CHIA OVERVIEW A brief history of the Center for Health Information and Analysis Chapter 224 cost Bureau of Hospital containment law Costs and Finances Acute hospital deregulation reorganizes DHCFP and creates CHIA and Rate Setting Rate Setting Commission Health Policy Commission and Division of Medical Commission Security reorganized into Division of Health Care Creation of Health Finance & Policy Information and Expansion of Analysis DHCFP Oversight Council obligations through health reform 1953 1968 1991 1996 2006 2012 2015 1
We envision a transparent health care system where reliable information empowers people and informs decision-making Foundation Unique Objective for Reform Data Analysis Efforts CHIA is a hub for data and analysis, meeting the needs of diverse stakeholders Policymakers Payers & Providers Data Collection & Researchers Information Hub People of Massachusetts 2
2015-2017 STRATEGIC PLAN STRATEGIES 1 2 3 4 5 1 Establish and promote CHIA Statistics as the standard for measuring the performance of the Massachusetts health care system 3
2 Support the Legislature and other state agencies with CHIA information and analysis 3 Establish and promote specific Continuing Studies of health system performance Mental Health The Health Insurance Care Delivery & Substance Coverage System Use Disorders 4
4 Seek efficient ways to maximize the benefit of our data assets 5 Achieve operational excellence and invest in the quality of the work environment 5
HEALTH INFORMATION AND ANALYSIS OVERSIGHT COUNCIL Role of the Oversight Council • Prepare an annual operating budget • Review and manage the administrative expenses • Implement procedures for communications with the Executive Director • Develop annual research and analysis priorities* • Develop guidelines for data collection and reporting • Develop guidelines for the collection, storage and maintenance of the all-payer claims database * With certain exceptions. See MGL Chapter 12C section 2A for full text. 6
CHIA BUDGET OVERVIEW FY 2016 Operating Budget DOI Grant ACA Grant ISA APCD Revenue IT Payroll 17% Non-IT Payroll 27% IT Expenses (Non-payroll) Appropriation 32% Operational $27,717,971 Expenses 9% Betsy Lehman Consultants Center (Non-IT) 4% 11% Total Sources: $31,559,109 Total Uses: $31,559,109 7
FY 2017 state budget process FY 2017 = July 2016 – June 2017 TODAY October 2015 CHIA maintenance budget submission due to Administration & Finance July 2016 FY 2017 Budget signed June 2016 Conference Budget May 2016 January 2016 Senate Budget Governor’s Budget submitted to Legislature February 2016 April 2016 CHIA Budget submitted to Legislature House Budget Proposed FY 2017 CHIA budget CHIA Appropriation 2014-17 28.3M 28.2M 27.1M Level funded for all categories with the following 26.7M BLC budget exceptions: + Mandated bargaining unit salary increases + Managers salary increases (COLA, merit pool) + Anticipated FY16 hiring - Consultant offset + IT investment to modernize intake infrastructure Net change in appropriation request: +1.87% Potential increases in revenue: + Increased budget target on retained revenue (4100-0061) + TBD – ISA and grant funding 2014 2015 2016 2017 (proposed) 8
FY 2017 appropriation line item (VOTE) To authorize the Executive Director of the Center for Health Information and Analysis to submit to the Secretary for Administration and Finance the following Fiscal Year 2017 budget request, and to authorize the Executive Director of the Center for Health Information and Analysis to provide the Secretary for Administration and Finance and the House and Senate Committees on Ways and Means spending plans and other information that supports this request. Center for Health Information and Analysis. 4100-0060 For the operation of the center for health information and analysis established in chapter 12C of the General Laws; provided that the estimated costs of the center shall be assessed in the manner prescribed by section 7 of said chapter 12C, and that up to $1,563,617 of this appropriation may be expended for the operation of the Betsy Lehman Center for Patient Safety.……… $28,237,085 4100-0061 For the center for health information and analysis, which may expend for the development, operation and maintenance of an all-payer claims database an amount not to exceed $500,000 from amounts paid to the center for all fees paid for health data information and from any federal financial participation associated with the collection and administration of health care claims data; provided that revenues in excess of the appropriation for the fiscal year shall not revert to the General Fund but shall be available for expenditure in the subsequent fiscal year without further appropriation……… $500,000 UPCOMING AT CHIA 9
Upcoming at CHIA • Patient Origins Map – September • Standard Statistics launch – October • Annual Quality Report – October • APCD 4.0 state agency release – November • Hospital Profiles – November • Health Insurance Survey – December • Enrollment Trends – January 2016 • Performance of the Massachusetts Health Care System Series (incl. MassHealth) – Fall/Winter • Behavioral Health Dashboard reporting plan – Winter NEXT STEPS 10
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