MiPCT Dashboard. User Guide RELEA S E Document File Name MiPCT_Dashboard_UG_v20_00.docx. Document Author Kendra Mallon. Created October 9, 2017

Transcription

1 User Guide RELEA S E 20.0 Document File Name MiPCT_Dashboard_UG_v20_00.docx Document Author Kendra Mallon Created October 9, 2017

2 U S E R G U I D E Copyright 2017 University of Michigan Health System (UMHS). All rights reserved. This documentation is an unpublished work of UMHS, which may be used only in accordance with a license agreement with UMHS. Any unauthorized use, duplication, or disclosure is prohibited. UMHS assumes no responsibility or liability for any errors or inaccuracies that may appear in this documentation. Except as permitted by such license, no part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, recorded, or otherwise, without the prior written permission of UMHS. Any reference to company names in samples, procedures, or templates are for demonstration purposes only and are not intended to refer to any actual organization. All trademarks are the property of their respective owners. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 2 of 95

3 U S E R G U I D E Contents Copyright... 2 Contents... 3 Chapter 1: Introduction... 7 In this Chapter... 7 About the MiPCT Project... 8 About the MDC MiPCT Dashboard... 8 About the Data... 8 Overview of the Pages in the Dashboard... 9 Overview of the Report Writer Overview of the Reports Chapter 2: Using the MDC MiPCT Dashboard In this Chapter Logging In Logging Out Components of the Dashboard Data Attribution Dates and Timeframes Filtering Data Using the Selection Fields Examples Resetting the Selection Field Values Refreshing a Section Keep Only and Exclude Options Keep Only Exclude Accessing Help Drilling Down to Detailed Member Lists Procedure Sorting Tables by Columns Null Data in Drill-Down Lists Exporting and Printing Exporting to PDF Exporting to Excel Exporting a Graphic Chapter 3: Population In this Chapter Why Use this Page? Selecting the Criteria You Want to View Attributed Members by Payer Section Revised: MiPCT_Dashboard_UG_v20_00.docx Page 3 of 95

4 U S E R G U I D E Drilling Down to the Member List Exporting and Printing Member Risk Levels Section Drilling Down to the Member List Exporting and Printing Chronic Conditions Section Drilling Down to the Member List Exporting and Printing Risk Scores by Payer Section Exporting and Printing Chapter 4: Quality In this Chapter Why Use this Page? About the Quality Measures Page Selecting the Criteria You Want to View Quality Measure Descriptions Quality Graph Clinical Quality Measures Table Electronic Clinical Quality Measures Table Drilling Down to the Member List Exporting and Printing Chapter 5: Utilization In this Chapter Why Use this Page? Selecting the Criteria That You Want to View ED Utilization Section Drilling Down to the Member List Understanding the Data in the Detailed Member List Exporting and Printing IP Utilization Section Drilling Down to the Member List Understanding the Data in the IP Drilldown by Provider List Exporting and Printing Chapter 6: Trends In this Chapter Why Use this Page? Time Periods Selecting the Type of Trends You Want to View Selecting the Criteria You Want to View Revised: MiPCT_Dashboard_UG_v20_00.docx Page 4 of 95

5 U S E R G U I D E Population and Cost Trends Standard Cost Per Member Per MOnth Trend Graph Standard Cost Per Member Per Month Trend Table Exporting and Printing Quality Trends Diabetes Quality Measure Trends Graph Diabetes Quality Measure Trends Table Exporting and Printing Utilization Trends ED Utilization IP Utilization Exporting and Printing Chapter 7: PO Comparison In this Chapter Why Use this Page? Selecting the Type of PO Comparison You Want to View Layout of the PO Comparison Pages Tables Drilling Down to Practice-Level Data from a Table Graphs Drilling Down to Practice-Level Data from a Graph Chapter 8: PO Reports In this Chapter About the Reports Downloading PO Reports Using the Report Writer Chapter 9: Understanding the Data In this Chapter: Data Included in the MiPCT Project Patient Eligibility Requirements Data Sources Physician - Practice Unit - PO Rollup Attribution Data Attribution Timetable Standard Costs Risk Scores Risk Score Banding Chronic Conditions Quality Measures Revised: MiPCT_Dashboard_UG_v20_00.docx Page 5 of 95

6 U S E R G U I D E Quality Measures General Guidelines Chronic Conditions Clinical Quality Measures Adult Preventive Clinical Quality Measures Pediatric Preventive Clinical Quality Measures Chronic Condition Electronic Clinical Quality Measures Adult Preventive Electronic Clinical Quality Measures Pediatric Preventive Electronic Clinical Quality Measures ED Utilization Measures How the ED Data is Sourced How the ED Data is Defined How the ED Rates are Calculated Inpatient Utilization Measures Admissions How the IP Data is Sourced How the IP Data is Defined How the IP Rates are Calculated Benchmarks Benchmark Methodology Calculating Benchmarks Quality Measure Sample Scenario: Glossary of Terms Revised: MiPCT_Dashboard_UG_v20_00.docx Page 6 of 95

7 U S E R G U I D E Chapter 1: Introduction This guide contains procedures, examples, and contextual information to help you use the Dashboard and understand how the data was derived. In this Chapter This chapter contains the following topics: About the MiPCT Project About the MDC MiPCT Dashboard Overview of the Pages in the Dashboard Overview of the Report Writer Overview of the Reports Revised: MiPCT_Dashboard_UG_v20_00.docx Page 7 of 95

8 U S E R G U I D E About the MiPCT Project MiPCT is the largest PCMH project in the country. It comprises 37 physician organizations (POs) throughout Michigan as well as their affiliated practice units totaling approximately 350 practices and 1800 physicians. Expected outcomes include an incentive model and resources for reducing trips to the emergency room, stabilizing (or reducing) the costs associated with patient care, and increasing positive patient experiences through more patient involvement in decisions surrounding their own care. About the MDC MiPCT Dashboard Throughout the duration of the MiPCT project, the Michigan Data Collaborative (MDC) is providing POs with an online, dynamic dashboard for analyzing data collected from payers both commercial and government. MDC is acting as a clearinghouse for the data, making it available to POs they can use the data to assess their various subpos, practice units, and providers. The goal is to provide data that will enable POs to help their care managers be more effective. ABOUT THE DATA The Dashboard contains data from Medicare, Medicaid, Blue Cross Blue Shield of Michigan (BCBSM), Blue Care Network (BCN), and Priority Health. Updates to the data are scheduled to occur regularly. Watch for announcements about data refresh dates in the MiPCT PO FLASH newsletter and on the MDC Website. To learn more about the data displayed in the MDC MiPCT Dashboard Project, see Understanding the Data on page 63. A third-party partner Truven Health Analytics assisted MDC in aggregating the data reported in the MDC Dashboard. Details on the methodologies Truven used for processing the data can be found on the MiPCT Support page of the MDC website. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 8 of 95

