $700
Unlimited-level members and payor members: $0
Click here to order.


Disease Management Purchasing Consortium International, Inc. .

890 Winter Street, Suite 208
Waltham, MA 02451
Phone: 781 856 3962
Fax: 781 884 4150
Email: alewis@dismgmt.com