slide 1 2011-2012 upcoming performance measure validation activity monday, september 26, 2011...
DESCRIPTION
Slide 3 Submission Requirements HSAG requested the following information: –2011 HEDIS Roadmap –2011 Final Audit Report –2011 Final locked IDSS file (.csv and.xls format) For those MCOs who do not report to NCQA, submission of the 2011 AHCA Reporting Template –Supplemental Questionnaire: HMOs/PSNs If you have both a reform and non-reform contract and the process to collect and calculate the performance measures are the same, you may submit one document and indicate that the submissions addresses both contracts.TRANSCRIPT
Slide 1
2011-2012 2011-2012 Upcoming Performance Measure Upcoming Performance Measure
Validation ActivityValidation Activity
Monday, September 26, 2011
Presenter:
David Mabb, MS, CHCAAssociate Director, HEDIS/PMV Audits
Slide 2
Upcoming Activities
• Performance Measure Validation Activities– Performance Measure Validation Report
Summary of HEDIS audit findings
– HEDIS Aggregate Report Summary of performance on HEDIS and Agency-
Defined measures– 20 HEDIS measures– 10 Agency-Defined measures
Slide 3
Submission Requirements
• HSAG requested the following information:– 2011 HEDIS Roadmap– 2011 Final Audit Report– 2011 Final locked IDSS file (.csv and .xls format)
For those MCOs who do not report to NCQA, submission of the 2011 AHCA Reporting Template
– Supplemental Questionnaire: HMOs/PSNsIf you have both a reform and non-reform contract and the process to collect
and calculate the performance measures are the same, you may submit one document and indicate that the submissions addresses both contracts.
Slide 4
Timeline of Events
Task Timeline Responsible Party
Submit request for documentation to MCOs 9/9/11 HSAG
HMOs/PSNs will submit the following to HSAG:•Completed 2011 HEDIS Roadmap•2011 Final Audit Report•2011 Final locked IDSS –or- AHCA Reporting Template•Supplemental Questionnaire
By 10/14/11
HMO/PSN
Review submitted information and prepare draft Performance Measure Validation Report
By 12/16/11
HSAG
Submit draft Performance Measure Validation Report to AHCA
12/19/11 HSAG
Finalize Performance Measure Validation Report By 1/18/12 HSAG
Slide 5
Uploading to the FTP Site• Intended to be secure, browser-based medium to
exchange electronic files • If over 20MB file size, please compress and zip files.• How to Access
– HSAG.com website– Partners login in upper right hand corner
– Requires User Name and Password User Name is full email address Password is set by user at registration Contact Denise Driscoll (602) 801-6882 or [email protected] for
assistance
Slide 6
Prior Lessons Learned
• Submission of all requested documentation– Need Final Audit Report (FAR), not just Final
Audit Statement (FAS)
Slide 7
Questions & Answers