9 U S E R G U I D E Overview of the Pages in the Dashboard MDC has created a set of pages in the Dashboard for presenting the multi-payer claims data. Three core areas of concentration for data analysis include membership/populations, quality of care, and utilization. From the pages and the reports, individual POs can assess their own performance against published benchmarks at an MiPCT project level, which includes all of the multi-payer claims data, and at an individual PO level. The following pages are available on the MiPCT Dashboard: Page Name Population Quality Utilization Trends PO Comparisons PO Reports Description Use the Population page to review your PO s attributed membership, risk, and chronic condition information. (You also can view this data for the entire MiPCT population.) The data on this page can help provide an overview of the overall health and risk status for the members of your population. Use the Quality page to review your PO s rates for quality measures. (You also can view this data for the entire MiPCT population.) This page displays overall rates and counts for each measure and also includes benchmark data for each measure when that data is available. Use the Quality page to review your PO s rates for quality measures. Quality measures include Diabetes, Adult Preventive, Pediatric Preventive, and benchmark rates to gauge if your PO s members are receiving the appropriate care for their conditions. Use the Utilization page to review the following: Emergency Department (ED) visit information, including primary care sensitive visit rates and visit rates for patients with a previous asthma diagnosis. Inpatient admission information, including admission rates for patients with a previous asthma diagnosis. This information is available for your PO (including SubPOs, practice units, and/or practices) and the MiPCT population. Use the Trends page to view patient per member per month (PMPM) cost changes, diabetes quality measures, ED utilization measures, and IP utilization measures over the trend time periods for your PO (including SubPOs, practice units and/or practices) and the MiPCT population. Use the PO Comparisons page to compare emergency department (ED) and inpatient (IP) utilization rates and quality measure rates for each PO. The tables and graphs on this page also include benchmark rates and MiPCT overall rates for each measure. Use the PO Reports page to: Download reports that are specific to your PO. Access the Report Writer, which enables you to select individual components from each Dashboard page to view in one report. For more information, see the Report Writer User Guide. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 9 of 95

10 U S E R G U I D E Overview of the Report Writer The report writer is accessible from the PO Reports tab. It enables you to select individual components from each Dashboard page to view in one report. The components that you can select reflect the table column and row headings in each section of each Dashboard page. Only the data available in the current release is available in the Report Writer. Instructions about using the Report Writer are included in the Report Writer User Guide, which can be found on the MiPCT Support page of the MDC Website. Overview of the Reports The Download PO Reports page in the MDC MiPCT Dashboard contains the following reports: Report Name ED Summary ED Detail IP Summary IP Detail PO Quality Measure Comparison Report for All POs PO Quality Measure Comparison Report by Practice PO ED Utilization Comparison Report for All POs PO ED Utilization Comparison Report by Practice PO IP Utilization Comparison Report for All POs PO IP Utilization Comparison Report by Practice G-Code Aggregated Totals G-Code Medicare Practice Feedback All Payer Patient List Description Provide ED visit information for patients who have recently had one or more Emergency Department (ED) visits. Provide IP admission information for patients who have recently had one or more inpatient admissions. Provide a comparison of quality measure rates. One report contains the rates for all POs; the other report contains rates for all of the Practices within your PO. Provide a comparison of ED utilization measure rates. One report contains the rates for all POs; the other report contains rates for all of the Practices within your PO. Provide a comparison of inpatient (IP) utilization measure rates. One report contains the rates for all POs; the other report contains rates for all of the Practices within your PO. Provide monthly and to date data to help monitor and improve the billing and reimbursement process for BCBSM, BCN, and Priority Health G-code claims. These reports provide the RTI-derived reports and measures provided to CMS for the national demonstration project. The reports contain measure rate comparisons at a Practice level for Medicare patients only. These reports provide a current list of MiPCT patients attributed to each practice. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 10 of 95

11 U S E R G U I D E Chapter 2: Using the MDC MiPCT Dashboard Use the menus near the top of the dashboard to move between pages. Your navigation menu will look similar to the following: In this Chapter This chapter contains the following topics: Logging In Logging Out Components of the Dashboard Data Attribution Dates and Timeframes Filtering Data Using the Selection Fields Keep Only and Exclude Options Refreshing a Section Accessing Help Drilling Down to Detailed Member Lists Sorting Tables by Columns Null Data in Drill-Down Lists Exporting and Printing Revised: MiPCT_Dashboard_UG_v20_00.docx Page 11 of 95

12 U S E R G U I D E Logging In For instruction on how to access the new MiPCT Dashboard, see Accessing the MiPCT Dashboard document on the MDC Website s Support page. After you log in to the dashboard, the Welcome page displays, similar to the following: Logging Out When you are done using the Dashboard, you can log out by closing the web page and then closing the browser. NOTE: You will remain logged into the Dashboard until you close the browser. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 12 of 95

13 U S E R G U I D E Components of the Dashboard The MiPCT Dashboard contains the following components: Dashboard Component Navigation Menu Pages Sections Selection Fields See Detail Links Export Links Description A menu bar that appears at the top of the Dashboard. Use these to navigate to a specific section or page for each data category (Population, Quality, Utilization, Trends, PO Comparisons, and PO Reports). There is one page for each data category (Population, Quality, Utilization, Trends, PO Comparisons, and PO Reports). If you select View All from a navigation menu, you will see all sections on one page. Each page displays sections that contain unique data or data views. You can select to view one section at a time or all sections for a particular page. Use the Selection Fields at the top of each page to limit the data by PO, Sub PO (if applicable), Practice, or Physician. If you want to drill down into the data for a table, click the See Detail link. If a table and graph can be exported, Export links display above that section. NOTE: After you export a table or graph to another program, you can then print it. Data Attribution Dates and Timeframes On the Welcome page, you can find the current timeframes for the data used in the MiPCT Dashboard. For more detailed timeframe information, see the MiPCT Data Timeline document on the MDC Website s MiPCT Support page. Filtering Data Using the Selection Fields By default, the pages display data for the entire MiPCT project. You can use the Selection Fields to view data for only your PO, a SubPO (if applicable), Practice Unit, or Provider. Each time you change one of these Selection Fields, the data displayed on a page automatically updates. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 13 of 95

