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Health System Transformation 2014 Mid-Year Performance Report Lori - - PowerPoint PPT Presentation
Health System Transformation 2014 Mid-Year Performance Report Lori - - PowerPoint PPT Presentation
Health System Transformation 2014 Mid-Year Performance Report Lori Coyner, Director of Health Analytics 2014 Mid-Year Performance Report State and CCO progress is reported for July 1, 2013 through June 30, 2014; compared with calendar 2013
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2014 Mid-Year Performance Report: What’s New?
Core Performance Measures: Population health measures reported to CMS each year as part of Oregon’s 1115 waiver. Expansion Population: Data on key measures for the 380,000+ Oregonians who enrolled in the Oregon Health Plan since the ACA took effect January 1, 2014. Enhanced Financial Data: New visualizations and drill-downs for cost and utilization.
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ACA EXPANSION IN OREGON
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Oregon Health Plan: Changing Demographics
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Oregon Health Plan: Changing Demographics
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How Are We Doing?
- Incentive Metrics: Statewide improvement on all nine of
the incentive metrics (compare 2011 to mid-year 2014)
- State Performance Metrics: statewide improvements
- n 10 of the 14 state performance metrics (compare
2011 to mid-year 2014)
- Core Performance Metrics: Statewide progress was
mixed – first time reporting
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Progress on Adult Health Measures
- ED visits are decreasing across all ages
- PCPCH enrollment is increasing
- SBIRT services are steadily increasing
- Readmissions and preventable hospitalizations are
decreasing
- Cervical cancer and chlamydia screening increased
slightly
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Progress on Child Health Measures
- Developmental screening is improving
- ED visits are decreasing across all ages
- PCPCH enrollment is increasing
- Follow-up after prescribing ADHD medication surpassed
benchmark
- Childhood and adolescent immunizations show small but
steady increases
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Incentives promote change
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- ED visits decreased 21 percent since 2011, despite an
influx of 20 percent new enrollment from ACA expansion.
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Emergency Department Costs Decreased by 20%
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ED Utilization since January 1, 2014
See similar pattern for avoidable ED visits.
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- CCOs N =
PCPCH Enrollment Increased by 55% since 2012
2014 Q2 2014 Q3
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- Continued improvement over 2011 baseline.
- Modified measure specifications allow community providers to
complete follow-up, promoting behavioral and physical health care integration.
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Progress on SBIRT
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Developmental Screenings Increased by 68% since 2011
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Children on OHP have about the same proportion of completed immunizations as all children in Oregon
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Lagging behind the benchmark
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More work is needed…
Child and adolescent access to primary care providers Access declined for all age groups at the statewide level (results were not reported at the CCO level). Initiation and engagement of alcohol or other drug treatment (engagement phase) Nine of 16 CCOs declined on this measure. Tobacco use prevalence Nine of 16 CCOs declined on this measure, and none have reached the benchmark.
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Child and adolescent access to primary care providers may show access issue
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Core Performance: Tobacco Prevalence
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- Inpatient PMPM costs have
declined 5.7 percent since 2011.
- Greatest declines were in mental
health and maternity.
Inpatient Costs
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- Overall PMPM outpatient costs
have decreased.
- Primary care and prescription
drug costs have increased, reflecting more focus on these areas.
Outpatient Costs
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