Michigan Strategy Group #2 Critical Access Data Management and - - PowerPoint PPT Presentation

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Michigan Strategy Group #2 Critical Access Data Management and - - PowerPoint PPT Presentation

Apr 28, 2023 226 likes •290 views

Michigan Strategy Group #2 Critical Access Data Management and Analysis Hospital Quality Network August 21, 2020 AS A PREMIER SYSTEM OF QUALITY, THE MICHIGAN CRITICAL ACCESS HOSPITAL QUALITY NETWORK (MICAH QN) WILL BE A MODEL IN DEVELOPING

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SLIDE 1 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.

Michigan Critical Access Hospital Quality Network

Strategy Group #2

Data Management and Analysis

August 21, 2020

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SLIDE 2

Strategy Group #2 #2

Required Measures Spreadsheet was updated to include:

  • The addition of a composite score for EDTC

(NOT required to report for BCBS P4P, but this s on the MBQIP report on the Stratis tool)

Required Measures Spreadsheet

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SLIDE 3

Measures Reporting Reminders

October 31, 2020 Emergency Department Transfer Communication (EDTC) Patients seen Q3 2020 (July, August, September) Note – there is no reporting exception for Q3 2020 submission Make sure to use the revised EDTC Manual for 2020 encounters Submission process directed by state Flex Program November 1, 2020 CMS Population and Sampling (optional)‡ Patients seen Q2 2020 (April, May, June)† Inpatient* and outpatient Entered via the Secure Portal on QualityNet or HARP account November 1, 2020 CMS Outpatient Measures Patients seen Q2 2020 (April, May, June)† CMS Hospital Outpatient Reporting Specifications Manual version 13.0a Submitted to the QualityNet warehouse via CART or by vendor CART version 1.18.1

Upcoming deadlines to submit to MCRH

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SLIDE 4

MHA Key Metrics Dashboard Looking at:

  • Sepsis Mortality (claims)
  • Readmissions (claims)
  • Falls and ADEs (manual)
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SLIDE 5

BCBS P4P Update

Future BCBS P4P Peer Group 5 Direction (Julie Andes)

  • Patient Safety ACA requirement: Patient

Safety Survey

  • Maintenance of HIE information and data

conformance (no additional HIE measures anticipated in the near future)

  • Other quality metric outcomes without

focus on thresholds

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SLIDE 6

EDUCATION

▪STAR Ratings –

▪CMS Proposed changes in methodology (Becker’s handout) ▪Education coming….