14 U S E R G U I D E EXAMPLES Following are two examples for how to use the Selection Fields: To look at data for one provider in the PO: 1. In the Select PO drop-down list, select the appropriate PO. 2. From the Select Provider drop-down list, select the appropriate provider. To look at data for all the providers in a particular practice: 1. In the Select PO drop-down list, selected the appropriate PO. 2. Bypass the Select Sub PO drop-down list, leaving Select Sub PO visible in that field. 3. From the Select Practice drop-down list, select the appropriate practice. RESETTING THE SELECTION FIELD VALUES To clear a value in a selection field, scroll to the top of the list and select PO Sub PO Practice Provider. This selection clears all fields. Refreshing a Section You can refresh a section to revert it back to its original default format and data display. To refresh a section, click the refresh icon. This also updates the page data back to the default select all options, which displays data for the entire MiPCT project. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 14 of 95

15 U S E R G U I D E Keep Only and Exclude Options KEEP ONLY If you want to view the data for only one column or chart element in a table or graph, you can select to Keep Only that data. To do so, hover your cursor over the column title or chart element until a pop-up displays. Then select Keep Only. EXCLUDE If want to view everything except a particular column or chart element in a table or graph, you can select to Exclude that data. To do so, hover your cursor over the column title or chart element until a pop-up displays. Then select Exclude. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 15 of 95

16 U S E R G U I D E Accessing Help To view help for a section, click the help icon. The User Guide PDF opens to the appropriate section. From there, you can search the PDF for additional help topics as applicable. Drilling Down to Detailed Member Lists On most tables, you can drill down and view a member list with detailed information about that member related to the type of data you are viewing. If you are viewing population and risk data, the member list contains additional details about a member s risk levels and chronic conditions. If you are viewing quality measures, the member list contains details about a member s quality measure rates. If you are viewing a utilization section, the member list contains details about a member s ED and IP utilization. PROCEDURE To drill down to the detailed list level: 1. In the table for which you wish to see more detail, click the See Detail link. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 16 of 95

17 U S E R G U I D E A new table displays with the highest level information displayed. In the example below, the top level of information is the risk group. 2. For the tables on the Quality and Utilization pages, select the Measure by which you wish to sort the data. 3. Place your cursor over the first column title. A plus sign displays. 4. Click the plus sign to open the next level of detail. 5. Continue to place your cursor over the column titles and click the plus signs to navigate to the detail level you want to view. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 17 of 95

18 U S E R G U I D E The example below displays a risk data drill-down to the Provider level. NOTE: To go back a level, hover the mouse over the column title until the minus sign displays, and then click it. Continue doing so until you are at the desired level. 6. If you want to drill down to see the patient list for each Provider, click the corresponding underlined number. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 18 of 95

19 U S E R G U I D E In the Quality and Utilization tables, you can click the rate, the denominator, or the numerator to drill down. 7. In the pop-up that displays, click the View Data icon ( ). A new browser page opens with the list details displayed. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 19 of 95

20 U S E R G U I D E 8. Click the Underlying tab. 9. Select the Show all columns check box. 10. You can view detailed data for each patient attributed to the doctor you selected. IMPORTANT: The detailed patient lists are limited to 200 entries on screen. If there are more than 200 entries, click the Download all rows as text file link, which enables you to view the data for all rows in an Excel spreadsheet. 11. If you want to sort lists or copy/paste the data, click the Download all rows as text file link, which enables you to view and save the data in an Excel spreadsheet. Sorting Tables by Columns When you view a table onscreen, you can click the sort icons next to most column headings to sort the list based on that column heading. The sort arrows display when you hover the cursor over a column heading name. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 20 of 95

21 U S E R G U I D E Null Data in Drill-Down Lists Some fields in the drill-down lists contain Null. This means that there wasn t enough claims information to determine the information or the patient didn t qualify for the measure. Exporting and Printing On each page, you can export the sections or the entire page to PDF or Excel. You can also export an image to an image editing program. You can then print the sections/pages/images as you like. The Export links are included above each section, and there is an Export All to PDF link at the top of each page. The following example indicates where the Export links display above the table in the Attributed Members by Payer section of the Population page. IMPORTANT: If you are exporting a table that also has a graph in the section, you must first highlight the table before you export it. Otherwise, the system only exports the data from the graph. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 21 of 95

22 U S E R G U I D E EXPORTING TO PDF To export to PDF: 1. Do one of the following: A. To export only the current section, select the Export to PDF link. B. To export the entire page, select the Export All to PDF link. When the page updates, click the Export to PDF link. The Export PDF window displays, similar to the following: 2. In the Export PDF window, do one of the following: A. If you are exporting all from one of the PO Comparison pages, select A3 from the Paper Size list and keep the defaults for all other selections. B. For all other export options, keep the defaults for all selections. NOTE: Your selection choices are highlighted in blue. 3. Click Export. 4. Click Download. 5. To open the PDF in Acrobat, select the Open with Adobe Reader option, and then click OK. NOTE: You can also save the file if you do not wish to view it first. 6. Print the PDF as needed. NOTE: If you export one of the PO Comparison pages, Adobe Acrobat automatically converts it from A3 to letter size when you print. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 22 of 95

23 U S E R G U I D E EXPORTING TO EXCEL To export to Excel: 1. Highlight the table or graphic that you want to export. 2. Click the Export to Excel link above the section that you want to export. 3. In the Export Crosstab window, click Download. 4. Click OK to open the data in Excel. NOTE: You can also save the file if you don t wish to view it first. 5. Print the spreadsheet as needed. EXPORTING A GRAPHIC On each page, you can export a section to a graphics program for additional editing on your computer. To export a graphic: 1. Above the section that you want to export, select the Export as Image link. 2. In the Export Image window, click Download. 3. In the Open with list, select the program you want to use. 4. Click OK. 5. Modify the graphic as needed. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 23 of 95

