Hospital Metrics TAG July 11, 2017 PLEASE DO NOT PUT YOUR PHONE ON - - PowerPoint PPT Presentation

Hospital Metrics TAG

July 11, 2017 PLEASE DO NOT PUT YOUR PHONE ON HOLD: IT IS BETTER TO HANG UP AND CALL BACK IN IF NEEDED

Welcome and Introductions

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Agenda Overview

• Updates
• Review of Year 3 Performance
• Looking Ahead for Year 4
• Discussion and Wrap Up

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HTPP Updates

• Legislative Review

Background

• Oregon’s 1115 Medicaid Demonstration Waiver (to CMS):

Attachment J, Hospital Metrics and Incentive Payment Protocol (page 365-381)

• Oregon’s Health Plan Financing and Medicaid Provider Taxes

https://olis.leg.state.or.us/liz/2017R1/Downloads/CommitteeMeet ingDocument/100071

• Oregon Legislative 2017 Session: House Bill 2391

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocum ent/HB2391/Enrolled

• HTPP is not included in budget for 2017-19 biennium (unfunded

for 2018)

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CCO Metrics & Scoring Committee Updates

• Met on June 16, 2017:

– Focused on selecting 2018 CCO incentive measures.

• Next meets on July 21, 2017 to finalize metrics.
• Committee meeting materials are available here:

http://www.oregon.gov/oha/analytics/Pages/Metrics- Scoring-Committee.aspx

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Hospital Performance Metrics Advisory Committee

• Next meeting July 31, 2017
• Agenda will include review of Year 3 performance; legislative

decision not to fund the program beyond 2017; future role of the Committee

• Materials (including past agendas and meeting minutes) are

available on the Committee’s webpage: http://www.oregon.gov/oha/analytics/Pages/Hospital- Performance-Metrics.aspx

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Review of Year 3 Performance

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Quality pool distribution

The 2016 quality pool was almost $87.5 million (federal match of state dollars generated by 0.5 percent of the Hospital Provider Assessment Program) Phase 1: Floor payment

• 13 Hospitals earned a $500,000 floor payment by achieving at least

75% of the measures for which they qualify Phase 2: Quality pool

• Remaining funds were allocated to hospitals based on their

performance on individual measures.

• Legacy Mt. Hood is the first hospital to meet targets for all 11

measures. Link to Year 3 Report: http://www.oregon.gov/oha/hpa/analytics/pages/index.aspx

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What did hospitals do well?

• Adverse Drug Events due to Opioids: All hospitals achieved

the benchmark.

• Excessive Anticoagulation with Warfarin: 27 hospitals

achieved the benchmark.

• Hypoglycemia in Patients receiving Insulin: 23 hospitals

achieved the benchmark.

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What areas need more work?

• Catheter-associated Urinary Tract Infections (CAUTIs):

17 achieved the benchmark.

• Patient Experience Measures reported through the

HCAHPS survey – Staff always explained medicines: 10 hospitals achieved the benchmark – Staff gave patient discharge information: 15 hospitals achieved the benchmark

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Looking Ahead for Year 4

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2017 Timelines (see handout in materials)

• Quarterly reporting for Follow Up after Mental Illness
• Quarterly reporting for Hospital-wide All-cause

Readmissions

• Individual Hospital Improvement Targets in August
• Quarterly CMS Reporting

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Quarterly CMS Reporting

Data Due to Apprise July 14, 2017 (period: Jan-Mar 2017) September 22, 2017 (period: Jan-June 2017) December 22, 2017 (period: Jan-Sep 2017) Feb 15, 2018 (period: all 2017)

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2017 Measure Updates

• Readmissions Measure Specifications (see updated

specs in materials)

• New EDIE baseline and revised benchmark
• Hypoglycemia in inpatients receiving insulin - Clarification

to specifications

• CAUTI & CLABSI – status update on calculation of SIR

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Discussion on HTPP Year 4

• Reporting on 3 Voluntary Measures
• H-TAG meeting schedule and committee priorities

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Questions & Wrap Up

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