Michigan Strategy Group #2 Critical Access Data Management and Analysis Hospital Quality Network May 29, 2020 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.
Required Measures Spreadsheet was updated and in on the internet ◦ Changes include: Strategy Str gy Gr Group oup ◦ BCBS P4P updates #2 #2 ◦ HIIN and NHSN updates Required Thank you Holly Standhart for assisting in Measures the updates and for agreeing to maintain Spreadsheet this spreadsheet!
Continuing to work with Andrew Syrek from MHA on the Key Metrics Dashboard You may go to the following link to request access to the dashboard https://keystone.keymetrics.org/users/sign_in Data is currently being pulled in from the MODB and MIDB into Key Metrics. SG ‐ 2 will work on what measures we would like, taking into consideration what will be useful long term, what will be relevant in terms of process improvement and possibly benchmarking.
• CMS Outpatient Web ‐ based Measures: …Measures tha …Measur that Includes measure OP ‐ 22: Patient Left Without were we re due due Ma May Being Seen – full calendar year 2019 CMS Hospital Outpatient Reporting 15, 15, 2020 2020 Specifications Manual version 12.0b Entered via the Secure Portal on Quality Net • Healthcare Personnel Influenza Vaccination – HCP/IMM ‐ 3 (formerly OP ‐ 27) For data October 1, 2019 – March 31, 2020 Submitted through the National Healthcare Safety Network (NHSN)
Due June 1, 2020 BCBSM Peer Group 5 Pay ‐ for ‐ Performance Program (P4P) CEO/President Attestation Form 4/1/2019 – 3/31/2020 P4P Fax form to: 877 ‐ 233 ‐ 9459 or P4PHospital@bcbsm.com Tips: Include OP ‐ 27 numerator and denominator since NHSN does not share to BCBS P4P Contact: Joshua Amundson, 248 ‐ 223 ‐ 5523 or HCAHPS results go to BCBS from Hospital Compare. If you do JAmundson@bcbsm.com not report to Hospital Compare, then you need to send those along with your attestation as well.
EDUCA EDUCATION *Star Ratings* Education coming via live webex courtesy of Heather Schragg. STAR Date and time TBA. RATINGS Webex will be recorded. Thank you Heather!
Inpatient, outpatient, and HCAHPS data = Q1 2017 through Q4 2017 HR HRSA SA Re Recognizes EDTC data = Q1 ‐ Q4 2018. 10 10 St States fo for To Top For all four categories, reporting is calculated out of all CAHs in a state (not just those publicly reporting). Pe Performance at at Critic itical al Access Access For each state, we calculated: ◦ • An inpatient reporting percentage (the percent of CAHs in the state Hospital Hos als reporting data on at least one inpatient measure) ◦ An outpatient reporting percentage (the percent of CAHs in the state reporting data on at least one outpatient measure) • An HCAHPS reporting percentage (the percent of CAHs in the state reporting HCAHPS data for at least one completed HCAHPS survey) ◦ An EDTC reporting percentage (the percent of CAHs in the state reporting EDTC data for at least one patient) ◦ An inpatient better performance measure score (the number of inpatient measures on which CAHs in the state performed significantly better than CAHs in all other states) • An outpatient better performance measure score (the number of outpatient measures on which CAHs in the state performed significantly better than CAHs in all other states) 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.
Goal: Prioritize rural ‐ relevant measures susceptible to low case ‐ volume challenges. In the future, these measures will be used for testing the Rural Health Technical Expert Panel’s MICAH QN and (TEP) recommended statistical approaches. National Quality Forum Outcome/Deliverable: Prioritized list of measures including detailed specifications and a summary document that includes the selection criteria, rationale for the selection of each measure, and gaps and future recommendations for rural health measurement. 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.
Goal: Prioritize rural ‐ relevant measures susceptible to low case ‐ volume challenges. In the future, these measures will be used for testing the Rural Health Technical Expert Panel’s MICAH QN and (TEP) recommended statistical approaches. National Quality Outcome/Deliverable: Prioritized list of measures including Forum detailed specifications and a summary document that includes the selection criteria, rationale for the selection of each measure, and gaps and future recommendations for rural health measurement. Background Documents: A Core Set of Rural ‐ Relevant Measures and Measuring and Improving Access to Care: 2018 Recommendations from the MAP Rural Health Workgroup. Final Report. Released August 2018. 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.
Started with 252 measures that relate to rural ‐ relevant conditions/topics and are used in federal programs or select CMMI models. NQF applied the criteria developed by the Workgroup (outcome MICAH QN and measures, large performance gaps due to disparities, use across multiple programs) to these measures to narrow list to 37 for discussion National Quality Forum 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.
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