24 U S E R G U I D E Chapter 3: Population Use the Population page to view general information for the MiPCT patient population and your PO s patient population. This page displays the data from all current payers participating in the MDC MiPCT project. In this Chapter Why Use this Page? Selecting the Criteria You Want to View Attributed Members by Payer Section Member Risk Levels Section Chronic Conditions Section Risk Scores by Payer Section Revised: MiPCT_Dashboard_UG_v20_00.docx Page 24 of 95

25 U S E R G U I D E Why Use this Page? Use this page to review attributed membership, risk, and chronic condition information for your entire PO, subpo (if applicable), practice unit, and/or provider. The different sections of this page include the following information: The relative number and percentages of attributed members, by payer Risk information, including: - Number/percent of members by risk group (Very High, High, Medium, etc.) - Average risk score per risk group (uses concurrent risk score data) - Standard cost per member per month (PM PM) by risk group (excludes pharmacy costs) For each chronic condition: - Number/percent of members who have this condition - Standard cost per member per month (PM PM) (excludes pharmacy costs) A bar chart for comparing patient count totals for chronic conditions Risk sores by payer NOTE: Members with claims for which standard cost could not be assigned are not reflected in standard costs on this page. Selecting the Criteria You Want to View In the Selection fields, you can view data for a specific PO (if you have access to more than one), sub PO (if applicable), Practice, or Provider. For more information, see Filtering Data Using the Selection Fields on page 13. Attributed Members by Payer Section This section displays the following: A pie chart illustrating the distribution of attributed members by payer. A table listing the number of attributed members by payer. The table separates the attributed members based on whether they are adults or pediatric patients. It also provides the average Standard Cost PM PM (excluding pharmacy costs) for each payer. Members with claims for which standard cost could not be assigned are not reflected in standard costs on this page. Standard Cost PM PM is blank if a member does not have sufficient claims history to produce a standard cost and PM PM calculation. For information about how member attribution has been determined for the data in the Dashboard, see the Attribution section on page 65 of the Understanding the Data chapter. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 25 of 95

26 U S E R G U I D E The Attributed Members by Payer section displays a pie chart and table similar to the following: DRILLING DOWN TO THE MEMBER LIST From this table you can drill down to a detailed member list, which contains the following: Member information Physician/Practice information Payer information Risk Score information Standard Cost information Chronic condition information (a 1 means that a patient has been diagnosed with that condition, a 0 means that they have not). For instructions about how to drill down to the detailed member list, see Drilling Down to Detailed Member Lists on page 16. EXPORTING AND PRINTING To export and print the graph and table, see Exporting and Printing on page 21. Member Risk Levels Section This section provides concurrent risk information for all payers participating in the MDC MiPCT project. This section displays the following: A pie chart illustrating the distribution of attributed members according to risk group. A table listing the number of members in each risk group, along with the average risk score and the standard cost per member per month (PM PM) for each risk group (excluding pharmacy costs). Revised: MiPCT_Dashboard_UG_v20_00.docx Page 26 of 95

27 U S E R G U I D E The members are grouped according to the following risk levels: Risk Level Very high Risk Score Range 701 or higher High Medium Low Very Low 0-20 Not Avail(able) For information about how risk scores are calculated, see Risk Scores on page 68 of the Understanding the Data chapter. NOTES: The calculation for the All Members (Grand Total) average risk score adds the scores for the entire population and then divides the sum by the count of the entire population. Members with claims for which standard cost could not be assigned are not reflected in standard costs on this page. Standard Cost PM PM is blank if a member does not have sufficient claims history to produce a standard cost and PM PM calculation. For information about how member risk was derived, see Risk Scores on page 68. For information about how standard cost was determined, see Standard Costs on page 66. The Member Risk Levels section displays a pie chart and table similar to the following: Revised: MiPCT_Dashboard_UG_v20_00.docx Page 27 of 95

28 U S E R G U I D E DRILLING DOWN TO THE MEMBER LIST From this table you can drill down to a detailed member list, which contains the following: Member information Physician/Practice information Payer information Risk Score information Standard Cost information Chronic Condition information (a 1 means that a patient has been diagnosed with that condition; a 0 means that they have not). For instructions about how to drill down to the detailed member list, see Drilling Down to Detailed Member Lists on page 16. EXPORTING AND PRINTING To export and print the graph and table, Exporting and Printing on page 21. Chronic Conditions Section This section of the Population page displays a graph and table showing the number and percentage of attributed patients for each of the following chronic conditions: Attention Deficit Hyperactivity Disorder (ADHD) Asthma Coronary Artery Disease (CAD) Congestive Heart Failure (CHF) aka: Heart Failure Chronic Kidney Disease (CKD) Chronic Obstructive Pulmonary Disease (COPD) Diabetes Hypertension (HTN) Obesity NOTES: Patients with co-morbidities show up in each applicable chronic condition. Members with claims for which standard cost could not be assigned are not reflected in standard costs on this page. Standard Cost PM PM is blank if a member does not have sufficient claims history to produce a standard cost and PM PM calculation. For information about how chronic condition information was derived, see Chronic Conditions on page 68. For information about how standard cost was determined, see Standard Costs on page 66. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 28 of 95

29 U S E R G U I D E The Chronic Condition section displays a graph and table similar to the following: DRILLING DOWN TO THE MEMBER LIST From this table you can drill down to a detailed member list, which contains the following: Member information, including the chronic condition Physician/Practice information Payer information Risk Score information Standard Cost information For instructions about how to drill down to the detailed member list, see Drilling Down to Detailed Member Lists on page 16. EXPORTING AND PRINTING To export and print the graph and table, see Exporting and Printing on page 21. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 29 of 95

30 U S E R G U I D E Risk Scores by Payer Section This section displays the average concurrent and prospective risk scores by payer for the current timeframe. You can view the data in a graph or bar chart format. The bar graph displays a visual view of risk scores by payer. Use the table to view actual risk score data by payer. For information about concurrent and prospective risk scores, see Risk Scores on page 68. EXPORTING AND PRINTING To export and print the graph and table, see Exporting and Printing on page 21. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 30 of 95

31 U S E R G U I D E Chapter 4: Quality The Quality page displays a list of quality measures by payer for the MiPCT patient population. It displays overall rates and counts for each measure and also includes benchmark data for each measure when that data is available. In this Chapter This chapter contains the following topics: Why Use this Page? About the Quality Measures Page Selecting the Criteria You Want to View Quality Measure Descriptions Quality Graph Clinical Quality Measures Table Electronic Clinical Quality Measures Table Revised: MiPCT_Dashboard_UG_v20_00.docx Page 31 of 95

