Wisconsin Collaborative for Healthcare Quality (WCHQ) Overview
Wisconsin Collaborative for Healthcare Quality (WCHQ) • Founded in 2003 • Multi-stakeholder, voluntary consortium of Wisconsin organizations including health systems, medical groups, clinics and hospitals • WCHQ members and stakeholders join together to measure the quality and affordability of healthcare 2
Who Participates in WCHQ 3
Member Organizations • Access Community Health Centers • Divine Savior Healthcare • Ascension Medical Group • Fort Healthcare Wisconsin: • Froedert Health Affinity Health Systems • Group Health Cooperative of South Columbia St. Mary’s Central Wisconsin Ministry Medical Group • Gundersen Health System Wheaton Franciscan Healthcare • Holy Family Memorial • Agnesian HealthCare • Marshfield Clinic • Aspirus • Mayo Clinic Health System: Eau • Associated Physicians Claire & La Crosse • Aurora Health Care • Medical College of Wisconsin • Bellin Health • Mercy Rockford Health System • Beloit Health System • Monroe Clinic • Children’s Hospital of Wisconsin • Physicians’ Health Network 4
Member Organizations (cont.) • Prairie Clinic • ThedaCare • Prevea Health • UnityPoint Health – Meriter • Primary Care Associates of • Vibrant Health Family Clinic Appleton • UW Health including UW Swedish • ProHealth Care American • Reedsburg Area Medical Center • Watertown Regional Medical Center • Richland Medical Center • Wildwood Family Clinic • SSM Health – Dean Medical Group • Sacred Heart Hospital • Sauk Prairie Healthcare • Sixteenth Street Community Health Centers 5
WCHQ Stakeholders and Partners • AARP Wisconsin • Greater Milwaukee Business Foundation on Health • About Health • Iowa Healthcare Collaborative • The Alliance • MetaStar • American Cancer Society • Network for Regional Healthcare • Business Health Care Group Improvement (NRHI) • Catalysis • Robert Wood Johnson Foundation • The Center for Patient Partnerships • Rogers Memorial Hospital • Choosing Wisely • Rural Wisconsin Health • Coalition of Wisconsin Aging Cooperative Groups • Seats Incorporated • The Commonwealth Fund • SSM Dean Health Plan • Delta Dental of Wisconsin • Epic 6
WCHQ Stakeholders and Partners (cont.) • Security Health Plan • Wisconsin Health Information Organization (WHIO) • UnitedHealthcare • Wisconsin Hospital Association • UW Health Innovation Program • Wisconsin Manufacturers & • UW Population Health Institute Commerce • WEA Trust • Wisconsin Medical Society • Wisconsin Department of • Wisconsin Statewide Health Employee Trust Funds Information Network (WISHIN) • Wisconsin Department of Health • Wisconsin Primary Health Services Care Association • Wisconsin Department of Employee Trust Funds • Wisconsin Department of Health Services 7
Our Vision The Wisconsin Collaborative for Healthcare Quality (WCHQ) dramatically improves the health and increases the value of healthcare for the people of Wisconsin and beyond 8
Our Mission WCHQ publicly reports and brings meaning to performance measurement information that improves the quality and affordability of healthcare, in turn improving the health of individuals and communities 9
Values and Guiding Principles • Trust • Adaptive Self- Governance • Participation • Intellectual Output • Inclusiveness • Acknowledgement • Shared Responsibility • Transparency • Openness 10
Core Competencies • Prioritize Performance Measures • Collect and Validate Measurement Data • Publicly Report Measurement Results • Share Best Practices 11
Bringing Value to Members Leadership • Strong “brand” and well known nationally, regionally, and across the state • Extensive network of relationships • Demonstrated ability to seek/successfully implement national and state grant-funded projects, providing opportunities for member involvement 12
Public Reporting and Measurement 13
WCHQ Public Reporting • WCHQ has been publicly reporting data since 2004 WCHQ publicly reports quality and performance data from its membership Data is available at wchq.org/reporting In most cases, data is reported at the clinic level New WCHQ members have approximately 16 months to publicly report data 14
WCHQ Performance Measures • WCHQ develops performance measures with our unique all patients, all payers methodology. What is the “all patients, all payers” approach? What are the benefits? 15
