Quality Health Network

What it reported doing in 2024

Clinical improvement, population health management and chronic disease management: while the chronically ill comprise a relatively small percentage of the total population, they historically account for a large percentage of the healthcare delivery system resources and associated expenses. Medicare and medicaid eligible populations suffer disproportionately from chronic illnesses. A key component of qhn's quality improvement activities is the provision and implementation of high-value technical applications to support providers' ability to identify and manage the care of chronically ill patients. These applications support population health management, risk stratification, predictive modeling tools, and proactive care coordination to reduce the burden on these government supported programs. These tools help in the early identification and treatment of patients with chronic disease to improve patient outcomes and reduce healthcare costs. As the electronic network connectivity work in the qhn medical trade area continues to mature, the process to improve evidence-based, coordinated care for chronic disease is progressing by implementing these sophisticated applications. This helps providers move from the current system of episodic care to a coordinated system of care that creates and maintains healthy populations. Qhn's network and advanced architecture supports the data needs of these applications to help providers integrate coordinated chronic disease management and preventive care into their workflow and make them more successful as they transition to new value-based payment models. Improvements in care require that these chronic disease states be not only managed and controlled during the patient visit, but that proactive management and patient engagement occur. This level of coordinated care is only practical with the support of these applications. Qhn actively works to support providers as they implement and use population health management, registry, and quality measurement applications. These applications provide for the longitudinal monitoring capabilities needed to proactively manage disease and aggregate outcomes, and support measurement, for groups of patients or the entire provider's patient panel. Registries and other care coordination tools also enable providers to involve care team members to efficiently support the patient care process and actively engage patients in their disease management. Managing diseases via a registry is the expected best practice as providers develop more efficient means to care for patients. Qhn supports most of the nearly 5,200 qhn users with their data needs for the utilization of population health tools embedded in their ehrs, or via other supporting applications. Prescription drug and opioid abuse is a major area of concern, not only in the state of Colorado but nationwide. Qhn provides services under a pilot project to improve access and use of the Colorado prescription drug monitoring program (pdmp) by enabling access to pdmp via the qhn system for nearly 290 qhn users. Qhn has also enabled access to the Colorado department of health care policy & financing's (Colorado medicaid) prescriber tool opioid risk module opisafe via the qhn platform. Improving care coordination and care transitionsthe transition of a patient from one care setting to another is frequently the source of reduced system efficiency, duplicative diagnostic testing, and the impetus for increased medical errors. This transition may be from provider to provider or from care setting to care setting such as the hospital to rehabilitation facility, home health care or hospice facility. It is common for a patient to receive care and treatment from many disparate providers during a single episode of care. Having real-time, concise, and accurate patient medical information available to all providers involved in the care of the patient during these transitions is essential for improved quality, safety, and cost reduction

Financial Efficiency

• Mission deployment rate: 70.3%; rating input score 70
• Program expense ratio: 85.6%; rating input score 86
• Fundraising efficiency: $2.59 raised per $1 spent on fundraising; rating input score 7; 7th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 15%; rating input score 71; 71st percentile among comparable filings
• Total-asset coverage ratio: 0.22; rating input score 6; 6th percentile among comparable filings
• Liabilities to assets ratio: 0.19; rating input score 46; 46th percentile among comparable filings
• Officer compensation ratio: 49.4%; rating input score 1; 1st percentile among comparable filings

Growth

• Program expense growth: 4.9% per year; rating input score 100; 39th percentile among comparable filings
• Revenue growth: 3% per year; rating input score 100; 27th percentile among comparable filings
• Asset growth: 7.3% per year; rating input score 100; 47th percentile among comparable filings