32 U S E R G U I D E Why Use this Page? Use the Quality page to view benchmark and actual rates for chronic condition, adult preventive, and pediatric preventive quality measures. About the Quality Measures Page This page contains the following tables and graph: Clinical Quality Measures table Contains measures created with claims data provided by Payers, which is supplemented with clinical data from Electronic Health Records (EHRs) submitted by Physician Organizations (POs). Electronic Clinical Quality Measures (ecqms) table Contains measures created with clinical data from EHRs submitted by POs. Quality Graph Includes the Clinical Quality Measures only. The quality measures are grouped in the following categories: Chronic Conditions, Adult Preventive, and Pediatric Preventive. NOTES: ecqm as used in the MiPCT Dashboard is a generic term used to describe electronic quality measures developed by the MiPCT project. They are not the same definitions as the ecqms used by CMS. To distinguish between the two types of quality measures, all electronic clinical quality measures contain (ecqm) in the title. Selecting the Criteria You Want to View In the Selection fields, you can view data for a specific PO (if you have access to more than one), sub PO (if applicable), Practice, or Provider. For more information, see Filtering Data Using the Selection Fields on page 13. Quality Measure Descriptions For more information about the quality measures, including general guidelines and specific descriptions for each measure, see the Quality Measures section on page 71 of the Understanding the Data chapter. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 32 of 95

33 U S E R G U I D E Quality Graph This section displays a bar chart that illustrates the benchmark and overall rates (for all payers) for each clinical quality measure. The bar chart display is similar to the following: NOTE: The ecqms do not display in the graph. For information about how quality measures were derived for the MDC MiPCT Dashboard project, see Quality Measures on page 71. For information about how MiPCT benchmarks are determined, see Benchmarks on page 89. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 33 of 95

34 U S E R G U I D E Clinical Quality Measures Table This section contains measures created using claims data provided by Payers, which is supplemented with clinical data EHRs submitted by POs. It contains the following information for each Clinical Quality Measure: MiPCT Benchmark Rate Patient Rate (as a percentage) by payer and overall Patient Counts (as numerators/denominators) by payer and overall Supplemental Patient Rate (as a percentage) by payer and overall, which displays a rate based on the claims-based data supplemented with clinical data from the EHRs submitted by POs. Supplemental Patient counts (as numerators/denominators) by payer and overall, which display the count of patients included when claims-based data is supplemented with clinical data from EHRs submitted by POs. NOTES: Commercial payers are combined under the column heading COMMERCIAL. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 34 of 95

35 U S E R G U I D E If a measure is not calculated for a Payer, the field displays NA. For information about how quality measures are derived for the MDC MiPCT Dashboard project, see Quality Measures on page 71. For information about how MiPCT benchmarks are determined, see Benchmarks on page 89. Electronic Clinical Quality Measures Table This section contains measures created using clinical data from EHRs submitted by POs. This section contains a table with the following information: MiPCT Benchmark Rate Patient Rate (as a percentage) by payer and overall Patient Counts (as numerators/denominators) by payer and overall NOTES: Commercial payers are combined under the column heading COMMERCIAL. MiPCT benchmark data is calculated only for the clinical quality measures. If a measure is not calculated for a Payer, the field displays NA. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 35 of 95

36 U S E R G U I D E For information about how quality measures are derived for the MDC MiPCT Dashboard project, see Quality Measures on page 71. For information about how MiPCT benchmarks are determined, see Benchmarks on page 89. DRILLING DOWN TO THE MEMBER LIST From each table you can drill down to a detailed member list, which contains the following: Member information Physician/Practice information Payer information Risk Score information Standard Cost information For instructions about how to drill down to the detailed member list, see Drilling Down to Detailed Member Lists on page 16. EXPORTING AND PRINTING To export and print the graph and table, see Exporting and Printing on page 21. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 36 of 95

37 U S E R G U I D E Chapter 5: Utilization Use the Utilization page to view Emergency Department (ED) visit and Inpatient (IP) admission information. This information can help you to measure, track, and understand your population s ED and IP Utilization. In this Chapter This chapter contains the following topics: Why Use this Page? Selecting the Criteria You Want to View ED Utilization Section IP Utilization Section Revised: MiPCT_Dashboard_UG_v20_00.docx Page 37 of 95

38 U S E R G U I D E Why Use this Page? This page displays data about ED and IP visits for your PO, subpo (if applicable), practice unit, and/or provider. You can use the data on this page to compare your rates with benchmark rates and see how your patient population is doing overall. You can also compare your PO s patient rates between commercial payers, Medicaid, and Medicare. This page contains drillable tables and graphs, enabling you to drill down to the individual patient level, where you can view patient information by provider. Selecting the Criteria That You Want to View In the Selection fields, you can view data for a specific PO (if you have access to more than one), sub PO (if applicable), Practice, or Provider. For more information, see Filtering Data Using the Selection Fields on page 13. ED Utilization Section The ED Utilization section displays the following: A bar chart illustrating the benchmark rates and the overall rates for each ED utilization measure. A table listing the following for each ED Utilization measure: - The benchmark rate For more information about benchmarks, see Benchmarks on page The rate - The numerators and denominators NOTES: NOTE: All commercial payers are grouped together under the COMMERCIAL column headings. Patients in the denominator must have claims and eligibility records in the MiPCT database during the reporting period. For information about the Primary Care Sensitive visit rate, see How the ED Data is Defined on page 84of the Understanding the Data chapter. For information about how utilization measures were derived for the MDC MiPCT Dashboard project, see ED Utilization Measures on page 83 of the Understanding the Data chapter. For information about how MiPCT benchmarks are determined, see Benchmarks on page 89 of the Understanding the Data chapter. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 38 of 95

39 U S E R G U I D E The ED Utilization table displays similar to the following: The ED Utilization graph displays similar to the following: Revised: MiPCT_Dashboard_UG_v20_00.docx Page 39 of 95

