Hospital Metrics TAG July 11, 2017 PLEASE DO NOT PUT YOUR PHONE ON - PowerPoint PPT Presentation

Hospital Metrics TAG July 11, 2017 PLEASE DO NOT PUT YOUR PHONE ON HOLD: IT IS BETTER TO HANG UP AND CALL BACK IN IF NEEDED

Welcome and Introductions 2

Agenda Overview • Updates • Review of Year 3 Performance • Looking Ahead for Year 4 • Discussion and Wrap Up 3

HTPP Updates • Legislative Review Background • Oregon’s 1115 Medicaid Demonstration Waiver (to CMS): Attachment J, Hospital Metrics and Incentive Payment Protocol (page 365-381) • Oregon’s Health Plan Financing and Medicaid Provider Taxes https://olis.leg.state.or.us/liz/2017R1/Downloads/CommitteeMeet ingDocument/100071 • Oregon Legislative 2017 Session: House Bill 2391 https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocum ent/HB2391/Enrolled • HTPP is not included in budget for 2017-19 biennium (unfunded for 2018) 4

CCO Metrics & Scoring Committee Updates • Met on June 16, 2017: – Focused on selecting 2018 CCO incentive measures. • Next meets on July 21, 2017 to finalize metrics. • Committee meeting materials are available here: http://www.oregon.gov/oha/analytics/Pages/Metrics- Scoring-Committee.aspx 5

Hospital Performance Metrics Advisory Committee • Next meeting July 31, 2017 - Agenda will include review of Year 3 performance; legislative decision not to fund the program beyond 2017; future role of the Committee - Materials (including past agendas and meeting minutes) are available on the Committee’s webpage: http://www.oregon.gov/oha/analytics/Pages/Hospital- Performance-Metrics.aspx 6

Review of Year 3 Performance 7

Quality pool distribution The 2016 quality pool was almost $87.5 million (federal match of state dollars generated by 0.5 percent of the Hospital Provider Assessment Program) Phase 1: Floor payment • 13 Hospitals earned a $500,000 floor payment by achieving at least 75% of the measures for which they qualify Phase 2: Quality pool • Remaining funds were allocated to hospitals based on their performance on individual measures. • Legacy Mt. Hood is the first hospital to meet targets for all 11 measures. Link to Year 3 Report: http://www.oregon.gov/oha/hpa/analytics/pages/index.aspx 8

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What did hospitals do well? • Adverse Drug Events due to Opioids: All hospitals achieved the benchmark. • Excessive Anticoagulation with Warfarin: 27 hospitals achieved the benchmark. • Hypoglycemia in Patients receiving Insulin: 23 hospitals achieved the benchmark. 12

What areas need more work? • Catheter-associated Urinary Tract Infections (CAUTIs): 17 achieved the benchmark. • Patient Experience Measures reported through the HCAHPS survey – Staff always explained medicines: 10 hospitals achieved the benchmark – Staff gave patient discharge information: 15 hospitals achieved the benchmark 13

Looking Ahead for Year 4 14

2017 Timelines (see handout in materials) • Quarterly reporting for Follow Up after Mental Illness • Quarterly reporting for Hospital-wide All-cause Readmissions • Individual Hospital Improvement Targets in August • Quarterly CMS Reporting 15

Quarterly CMS Reporting Data Due to Apprise July 14, 2017 (period: Jan-Mar 2017) September 22, 2017 (period: Jan-June 2017) December 22, 2017 (period: Jan-Sep 2017) Feb 15, 2018 (period: all 2017) 16

2017 Measure Updates • Readmissions Measure Specifications (see updated specs in materials) • New EDIE baseline and revised benchmark • Hypoglycemia in inpatients receiving insulin - Clarification to specifications • CAUTI & CLABSI – status update on calculation of SIR 17

Discussion on HTPP Year 4 • Reporting on 3 Voluntary Measures • H-TAG meeting schedule and committee priorities 18

Questions & Wrap Up 19