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Agenda Cover Memorandum for 02/ - City of West Palm Beach

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Report Name Description Frequency<br />

Claims Analysis Reports<br />

Utilization <strong>of</strong> Services<br />

Report<br />

Clinic Provider Utilization<br />

Report<br />

Population Summary<br />

Report<br />

Details number <strong>of</strong> on-site vs. <strong>of</strong>f-site visits by<br />

type <strong>of</strong> service.<br />

Details number <strong>of</strong> clinic visits by provider type.<br />

Details population numbers by demographics,<br />

insurance carrier, number <strong>of</strong> visits, and clinical<br />

indicators.<br />

Annually<br />

Monthly<br />

Annually<br />

Eligibility Report Eligible population by employees, spouses<br />

and dependents<br />

Monthly<br />

Patient Satisfaction Details patient satisfaction surveys by metric. Quarterly<br />

Utilization Reports<br />

Clinic Utilization Report Details clinic visit by type <strong>of</strong> service, provider<br />

type and capture rate.<br />

Participation Report by<br />

Program<br />

Clinical Reports<br />

Details number <strong>of</strong> patients by program type<br />

and number <strong>of</strong> referred versus number <strong>of</strong><br />

enrolled.<br />

Monthly<br />

Monthly<br />

Executive Summary Report Provides population summary <strong>of</strong> number <strong>of</strong><br />

participants by risk, demographics, stages <strong>of</strong><br />

change, and risk severity.<br />

Annually<br />

Aggregate Report Details all metrics captured from the PHA by<br />

number and percentage <strong>of</strong> overall population.<br />

Annually<br />

Medications Report Details <strong>of</strong> all medications prescribed from<br />

clinic staff.<br />

Monthly<br />

Top 15 Diagnosis Details top 15 diagnoses from clinic staff. Monthly<br />

Top 5 Referrals Details top 5 referrals from clinic staff. Monthly<br />

Condition Specific Report<br />

(DM)<br />

Details percentage <strong>of</strong> disease population in<br />

compliance with treatment protocols.<br />

Preventive Care Report Details preventive care visits and compliance<br />

with screenings and vaccinations.<br />

Outcomes/Financial Reports<br />

Annually<br />

Annually<br />

Productivity Summary Calculates lost work days Monthly<br />

Utilization Cost Avoidance<br />

Report<br />

Productivity Cost Avoidance<br />

Report<br />

Administrative Costs and<br />

ROI Report<br />

Details avoided cost savings by lab,<br />

procedure, diagnostic tests, specialist visits,<br />

and ER visits.<br />

Details productivity savings by type <strong>of</strong> visit <strong>for</strong><br />

procedures provided at the on-site clinic<br />

versus <strong>of</strong>f-site visit.<br />

Calculates net savings and ROI by measuring<br />

clinic management/operating costs and cost<br />

avoidance savings.<br />

Avoidable ER Visits Report Details potential avoidable ER visits expected<br />

across life <strong>of</strong> the contract.<br />

Occupational Health Reports<br />

Annually<br />

Annually<br />

Annually<br />

Annually

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