The session focuses on both the big picture and the details necessary to make transformation in health care systems come alive. All-or-none composite measures stimulate the development and adoption of system improvements called for in the IOM report. This session will explain how to use all-or-none composite measures across an integrated care system to improve patient care and accelerate improvement.

      After this presentation you will be able to:

• Discuss the use of all-or-none composite measures to focus system improvement on high impact changes.
• Describe nested reporting at multiple levels, including provider group, individual physician, and individual patient.
• Explain how the electronic medical record can be used to provide decision support at the point of care and regularly report full population measurement.
• Define how internal and external pay for performance can be designed using all-or-none composite care measures.