40 U S E R G U I D E DRILLING DOWN TO THE MEMBER LIST From the ED Utilization table you can drill down to a detailed member list, which contains the following: Member information Physician Payer information Risk Score information Standard Cost information PO, Sub PO, and Practice information For instructions about how to drill down to the detailed member list, see Drilling Down to Detailed Member Lists on page 16. UNDERSTANDING THE DATA IN THE DETAILED MEMBER LIST The following table provides a list of column headings and descriptions to help you interpret the data in the member list. Column Heading Concurrent Risk Score Concurrent Risk Group Description The risk score of the patient in the year for which the model is run, typically the current complete year. The risk score group of the patient in the year for which the model is run, typically the current complete year. # of ED Visits The total number of ED visits for a patient during the reporting period. Adult Asthma ED Visits for Previously Diagnosed Asthma Pediatric Asthma ED Visits for Previously Diagnosed Asthma Non-Emergent Emergent Primary Care Treatable The number of asthma-related ED visits for an adult patient who was previously diagnosed with asthma. The number of asthma-related ED visits for a pediatric patient who was previously diagnosed with asthma. The probability that the contributing visits are non-emergent based on a principal diagnosis. NYU Non-emergent definition: When the patient's initial complaint, presenting symptoms, vital signs, medical history, and age indicated that immediate medical care was not required within 12 hours. The probability that the contributing visits are emergent and primary care treatable, based on a principal diagnosis. NYU Emergent Primary Care Treatable definition: Based on information in the record, treatment was required within 12 hours, but care could have been provided effectively and safely in a primary care setting. The complaint did not require continuous observation, and no procedures were performed or resources used that are not available in a primary care setting (e.g., CAT scan or certain lab tests) Revised: MiPCT_Dashboard_UG_v20_00.docx Page 40 of 95

41 U S E R G U I D E Column Heading Emergent ED Needed Preventable Emergent ED Needed Not Preventable Injury Mental Health Related Alcohol and Drug Related Unclassified Description The probability that the contributing visits are emergent with ED needed but preventable, based on a principal diagnosis. NYU Emergent ED Needed Preventable definition: Emergency department care was required based on the complaint or procedures performed/resources used, but the emergent nature of the condition was potentially preventable/avoidable if timely and effective ambulatory care had been received during the episode of illness (e.g., the flare-ups of asthma, diabetes, congestive heart failure, etc.) The probability that the contributing visits are emergent with ED needed and not preventable. NYU Emergent ED Needed Not Preventable definition: Emergency department care was required and ambulatory care treatment could not have prevented the condition (e.g., trauma, appendicitis, myocardial infarction, etc.) NOTE: This value is not included in the PCS rate. The number of ED visits that had an injury-related principal diagnosis. NOTE: This value is not included in the PCS rate. The number of ED visits that had a mental health-related principal diagnosis. NOTE: This value is not included in the PCS rate. The number of ED visits that had an alcohol- and-drug related principal diagnosis. NOTE: This value is not included in the PCS rate. The number of ED visits that did not have a principal diagnosis included in the NY algorithm. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 41 of 95

42 U S E R G U I D E Example In this example, you can derive the following information about the patient, Betsy Ross: She visited the ED 9 times during the reporting period. Of those 9 ED visits, 7 of them contributed to the Primary Care Sensitive (PCS) rate. Using the NYU Algorithm, the Primary Care Sensitive Probability rate is , which indicates that of the 7 visits contributing to PCS, the probability is that of the ED visits will be PCS. The sum of the following values equals the Primary Care Sensitive Probability rate: - Non-Emergent (2.7476) - Emergent - Primary Care Treatable (2.75) - Emergent - ED Needed - Preventable (.2418) Two (2) of the visits were related to injury, 0 were related to mental health or alcohol/drugs. (None of these principal diagnoses are used to calculate the PCS Probability rate.) No visits were unclassified. (Visits that do not have a principal diagnosis used in the NYU algorithm). Based on this data, you might assume that Ms. Ross is likely visiting the ED for health issues that could be treated by her primary care physician. EXPORTING AND PRINTING To export and print the graph and table, see Exporting and Printing on page 21. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 42 of 95

43 U S E R G U I D E IP Utilization Section The IP Utilization section displays the following: A table listing the following for each IP Utilization measure: - The benchmark rate For more information about benchmarks, see Benchmarks on page The rate - The numerators and denominators NOTES: NOTE: All commercial payers are grouped together under the COMMERCIAL column headings. A bar chart illustrating the benchmark rates and the overall rates for each IP utilization measure. Patients in the denominator must have claims and eligibility records in the MiPCT database during the reporting period. For detailed information about the IP calculations and data, see How the IP Data is Defined on page 86 and How the IP Rates are Calculated on page 87 of the Understanding the Data chapter. For information about how utilization measures were derived for the MDC MiPCT Dashboard project, see Inpatient Utilization Measures on page 86 of the Understanding the Data chapter. For information about how MiPCT benchmarks are determined, see Benchmarks on page 89 of the Understanding the Data chapter. The IP Utilization table displays similar to the following: Revised: MiPCT_Dashboard_UG_v20_00.docx Page 43 of 95

44 U S E R G U I D E The IP Utilization graph displays similar to the following: DRILLING DOWN TO THE MEMBER LIST From the IP Utilization table, you can drill down to a detailed member list, which contains the following: Member information Physician/Practice information Payer information Risk Score information Standard Cost information PO, Sub PO, and Practice information For instructions about how to drill down to the detailed member list, see Drilling Down to Detailed Member Lists on page 16. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 44 of 95

45 U S E R G U I D E UNDERSTANDING THE DATA IN THE IP DRILLDOWN BY PROVIDER LIST The following table provides a list of column headings and descriptions to help you interpret the data in the Inpatient Drilldown by Provider List. Column Heading Description # IP Admissions The count of inpatient admissions in the measurement timeframe (for current attributed patients) divided by the count of member months in the measurement timeframe (of current attributed patients). # Readmissions The count of inpatient admissions for a patient with a readmission for any reason within 30 days of the original admission discharge date. Adult Admissions for Previously Diagnosed Asthma Pediatric Admissions for Previously Diagnosed Asthma Number of Adult Acute ACSC Admissions Number of Adult Chronic ACSC Admissions Number of Pediatric ACSC Admissions The count of inpatient admissions for asthma where the adult patient had been diagnosed prior to the admission date. The count of inpatient admissions for asthma where the pediatric patient had been diagnosed prior to the admission date. The count of adult inpatient admissions with a principal diagnosis of an acute Ambulatory Care Sensitive Condition (ACSC). The count of adult inpatient admissions with a principal diagnosis of a chronic Ambulatory Care Sensitive Condition (ACSC). The count of pediatric inpatient admissions with a principal diagnosis of an Ambulatory Care Sensitive Condition (ACSC). EXPORTING AND PRINTING To export and print the graph and table, see Exporting and Printing on page 21. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 45 of 95

