MN Community Measurement. All rights reserved.. National P4P Summit March 23, 2011
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1 MN Community Measurement. All rights reserved.. National P4P Summit March 23, 2011
2 MNCM Health Care Quality Report Reports on 18 clinical quality measures, Health Information Technology, patient experience, cost of care, and hospital measures Reports results on 315 medical groups and 550 clinics Results from health plan and medical group data Results remain steady for most measures
3 Minnesota Optimal Diabetes Care Measure MNCM all rights reserved
4 Optimal Diabetes Care Measure Changes Optimal Diabetes Care (2002) HbA1c = 8.0 or less Optimal Diabetes Care (2006) Blood Pressure = 130/85 or less HbA1c = 7.0 or less 2011 Bad Cholesterol Blood Optimal Pressure = 130 Diabetes = or 130/80 less Care or less(2007) Daily aspirin Bad Cholesterol HbA1c use = less = 100 than or 7.0 less Optimal Diabetes Care (2010) Daily aspirin Blood Pressure use = less than 130/80 Tobacco free HbA1c = less than 8.0 Tobacco Bad free Cholesterol = less than 100 Blood Pressure = less Daily aspirin use Optimal than 130/80 Diabetes Care (2011) Bad Cholesterol = less Tobacco Care free than HbA1c 100 = less than 8.0 Daily aspirin use Blood Pressure = less than 140/90 Guidelines Blood Pressure less than 140/90 Tobacco free Bad Cholesterol = less than 100 Bad Daily Cholesterol aspirin use = for less vascular than 100 disease Daily Tobacco aspirin freeuse for vascular disease Tobacco free MNCM all rights reserved 2010
5 Direct Data Collection Administrative Data and Independent Chart Audits Added Provider Submitted Data from Medical Record Patient Derived Data 2011 Procedural Measures
6 Direct Data Submission Advantages All patients represented Faster results Site level reporting Increased provider confidence in data Encourages use at point of care Collects clinical and patient reported data not available in claims MNCM all rights reserved
7 Data Portal Home Page The Home Page serves as a To Do List Items that are red need to be completed (in sequence) and are green on completion
8 Quality Comparison Feature on Portal MNCM all rights reserved 2008
9 Depression Care Measure Use of PHQ-9 Assessment Tool Six and Twelve Month Remission Rate Six and Twelve Month Response Rate (patient must be in treatment for numerator score) National Quality Forum Endorsed MNCM all rights reserved
10
11 Asthma Measure Improvement MNCM all rights reserved
12 New Asthma Care Composite Asthma well controlled Patient reported emergency department and hospital visits Written asthma plan MNCM all rights reserved
13 Colonoscopy Quality and Surveillance Procedure Quality Measures Volume of Procedures Performed Completion Rate Adenoma Detection Rate Surveillance Measures Patient waited appropriate interval for repeat colonoscopy New screening measure from medical record all patient data MNCM all rights reserved
14 New Measures Total Knee Replacement 3 and 12 month assessment post surgery Patient functional status (Oxford Knee Score) Patient Quality of Life (EQ-5D) Low Back Pain Patient functional status post surgery???which patients to include MNCM all rights reserved
15 Challenges Data collection burden verses utility Sources of data reduce multiple submission Registry Electronic Medical Record Health Information Exchange Multiple Assessment Tools/comparability Reliability of patient derived data MNCM all rights reserved
16 Questions or Comments Jim Chase President, MN Community Measurement MN Community Measurement. All rights reserved.
Patient Reported Outcome Measures. Jim Chase, MN Community Measurement Pay for Performance Summit March 3, 2015
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