Statewide Quality Advisory Committee (SQAC) Meeting

July 24, 2012

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Agenda

• Approval of Meeting 5 and 6 minutes

• Discuss rankings of proposed measures– strong/moderate/weak stratification

• Build SQMS from framework

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APPROVAL OF MINUTESCommittee

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OVERVIEW OF AGENDAJohn Auerbach

  55

DISCUSS RANKINGS OF PROPOSED MEASURES

Madeleine Biondolillo, Miriam Drapkin, and Iyah Romm

  66

DISCUSS RANKINGS OF PROPOSED MEASURES

Madeleine Biondolillo, Miriam Drapkin, and Iyah Romm

  77

Mandatory Measures

see handout

  88

ProposedMeasures

see handout

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BUILD SQMS FROM FRAMEWORK Madeleine Biondolillo, Miriam Drapkin, and Iyah Romm

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SQMS Development– SQAC has over 200 quality measures that are either mandated or proposed for

inclusion in the SQMS. The process described below is one model for guiding the SQAC through the measure selection process.

– The SQAC’s task will be to identify measures within the populated Table that are suitable for the various purposes listed, keeping in mind that they can select no more than 15 measures for each healthcare setting.

– The completed Table will allow SQAC members to compare similar measures directly, and discuss specific trade-offs between specific measures. Members can recommend that priority areas be removed or added, and can base decisions on concrete factors such as whether the measure looks at structure, process or outcome, or its recommendation level.

– By the end of the meeting, the SQAC will have selected 45 measures—whether mandated or proposed—for inclusion in the Standard Quality Measure Set. Other mandated measures will also technically exist in the SQMS, but these 45 measures will represent the committee’s specific recommendation.

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SQAC Framework Guide• Across the horizontal access, the SQMS Framework identifies for each

proposed and mandated measure:– Data Source (including where the measure is currently reported, if

applicable)– How the measure fits within the Structure/Process/Outcome

domain– Whether the measure is mandated as part of the minimum set– Level of recommendation (preliminary ranking for proposed

measures) – S (strong), M (moderate), W (weak), N (no recommendation)

– Whether the measure is identified as particularly suitable for a specific purpose

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• Down the vertical access, the SQMS Framework categorizes each proposed and mandated measure based on:– The care setting in which a measure is most appropriate– The priority (and for grouping purposes, sub-priority) area that

each measure addresses. In many cases, a measure might address more than one SQAC priority; for these measures, SQAC staff attempted to balance identifying the priority with which a measure most closely aligned with ensuring that as many priority areas as possible were adequately associated with measures. Since this is not an exact science, redistributing measures within this framework is expected, and Committee member feedback is welcomed.

SQAC Framework Guide (cont)

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NEXT STEPSIyah Romm

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For more information

• www.mass.gov/dhcfp/sqac• sqac@state.ma.us

• Next Meeting August 10th, 9:30AM-12:00PMDivision of Health Care Finance and Policy2 Boylston Street, 5th FloorBoston, MA 02116