HEDIS HYBRID Measures and Performance Improvement projects - PowerPoint PPT Presentation

HEDIS HYBRID Measures and Performance Improvement projects PWP-9041-16 A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

Overview 2

First Quarter (March) Welcome to our first quarter of 2016. We want to thank you for providing optimal care for our shared members. We are in the beginning of our HEDIS HYBRID season and also beginning work on our Performance Improvement Projects (PIPs) for CY 2016. 3

HEDIS HYBRID 2016 Goals 4

Performance Improvement Projects for 2016 LOB PIP Topic/Name Reduce Potentially Preventable Visits to the ED STAR and CHIP for Upper Respiratory Infections: Increase access to and utilization of outpatient care to reduce potentially preventable ED visits due to respiratory tract infections. Improving utilization of well-child visits (W34) CHIP with a PCP during the measurement year. To improve Asthma Management through STAR medication management and reduction of potentially preventable ED visits and inpatient admissions. 5

Quality Improvement Questions: Kathleen M. Thompson M.P.H, CHES, CPHQ Quality Improvement Medicaid Manager Blue Cross Blue Shield of Texas 9442 Capital of TX Hwy. N. Suite 500, Arboretum Plaza II Austin, TX 78759 Office: 512.349.4836 Kathleen_m_thompson@bcbstx.com Chelsea M. Vargas LPN, B.S. Quality Management Specialist II Blue Cross Blue Shield of Texas 9442 Capitol of Texas Hwy. N. Suite 500, Arboretum Plaza II Austin, TX 78759 Office: 512.349.4826 Chelsea_M_Vargas@bcbstx.com 6