CHIA OVERVIEW A brief history of the Center for Health Information - - PDF document

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CHIA OVERVIEW

Bureau of Hospital Costs and Finances Rate Setting Commission Acute hospital deregulation Rate Setting Commission and Division of Medical Security reorganized into Division of Health Care Finance & Policy

1953

Expansion of DHCFP

• bligations

through health reform

1968 1991 1996 2006

Chapter 224 cost containment law reorganizes DHCFP and creates CHIA and Health Policy Commission Creation of Health Information and Analysis Oversight Council

A brief history of the Center for Health Information and Analysis

2012 2015

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We envision a transparent health care system where reliable information empowers people and informs decision-making

Unique Data Objective Analysis Foundation for Reform Efforts

CHIA is a hub for data and analysis, meeting the needs of diverse stakeholders

Data Collection & Information Hub

Policymakers Payers & Providers Researchers People of Massachusetts

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2015-2017 STRATEGIC PLAN

STRATEGIES

1 2 3 4 5 Establish and promote

CHIA Statistics

as the standard for measuring the performance of the Massachusetts health care system 1

4

Support the Legislature and

• ther state agencies

with CHIA information and analysis 2

The Health Care Delivery System

Establish and promote specific

Continuing Studies

• f health system performance

3

Insurance Coverage Mental Health & Substance Use Disorders

5

Seek efficient ways to

maximize the benefit of

• ur data assets

4 Achieve

• perational excellence

and invest in the quality of the work environment 5

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HEALTH INFORMATION AND ANALYSIS OVERSIGHT COUNCIL

Role of the Oversight Council

• Prepare an annual operating budget
• Review and manage the administrative expenses
• Implement procedures for communications with the

Executive Director

• Develop annual research and analysis priorities*
• Develop guidelines for data collection and reporting
• Develop guidelines for the collection, storage and maintenance
• f the all-payer claims database

* With certain exceptions. See MGL Chapter 12C section 2A for full text.

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CHIA BUDGET OVERVIEW

FY 2016 Operating Budget

APCD Revenue ISA ACA Grant DOI Grant Appropriation $27,717,971

Total Sources: $31,559,109

IT Payroll 17% IT Expenses (Non-payroll) 32% Consultants (Non-IT) 11% Operational Expenses 9% Betsy Lehman Center 4% Non-IT Payroll 27%

Total Uses: $31,559,109

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October 2015

CHIA maintenance budget submission due to Administration & Finance

FY 2017 state budget process

FY 2017 = July 2016 – June 2017

July 2016

FY 2017 Budget signed

January 2016

Governor’s Budget submitted to Legislature

February 2016

CHIA Budget submitted to Legislature

April 2016

House Budget

May 2016

Senate Budget

June 2016

Conference Budget

TODAY

Proposed FY 2017 CHIA budget

Level funded for all categories with the following exceptions: + Mandated bargaining unit salary increases + Managers salary increases (COLA, merit pool) + Anticipated FY16 hiring

• Consultant offset

+ IT investment to modernize intake infrastructure Net change in appropriation request: +1.87% Potential increases in revenue: + Increased budget target on retained revenue (4100-0061) + TBD – ISA and grant funding

2014 2015 2016 2017 (proposed)

26.7M 28.3M 27.1M 28.2M BLC budget

CHIA Appropriation 2014-17

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FY 2017 appropriation line item (VOTE)

To authorize the Executive Director of the Center for Health Information and Analysis to submit to the Secretary for Administration and Finance the following Fiscal Year 2017 budget request, and to authorize the Executive Director of the Center for Health Information and Analysis to provide the Secretary for Administration and Finance and the House and Senate Committees on Ways and Means spending plans and other information that supports this request. Center for Health Information and Analysis. 4100-0060 For the operation of the center for health information and analysis established in chapter 12C of the General Laws; provided that the estimated costs of the center shall be assessed in the manner prescribed by section 7 of said chapter 12C, and that up to $1,563,617 of this appropriation may be expended for the

• peration of the Betsy Lehman Center for Patient Safety.……… $28,237,085

4100-0061 For the center for health information and analysis, which may expend for the development,

• peration and maintenance of an all-payer claims database an amount not to exceed $500,000 from amounts

paid to the center for all fees paid for health data information and from any federal financial participation associated with the collection and administration of health care claims data; provided that revenues in excess of the appropriation for the fiscal year shall not revert to the General Fund but shall be available for expenditure in the subsequent fiscal year without further appropriation……… $500,000

UPCOMING AT CHIA

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Upcoming at CHIA

• Patient Origins Map – September
• Standard Statistics launch – October
• Annual Quality Report – October
• APCD 4.0 state agency release – November
• Hospital Profiles – November
• Health Insurance Survey – December
• Enrollment Trends – January 2016
• Performance of the Massachusetts Health Care

System Series (incl. MassHealth) – Fall/Winter

• Behavioral Health Dashboard reporting plan – Winter

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