Michigan Strategy Group #2 Critical Access Data Management and - - PowerPoint PPT Presentation
Michigan Strategy Group #2 Critical Access Data Management and Analysis Hospital Quality Network May 29, 2020 AS A PREMIER SYSTEM OF QUALITY, THE MICHIGAN CRITICAL ACCESS HOSPITAL QUALITY NETWORK (MICAH QN) WILL BE A MODEL IN DEVELOPING PROCESSES
Data Management and Analysis
May 29, 2020
Str Strategy gy Gr Group
#2 #2
Required Measures Spreadsheet was updated and in on the internet
Thank you Holly Standhart for assisting in the updates and for agreeing to maintain this spreadsheet!
Continuing to work with Andrew Syrek from MHA on the Key Metrics Dashboard
You may go to the following link to request access to the dashboard https://keystone.keymetrics.org/users/sign_in Data is currently being pulled in from the MODB and MIDB into Key Metrics. SG‐2 will work on what measures we would like, taking into consideration what will be useful long term, what will be relevant in terms of process improvement and possibly benchmarking.
…Measur …Measures tha that we were re due due Ma May 15, 15, 2020 2020
Includes measure OP‐22: Patient Left Without Being Seen – full calendar year 2019 CMS Hospital Outpatient Reporting Specifications Manual version 12.0b Entered via the Secure Portal on Quality Net
HCP/IMM‐3 (formerly OP‐27) For data October 1, 2019 – March 31, 2020 Submitted through the National Healthcare Safety Network (NHSN)
Due June 1, 2020
BCBSM Peer Group 5 Pay‐for‐Performance Program (P4P) CEO/President Attestation Form 4/1/2019 – 3/31/2020 P4P Tips: Include OP‐27 numerator and denominator since NHSN does not share to BCBS P4P HCAHPS results go to BCBS from Hospital Compare. If you do not report to Hospital Compare, then you need to send those along with your attestation as well. Fax form to: 877‐233‐9459
Contact: Joshua Amundson, 248‐223‐5523 or JAmundson@bcbsm.com
Date and time TBA. Webex will be recorded. Thank you Heather!
HR HRSA SA Re Recognizes 10 10 St States fo for To Top Pe Performance at at Critic itical al Access Access Hos Hospital als
Inpatient, outpatient, and HCAHPS data = Q1 2017 through Q4 2017 EDTC data = Q1‐Q4 2018. For all four categories, reporting is calculated out of all CAHs in a state (not just those publicly reporting). For each state, we calculated:
reporting data on at least one inpatient measure)
reporting data on at least one outpatient measure) • An HCAHPS reporting percentage (the percent of CAHs in the state reporting HCAHPS data for at least one completed HCAHPS survey)
EDTC data for at least one patient)
measures on which CAHs in the state performed significantly better than CAHs in all other states) • An outpatient better performance measure score (the number of outpatient measures on which CAHs in the state performed significantly better than CAHs in all other states)
AS A PREMIER SYSTEM OF QUALITY, THE MICHIGAN CRITICAL ACCESS HOSPITAL QUALITY NETWORK (MICAH QN) WILL BE A MODEL IN DEVELOPING PROCESSES THAT DEMONSTRATE THE HIGH QUALITY SERVICE PROVIDED BY CAHS. MICAH QN WILL IDENTIFY OPPORTUNITIES FOR CHANGE THAT LEAD TO CONTINUED IMPROVEMENT IN THE HEALTH STATUS OF THE POPULATION WE SERVE.
MICAH QN and National Quality Forum
Goal: Prioritize rural‐relevant measures susceptible to low case‐volume challenges. In the future, these measures will be used for testing the Rural Health Technical Expert Panel’s (TEP) recommended statistical approaches. Outcome/Deliverable: Prioritized list of measures including detailed specifications and a summary document that includes the selection criteria, rationale for the selection of each measure, and gaps and future recommendations for rural health measurement.
AS A PREMIER SYSTEM OF QUALITY, THE MICHIGAN CRITICAL ACCESS HOSPITAL QUALITY NETWORK (MICAH QN) WILL BE A MODEL IN DEVELOPING PROCESSES THAT DEMONSTRATE THE HIGH QUALITY SERVICE PROVIDED BY CAHS. MICAH QN WILL IDENTIFY OPPORTUNITIES FOR CHANGE THAT LEAD TO CONTINUED IMPROVEMENT IN THE HEALTH STATUS OF THE POPULATION WE SERVE.
MICAH QN and National Quality Forum
Goal: Prioritize rural‐relevant measures susceptible to low case‐volume challenges. In the future, these measures will be used for testing the Rural Health Technical Expert Panel’s (TEP) recommended statistical approaches. Outcome/Deliverable: Prioritized list of measures including detailed specifications and a summary document that includes the selection criteria, rationale for the selection of each measure, and gaps and future recommendations for rural health measurement. Background Documents: A Core Set of Rural‐Relevant Measures and Measuring and Improving Access to Care: 2018 Recommendations from the MAP Rural Health Workgroup. Final Report. Released August 2018.
AS A PREMIER SYSTEM OF QUALITY, THE MICHIGAN CRITICAL ACCESS HOSPITAL QUALITY NETWORK (MICAH QN) WILL BE A MODEL IN DEVELOPING PROCESSES THAT DEMONSTRATE THE HIGH QUALITY SERVICE PROVIDED BY CAHS. MICAH QN WILL IDENTIFY OPPORTUNITIES FOR CHANGE THAT LEAD TO CONTINUED IMPROVEMENT IN THE HEALTH STATUS OF THE POPULATION WE SERVE.
MICAH QN and National Quality Forum
Started with 252 measures that relate to rural‐relevant conditions/topics and are used in federal programs or select CMMI models. NQF applied the criteria developed by the Workgroup (outcome measures, large performance gaps due to disparities, use across multiple programs) to these measures to narrow list to 37 for discussion
AS A PREMIER SYSTEM OF QUALITY, THE MICHIGAN CRITICAL ACCESS HOSPITAL QUALITY NETWORK (MICAH QN) WILL BE A MODEL IN DEVELOPING PROCESSES THAT DEMONSTRATE THE HIGH QUALITY SERVICE PROVIDED BY CAHS. MICAH QN WILL IDENTIFY OPPORTUNITIES FOR CHANGE THAT LEAD TO CONTINUED IMPROVEMENT IN THE HEALTH STATUS OF THE POPULATION WE SERVE.