Do Quality Indicators Truly Do Quality Indicators Truly Help Assess Risk?Help Assess Risk?

MODERATOR:

Matthew Dolan, CPCU, President,

IronHealth

PANELISTS:

Samantha Collier, MD, MBA, Senior VP, Medical Affairs/Chief Medical Officer, HealthGrades

Nathaniel Cross, Underwriter,

Beazley plc

Sarah E. Pacini, RN, BSN, JD, Administrator,

Risk and Captive Management Advocate Health Care

Do Quality Indicators Truly Do Quality Indicators Truly Help Assess Risk?Help Assess Risk?

What are today’s prevailing What are today’s prevailing indicators of quality? indicators of quality?

What are the various sources of and What are the various sources of and methodologies behind measuring methodologies behind measuring

quality? quality?

How valid is the data?How valid is the data?

Does the data enhance the Does the data enhance the underwriting process?underwriting process?

What about the What about the risk management process?risk management process?

Are risk managers benchmarking Are risk managers benchmarking their own facility against others their own facility against others

when measuring quality? when measuring quality?

How effective are today’s How effective are today’s prevailing underwriting prevailing underwriting

methodologies in evaluating the methodologies in evaluating the real drivers of risk and losses?real drivers of risk and losses?

Can quality indicators be used as a Can quality indicators be used as a key component of predictive key component of predictive

modeling? modeling?

When and how are quality When and how are quality initiatives and quality improvements initiatives and quality improvements

demonstrable?demonstrable?

How can these initiatives be How can these initiatives be proactively incorporated into the proactively incorporated into the

risk transfer programrisk transfer program

How do quality indicators help How do quality indicators help organizations measure and organizations measure and

improve the cost of risk?improve the cost of risk?

Is there a direct correlation between Is there a direct correlation between higher quality outcomes higher quality outcomes

and and lower risk?lower risk?

Do quality measures drive more Do quality measures drive more directed risk management directed risk management

initiatives?initiatives?

How wide is the How wide is the quality distribution curve? quality distribution curve?

How do we achieve a more How do we achieve a more effective degree of collaboration effective degree of collaboration between providers, insurers and between providers, insurers and

those who evaluate quality? those who evaluate quality?