The Kentuckiana Health Collaborative (KHC) is a non-profit organization comprised of representatives who have a major stake in improving the health status and the healthcare delivery system in Greater Louisville. This includes people and organizations who provide care (providers include hospitals and doctors), people who pay the providers (such as insurance companies), people who pay for benefits/coverage (such as employers), and many others. The KHC creates a space for these stakeholders to work together toward the common goal of community health using the Triple Aim goals of Better Health, Better Care, and Better Value.
PRIMARY CARE GROUP DATA
The scores shown on this website are based on claims data.
If you have health coverage and go to see a doctor or fill a prescription, information is sent to your health plan so that your health plan can pay the doctor or pharmacy. For example, if you go visit your doctor because your throat is sore and the doctor diagnoses you with strep throat, your doctor’s office sends a claim to your health plan. This claim will show the diagnosis and any treatment or tests you received (such as a strep test).
Participating health plans supply the data that is used to give scores to primary care and women’s health practices on this website. Anthem Blue Cross Blue Shield, Humana Health Plan of Kentucky, Passport Health Plan, and WellCare Health Plan of Kentucky all submitted data for the current scores.
We don’t receive any personal information.
Before sending us data, health plans use specific rules to determine who should have received a specific type of care. Primary care providers get credit for each patient who receives the appropriate care for each type of care shown on this website. For example, a health plan may tell us how many diabetes patients a doctor has total, along with how many of those patients had their blood sugar levels tested. Health plans do not send any information about those patients.
Scores are calculated by a neutral group.
The Kentuckiana Health Collaborative combines the data from all health plans. Medical providers, hospitals, health plans, employers, universities, and others all provide feedback on how primary care providers and hospitals are measured. The same rules are then used for everyone.
Scores are calculated annually.
These scores are based on 2015 data and are refreshed annually.
Scores are excluded if there is not enough information.
We only show a primary care practice’s score on a measure if the providers in that practice had a total of at least 30 patients for that measure.
All data have limitations.
There are limitations to the data. For example, not all of a provider’s patients are included. There are many important things to consider when evaluating a primary care practice or hospital. See the Disclaimer for more information on the data limitations.
Compare Primary Care.
HealthShare uses select data from the federal government’s Centers for Medicare & Medicaid Services (CMS). Almost all hospitals report to CMS about how well they provide recommended care and what patients say about their hospital stays. You may visit Hospital Compare website at www.hospitalcompare.hhs.gov.
It should be noted that a hospital's quality is more than just the scores available on this website. Hospitals provide care for many other illnesses and conditions for which measures are still under development.
Compare Hospital Care.