Health Equity Measurement Workgroup January 25, 2019 Todays Agenda - - PowerPoint PPT Presentation

Health Equity Measurement Workgroup

January 25, 2019

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Today’s Agenda

✓ Welcome

• Approve previous meeting minutes

✓ Review draft workplan ✓ Public Testimony ✓ Review potential data and measure sets for considerations

• Decision point: Next steps for February

✓ Adjourn

Draft Workplan: 2019 Health Equity Measurement Workgroup

Goals/Objectives:

• Develop short and long-term recommendations to the Oregon Health

Policy Board and associate measurement and health equity committees regarding the measurement of health equity in Oregon healthcare. Strategies:

• Identify specific measures for both short and long-term consideration
• Identify specific data collection guidance to improve demographic data

collection for short and long-term

• Align with Social Determinants of Health (SDOH) measure data efforts

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Draft Workplan – continued:

Milestones (key deliverables/actions with specific target dates):

• February 5, 2019- short term recommendations to OHPB
• February 14, 2019 – short term recommendations to Health Plan

Quality Metrics Committee (HPQMC) for 2020

• May 2019 – progress report and feedback session with other

committees

• October 2019 – long-term recommendations to OHPB
• January 2020- measure proposal to HPQMC for 2021 measure set and

beyond.

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Public comment (2:10)

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Data and measure sets for considerations

Three items for consideration

• 1. Ambulatory Sensitive Care Measures (PQI) by CCO and Race/

Ethnicity – data measurement

• 2. TQS (transformation and quality strategy) projects by CCO and

member population – attestation

• 3. Primary Care Access – data measurement

Supporting information

• Data Sharing Overview (high-level overview of the process to share data

between OHA and external partners

Ambulatory Sensitive Care Measures (PQI) by CCO and R/E

✓ Attachment 2: PQIs by CCO and RE (Race/Ethnicity) ✓ Attachment 3: PQI pages from 2017 CCO Metrics Report

• There are 4 PQI measures presented today.
• PQIs, or Prevention Quality Indicators, are a set of indicators to track

avoidable hospitalizations.

• Rates are shown per 100,000 member years which means that in one year,

there are on average X visits occurring per 100,000 CCO member years.

• When divided by race/ethnicity, these measures can be very sensitive to
• change. This means that an increase of 1-2 members could result in big

jumps in the rate, especially for smaller CCOs.

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PQI 1: Diabetes short-term complications admission rate - Rate of adult members (ages 18 and older) with diabetes who had a hospital stay because of a short-term problem with from their disease. A lower score is better. PQI 5: COPD or asthma in younger adults admission rate - Lorem Rate of adult members (ages 40 and older) who had hospital stay because of chronic obstructive pulmonary disease or asthma. A lower score is better. PQI 8: Congestive heart failure admission rate - Rate of adult members (ages 18 and

• lder) who had a hospital stay because of congestive heart failure. A lower score is

better PQI 15: Asthma in younger adults admission rate - Rate of adult members (ages 18-39) who had a hospital stay because of asthma. A lower score is better.

Ambulatory Sensitive Care Measures (PQI) by CCO and R/E

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TQS projects by CCO and member population

• Background and rationale
• What is TQS?
• Proposal concepts and community engagement process
• Proposal domains

– Description – Community Feedback – Goals – Measurements

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Primary Care Access by Race/Ethnicity (1/2)

Measure Definition: Percentage of patients who have at least one qualifying visit with a Primary Care Provider (PCP) during the measurement year, by race/ethnicity categories. The CCO’s baseline average percentage of patients who have at least one qualifying visit with a Primary Care Provider will represent their target in the measurement period. The CCO target will need to be met or exceeded for all race/ethnicity categories in order for the CCO to pass the measure.

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Equity Measure: Primary Care Access by Race/Ethnicity (2/2)

Measure Formula: Numerator: Patients with at least one outpatient visit with a Primary Care Provider during the measurement period. Denominator: All patients who meet the continuous enrollment criteria. Exclusions: Patients with a Race/Ethnicity of ‘Unknown’ or ‘Blank’ will be excluded from the denominator. Race/Ethnicity Categories:

* African American/Black * Hispanic/ Latino * Asian American * American Indian/ Alaskan Native * American Indian/ Alaskan Native * Hawaiian/ Pacific Islander * White * Other Race

Decision Point: Next steps for February

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Next Meeting: February 25, 2019 11:00am – 1:00pm Th Thank k yo you a and Adjo journed ed

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