dirigo health agency’s. dirigo health agency research dissemination on quality, evidence-based...
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Dirigo Health Agency’s
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Dirigo Health Agency
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• Research Dissemination on quality, evidence-based medicine and patient safety
• Adoption of quality measures, coordination of collection and reporting
• Consumer education• Technology assessment• Promotion of adoption of electronic technology• Recommendations regarding State Health Plan• Annual report
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• GovernanceDHA Board of Trustees
DHA Executive Director
MQF Director
• Funding– Share of DHA “SOP” Funds
• Guidance– MQF Advisory Council
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MQF Advisory Council
• Physicians (3)• RN (1)• Hospital (1)• Mental Health Provider
(1)• Nonphysician Provider (1)• Consumers (4)
– Organized Labor (1)– Health Advocacy (1)– Uninsured/MaineCare (1)– Commercially Insured (1)
• Employers (4)– State Employees Health
Commission (1)– Large Employer (1)– Midsize Employer (1)– Small Employer (1)
• Private Health Plan (1)• MaineCare (1)• Maine Health Data
Organization (1, ex off.)
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MQF PROJECTS Data Collection and Reporting
Discharge Data and Website Paid-claims Data and Health Dialog Project Hospital-reported Performance Indicators (Chpt 270)
Healthcare-Associated Infections Advanced Medical Home Pilot In-a-Heartbeat Voluntary Practice Assessment Website Development RWJ Projects: Quality Counts/AF4Q/RQS Critical Access Hospital Collaborative CON Assessment
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Summary of Key Cost Drivers
• Utilization– Health Status – Preventable chronic illness
complications increase utilization– We use more outpatient and more ED than most
other New England states– Supply of technology (e.g. MRI)
• Inefficiency– 20-60% variation in cost to treat same patient for
same illness in different hospitals– Significant variation in how patients are treated by
different physicians for similar problems
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Variation
• Discharge Data
• Voluntary Performance Indicator Reporting
• Paid Claims Database Analysis
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Discharge Data
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Performance Indicators
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Performance Indicators
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MQF-Health Dialog Project
Complete:• Warehoused the paid-claims data and assessed its
quality and capability to support population-based quality measures
• Conducted pilot provider profiling analysis– Primary care– Cardiology
• Conducted geographic variation analysis of advanced imaging utilization (CORE)
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MQF Regional Variation in Effective Care
Percent of Diabetic Members Aged 18-64 Having LDL-C Test Performed
Measurement Period: 7/1/2004-6/30/2005
40.0
50.0
60.0
70.0
80.0
90.0
Hospital Service Area (HSA)
Ra
te P
er
10
0 E
lig
ible
Me
mb
ers
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Performance Varies Across Providers
Coronary Artery Disease Gap in Care ScoreProvider Performance and Confidence Intervals (July 2004 - June 2005)
0.0
2.8
5.6
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59 61 63 65 67 69 71 73 75
Provider Rank
Mea
n C
AD
Cap
Sco
re
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USING DATA TO EFFECT CHANGE
ResearchConsensus Guidelines Performance Indicators for
Providers
Benchmarking
Internal QI
Public Reporting
PHC4
NYHHC
Pay for Performance
Tiering
Steerage
Nonreimbursement
POLICYPOLICY
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Advanced Medical Home Pilot
• More effective primary care, better platform for coordinated chronic disease management
• Collaborators– Maine Quality Forum– Quality Counts– Maine Health Management Coalition and Pathways to
Excellence– Martins Point Healthcare– MaineCare– Anthem, other payers
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In a Heartbeat
• Standardization of Best Practices for STEMI Care
• Community Engagement• Publicity and training
• Emergency Care• EMT Systems, Cath Lab Activation from Field
• Hospitals
• Data and Metrics
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Critical Access Hospital Collaborative
• Problems with standard metrics; ?”Rural-relevant” indicators
• Patient Safety issues prominent (not “n-dependent”)
• Collaborators:• MQF• USM Muskie School of Public Service• MeHAF• 14/15 Critical Access Hospitals
• Medication Safety Project(s)
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RWJ: Aligning Forces for Quality,
Regional Quality Strategies• AF4Q
– Performance Measurement
– Public Reporting– Consumer
Engagement– Quality Improvement
• RQS– PM/PR of Hospital
Quality– Investigation of Racial,
Ethnic, Socioeconomic Disparities
– Nurse-centered Inpatient Quality Improvement
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AF4Q/RQS
• Collaborating OrganizationsMaine Quality Forum
Maine Health Management Coalition
Quality Counts
• 50 Employer groups (MHMC)• 28 Member Organizations (QC)
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