46 U S E R G U I D E Chapter 6: Trends Use this page to view the rates for standard cost, diabetes quality measures, and utilization measures over defined time periods. This information can help you track long-term trending for the costs and measures that affect your PO s population. In this Chapter This chapter contains the following topics: Why Use this Page? Time Periods Selecting the Type of Trends You Want to View Selecting the Criteria You Want to View Population and Cost Trends Quality Trends Utilization Trends Revised: MiPCT_Dashboard_UG_v20_00.docx Page 46 of 95

47 U S E R G U I D E Why Use this Page? Use this page to help track long-term trending for the following measures: Trend Type Population and Cost Trends Quality Measure Trends Measures Standard Cost PMPM by Risk Group Diabetes Eye Exam Diabetes HbA1c Diabetes Nephropathy Overall Diabetic Utilization Trends Overall ED Visits (per 1000 attributed patients) Adult ED Visit Rate with Previous Asthma Diagnosis (per 1000 Patients with Asthma) Pediatric ED Visit Rate with Previous Asthma Diagnosis (per 1000 Patients with Asthma) Inpatient Admissions ( per 1000 attributed patients) Adult Inpatient Admission Rate with Previous Asthma Diagnosis (per 1000 Adult Patients with Asthma) Pediatric Inpatient Admission Rate with Previous Asthma Diagnosis (per 1000 Pediatric Patients with Asthma) Adult Acute ACSC Admission Rate (per 1000 Admissions) Adult Chronic ACSC Admission Rate (per 1000 Admissions) Pediatric ACSC Admission Rate (per 1000 Admissions) 30-Day All-Cause Readmission Rate Revised: MiPCT_Dashboard_UG_v20_00.docx Page 47 of 95

48 U S E R G U I D E Time Periods You can view data for the following time periods: 1/ /2011 7/2011 6/2012 1/ /2012 7/2012 6/2013 1/ /2013 7/2013 6/2014 1/ /2014 7/2014 6/2015 1/ /2015 Selecting the Type of Trends You Want to View When you open the Trends page you have the option to select Population and Cost Trends, Quality Trends, or Utilization Trends. You can then select the individual section you want to view or select all. Selecting the Criteria You Want to View In the Selection fields, you can view data for a specific PO (if you have access to more than one), sub PO (if applicable), Practice, or Provider. For more information, see Filtering Data Using the Selection Fields on page 13. Population and Cost Trends The Population and Cost Trends page contains the following sections: STANDARD COST PER MEMBER PER MONTH TREND GRAPH This section contains a non-drillable trend graph showing each concurrent risk score category s standard cost over the defined time periods. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 48 of 95

49 U S E R G U I D E This displays how the standard cost for each risk score category has changed over time to help you determine if costs are increasing or decreasing. STANDARD COST PER MEMBER PER MONTH TREND TABLE This section contains a non-drillable table showing the standard cost numbers for each concurrent risk score category for each time frame. Use this table to view the data that was used to create the graphs. EXPORTING AND PRINTING To export and print the graph and table, see Exporting and Printing on page 21. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 49 of 95

50 U S E R G U I D E Quality Trends The Quality Trends page contains the following sections: DIABETES QUALITY MEASURE TRENDS GRAPH This section contains a non-drillable trend graph showing each diabetes quality measure s rates over the defined time periods. DIABETES QUALITY MEASURE TRENDS TABLE This section contains a non-drillable table showing the diabetes quality measure rates for each time frame. Use this table to view the data that was used to create the graph. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 50 of 95

51 U S E R G U I D E EXPORTING AND PRINTING To export and print the graph and table, see Exporting and Printing on page 21. Utilization Trends The Utilization Trends page contains the following sections: ED UTILIZATION This section contains the following: A non-drillable trend graph displaying each ED utilization measure s rates over the defined time periods. A non-drillable table showing the ED utilization measure rates for each time frame. Use this table to view the data that was used to create the ED trend graph. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 51 of 95

52 U S E R G U I D E IP UTILIZATION This section contains the following: A non-drillable trend graph displaying each IP utilization measure s rates over the defined time periods. A non-drillable table showing the IP utilization measure rates for each time frame. Use this table to view the data that was used to create the IP trend graph. EXPORTING AND PRINTING To export and print the graph and table, see Exporting and Printing on page 21. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 52 of 95

53 U S E R G U I D E Chapter 7: PO Comparison The PO Comparison page provides a comparison of rates for each PO. You can select to view quality measure rates or utilization rates. In this Chapter Why Use this Page? Selecting the Type of PO Comparison You Want to View Layout of the PO Comparison Pages Revised: MiPCT_Dashboard_UG_v20_00.docx Page 53 of 95

54 U S E R G U I D E Why Use this Page? Use this page to compare your PO s quality measure and utilization rates against the rates for other POs, the MiPCT overall rates, and the MiPCT benchmark rates. You can also drill down to view and compare rates for the individual Practices within your POs. NOTE: The benchmark rates are calculated based on the top performing practice units. Because of this, all PO rates may fall below this benchmark rate in the PO Comparison graphs. For more information about how benchmarks are calculated, see Benchmarks on page 89. Selecting the Type of PO Comparison You Want to View When you select the PO Comparison page you have the option to select Quality or Utilization. You can then select the individual measure that you want to compare, or you can select to view all measures. Layout of the PO Comparison Pages The PO Comparison Report pages contain tables and graphs that provide multiple views of the data. You can view a table that contains data for all measures, and you can view graphs for individual measures that provide a visual of how your PO compares to other POs for a single measure. You can also select to view the table and the graphs for all measures. Tables The page includes one table for each Quality Measure Group: Diabetes Adult Preventive Pediatric Preventive Revised: MiPCT_Dashboard_UG_v20_00.docx Page 54 of 95

55 U S E R G U I D E The tables enable you to quickly compare quality measure rates for all POs in the MiPCT project. The table includes a PO s numerator, denominator, and calculated rate for each quality measure. You can also view the MiPCT overall rate and the MiPCT benchmark. Following is an example from the Diabetes table: DRILLING DOWN TO PRACTICE-LEVEL DATA FROM A TABLE By default, the tables provide PO-level data. To view Practice-level data for your PO, complete the following steps: 1. Click the See Detail link, which is located above the table. 2. In the Physician Organization Name drop-down, do one of the following: - If you have access to one PO, verify that the correct PO displays. - If you have access to multiple POs, select the PO for which you want to view data. 3. The table updates with Practice-level data. To export and/or print this table, see Exporting and Printing on page 21. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 55 of 95