Data Submission to WCHQ • Repository Based Data Submission (RBS) Members submit global files of patient demographic, encounter, and clinical data EHR agnostic The RBS tool’s centrally programmed measure specifications calculate performance results Members can run monthly reports down to the physician and patient-level 16
WCHQ Measure Development • Measures are adapted from nationally endorsed measure specifications, or created from scratch • Measure selection driven by Member preferences Clinical relevance Data availability and burden of measurement Local experts and champions 17
WCHQ Measurement Advisory Committee (MAC) • Composition includes physicians and quality staff from WCHQ members and payer stakeholders • Responsibilities Developing and implementing public reporting policy Selecting new measures Maintenance of current measures Retiring measures 18
New Measure Process Proposed new measure WCHQ WCHQ staff analysis staff review MAC committee initial review/ sponsor presentation Analysis/ Scoring Reporting Clinical Harmonization burden strength Recommendation to board Board Vote 19
Ambulatory Care Specifications Committee (ACS) • Reports to the MAC • Composition includes quality staff from across the membership • ACS member background includes clinical (RN, MD) IT/health informatics, and coding (RHIT) 20
Ambulatory Care Specifications Committee (ACS) • Responsibilities Creation of WCHQ measure specifications Ensuring measures can be realistically implemented by WCHQ members Annually reviewing all WCHQ measures to ensure that they are up-to-date and reflect clinical guidelines Issues with a measures are all sent to the MAC 21
Number of WCHQ Measures by Year 60 49 50 45 44 42 41 40 40 31 30 27 20 11 10 10 8 5 4 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 22
WCHQ 2017 Measures 2017 WCHQ Measures 41 Total Measures Behavioral Health Cancer Prevention Cardiac Specialty Diabetes Hypertension Immunizations IVD Obesity Osteoporosis Patient Experience Pediatric Prevention Tobacco Use and Cessation 0 1 2 3 4 5 6 7 8 9 10 11 Number of Measures Process Outcome Composite 23
WCHQ Q Sa Samp mple e of Pr Preven entiv tive e Mea easures ures Measure Definition Publicly Reported? Patients greater than or equal to 65 years of age-alive as of the last day of the MP who have Adults with Yes received a pneumococcal vaccination prior to the end of the MP. Pneumococcal Vaccinations Adolescent Percent of adolescents age 14 who have had each of the following vaccinations: Yes Immunization Status -One dose meningococcal vaccine on/between 11th and 13th birthdays AND -One Tdap vaccine on or between the 10th and 13th birthdays Childhood The rate of completion of the Primary Childhood Series for children age two who have had each of the Yes Immunization Status following immunizations on or before their second birthday: -Four Diphtheria Tetanus and Acellular Pertussis (DTaP) -Three Polio (IPV) -Three H Influenza Type B (HiB) -Three Hepatitis B (Hep B) -One Chicken Pox/Varicella (VZV) -Four Pneumococcal Conjugate (PCV) Well-Child Visits in Percent of pediatric patients who turned 15 months old during the measurement period and who had six or Yes First 15 Months of Life more well-child visits in their first 15 months of life Developmental Percent of children screened for risk of developmental, behavioral, and social delays using a standardized No Screening in First 3 screening tool in the 12 months preceding their first, second, or third birthday Years of Life Adolescent Well-Care Percent of patients 12-21 years of age who received at least one comprehensive well-care visit with a PCP No Wisconsin Collaborative for Healthcare Quality 24 Visits during the measurement period
WCHQ Measures Child & Adolescent Immunizations 25
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WCHQ Measures Adult Pneumococcal Vaccine 27
WCHQ Adolescent and Child Health Collaborative The purpose of this data is: • Not for public reporting • To act as a preview and first pass at running this measure • To determine the improvement goal, identify where opportunities exist and/or further identify areas of best practices 28 • To begin tracking progress over time
Future Measurement Directions • Affordability/Total Cost of Care • Specialty Measures • Disparities • Provider-Level Reporting 29
Public Reporting of Performance • Public Reporting of Performance at the organization and clinic level http://www.wchq.org/reporting 30
Locations of Member Clinics 31
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