56 U S E R G U I D E Graphs You can view a bar graph for each measure. They provide a visual representation of how each PO compares to the MiPCT benchmark rate and the MiPCT overall rate for a quality measure. Following is an example of the Diabetes Eye Exam graph: DRILLING DOWN TO PRACTICE-LEVEL DATA FROM A GRAPH By default, the graphs provide PO-level data. To view Practice-level data for your PO, complete the following steps: Revised: MiPCT_Dashboard_UG_v20_00.docx Page 56 of 95

57 U S E R G U I D E 1. Click the See Detail link, which is located above the graph. 2. In the Physician Organization Name drop-down, do one of the following: - If you have access to one PO, verify that the correct PO displays. - If you have access to multiple POs, select the PO for which you want to view data. 3. The graph updates with Practice-level data with each bar representing a Practice. 4. You can click on any bar and view the actual rates. To export and print the graph, see Exporting and Printing on page 21. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 57 of 95

58 U S E R G U I D E Chapter 8: PO Reports On the PO REPORTS tab you can view and download reports that are specific to your PO and create your own unique reports. In this Chapter This chapter contains the following topics: About the Reports Downloading PO Reports Using the Report Writer Revised: MiPCT_Dashboard_UG_v20_00.docx Page 58 of 95

59 U S E R G U I D E About the Reports You can access the following reports through the MDC MiPCT Dashboard project: Report Name Description.zip File ED Summary ED Detail IP Summary Each row in this report includes summary information about all ED visits for a participating patient over a six-month period. The report is based on the most recent six months of complete data available, and the date range is included in the report header. Each row in this report includes detailed information about one ED visit for a participating patient. There can be one or more rows on the report for each patient. There are two types of ED Detail Reports: ED Detail Report This report provides detailed information for each ED visit broken out by Practice. File format: <PO Name>_<Practice Name>_ ED_Detail_YYYY_MM.xls PO ED Detail Report This report provides the same detailed information as the ED Detail Report, but for all patients in the PO. File format: <PO Name>_ED_Detail_ All_Practices_YYYY_MM.xls This report is based on the most recent six months of complete data available, and the date range is included in the report header. Each row in this report includes summary information about all inpatient admissions for a participating patient over a six-month period. The report is based on the most recent six months of complete data available, and the date range is included in the report header. <PO name>_reports_yyyy _MM.zip Revised: MiPCT_Dashboard_UG_v20_00.docx Page 59 of 95

60 U S E R G U I D E Report Name Description.zip File IP Detail PO Quality Measures Comparison Report for all POs PO Quality Measure Comparison Report by Practice PO ED Utilization Comparison Report for All POs PO ED Utilization Comparison Report by Practice PO IP Utilization Comparison Report for All POs PO IP Utilization Comparison Report by Practice Each row in this report includes detailed information about one inpatient admissions for a participating patient. There can be one or more rows on the report for each patient. There are two types of IP Detail Reports: IP Detail Report This report provides detailed information for each IP visit broken out by Practice. File format: <PO Name>_<Practice Name>_ IP_Detail_YYYY_MM.xls PO IP Detail Report This report provides the same detailed information as the IP Detail Report, but for all patients in the PO. File format: <PO Name>_IP_Detail_ All_Practices_YYYY_MM.xls This report is based on the most recent six months of complete data available, and the date range is included in the report header. Provides a comparison of quality measure rates. One report contains the rates for all POs; the other report contains the rates for all of the Practices within your PO. These reports also include MiPCT overall project rates and benchmark rates. Provides a comparison of ED utilization rates. One report contains the rates for all POs; the other report contains the rates for all of the Practices within your PO. These reports also include MiPCT overall project rates and Provides a comparison of IP utilization rates. One report contains the rates for all POs; the other report contains the rates for all of the Practices within your PO. These reports also include MiPCT overall project rates and benchmark rates. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 60 of 95

61 U S E R G U I D E Report Name Description.zip File G-code Aggregated Totals G-code Medicare Feedback Report Summary Medicare Feedback Report for each Practice Provides the to-date totals of paid claims using G-codes, starting from April 2012 for BCBSM and BCN and from July 2013 for Priority Health. The date range is listed in the report header. Provides a monthly total of BCBSM, BCN, and Priority Health claims using G-codes. The month is listed in the report header. Provides the results for each Practice in the PO in an Excel spreadsheet. You can use Report Summary to compare Practice rates or to conduct additional analysis. Provides analysis for each Practice in PDF format. This PDF report comes directly from RTI. <PO name>_g- Code_Reports_MiPCT_ Overall_YYYY_MM.zip <PO name>_medicare_ Practice_Feedback_Reports _YYYY_MM.zip All-Payer Patient List Provides a current list of patients attributed to a practice and eligible for the MiPCT project. Each.zip file includes preformatted patient lists for each practice and a combined patient list for the entire PO. NOTE: You may have additional reports included that are specific to your PO. <PO name>_all_payer_ Patient_List_YYYY_MM.zip Revised: MiPCT_Dashboard_UG_v20_00.docx Page 61 of 95

62 U S E R G U I D E Downloading PO Reports To download a report on the PO Reports page: 1. After you navigate to the Download PO Reports page, do one of the following: - If you have access to one PO, verify that the correct PO displays. - If you have access to multiple POs, select the PO for which you want to view reports. 2. Click a report link. Depending on the version of Excel you are using, you may see an error message similar to the following when you attempt to open the Excel file containing the report after extracting it from the Zip file: 3. Click Yes to open the file. NOTE: This message displays if you are using a current version of Excel. In order to accommodate all users, the downloadable PO reports are provided in Excel version Newer versions can still open this file format successfully after clicking Yes to the Excel prompt. Using the Report Writer The Report Writer enables you to select individual components from each Dashboard page to view in one report. The components that you can select reflect the table column and row headings in each section of each Dashboard page. Only the data available in the current release is available in the Report Writer. Instructions about using the Report Writer are included in the Report Writer User Guide, which can be found on the MDC Website s MiPCT Support page. Revised: MiPCT_Dashboard_UG_v20_00.docx Page 62 of 95