Primary Care Quality Reporting Collaborative Project Design Team

June 4, 2013 8:00-9:00 AM

Virtual Work Session

Lead Support Major Support Additional Support

100% Access HealthColumbus

Board & Staff

Individual & Corporate Donations

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Today’s agenda

8:00 Welcome, online meeting, objectives, agenda – John

Update design team on project’s commitments.

Obtain design team input into report design.

8:10 Review & Update

PCQR design review - Carol

Participating Practices (commitments )

8:15

Work Session, Report Design

Information for report display - Carol

Layout samples: A1 & A2, B

Design Questions with Voting - Jeff

8:50 Next Steps, Closing - Carol

• Build a local prototype in 2013

• Begin with an invitation to all Primary Care practices

• Collect data and report quarterly through 2014 on National Quality Forum measures

• Use measures that reflect Central Ohio priorities that are aligned with the SW Ohio region’s Comprehensive Primary Care Initiative

• Measures –

Adult practices can provide EMR data for five measures: Diabetes(A1c, LDL and Blood Pressure) , Appropriate Medications for Asthma, Blood Pressure Control Pediatric practices can provide EMR data for two measures: Appropriate Medications for Asthma, Influenza Immunization 5/2013

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Primary Care Quality Reporting

2013 Prototype Design

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11/9/2012

WHY & WHAT

Begin Shaping Project Design (version 1.0)

2/1/2013

DESIGN

Finalize Project Prototype Design

(version 1.0)

2nd Qtr 2013

INVITE & ENROLL

Primary Care Practices invited to

share their data

3rd & 4th Qtrs 2013

BUILD & SHARE

Local Prototype Primary Care Quality

Reporting built

Primary Care Quality Reporting Proposed Local Project Path

Who Is Participating? Practice Data Sharing Commitments as of May 31, 2013

Seven committed organizations, covering 79 practice sites

• Central Ohio Primary Care – 40 Practices

• Columbus Neighborhood Health Centers – 6 Practices

• Hilliard Family Medicine – 1 Practice

• Mount Carmel Medical Group Primary Care – 20 Practices

• Nationwide Children’s Hospital Primary Care – 10 Practices

• Pediatric Physicians Inc. – 1 Practice

• Village Family Medicine – 1 Practice

Acceptance and invitation meetings will continue through July

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Primary Care Quality Reporting Information Collected from Practices

Non-Clinical Information

• Medical Group name

• Practice Site name and address

• Practice Group/Site project and data contact

• Practice Site number of providers and unique patients

• Percent of Patients by payer (Medicare, Medicaid, Commercial, Self Pay/Uninsured, Other)

• Percent of Patients by age (Adult over 18, Children under 18)

Rationale Understand number of providers and patients represented in the reports Obtain insight into patient mix (measure data is not risk adjusted)

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What Is Being Reported? Electronic Medical Record Measures

Adult Practices

• Diabetes: Hemoglobin A1c Poor Control

• Diabetes: Low Density Lipoprotein (LDL) Management

• Diabetes: Blood Pressure Management

• Use of Appropriate Medications for Asthma

• Controlling High Blood Pressure

Pediatric Practices

• Use of Appropriate Medications for Asthma

• Preventive Care and Screening: Influenza Immunization

Rationale Aligned with Comprehensive Primary Care Initiative in Cincinnati. Based on National Quality Forum standards. Clinical measures from electronic medical records. Reflects Central Ohio priorities. A good place to start! 7

Considerations for Report Design • What is important in the display of our information

and measures ‘at a glance’?

• What is important in the display of our information and measures within explanations?

• Which features of the sample reports are best for use with the project design of Primary Care Quality Reporting for Central Ohio?

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• A1 & A2 – Single Practice site, all measures

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• A1 & A2 – Single Practice site, all measures Payer Mix and Patient Age on page 1…

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A1 & A2 – Single Practice site, all measures

Options for practice site result display (page 2)

Diabetes Patient Measure: Cholesterol Control

Sample A1 Sample A2

PCQR C OH – Primary Care Quality Reporting Central Ohio Average

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Work session Voting

Single Practice Site reports

1. Are single practice site reports useful? (A1 or A2)

If yes,

2. Should the single practice site reports (A) include

1. Only local and national averages (A1, simple graphic)

2. Local %tile references (A2)

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B – Single Measure, all practices

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B – Single Measure, all practices

Expanded measure description on page 1

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B – Single Measure, all practices Practice Name alpha order

By payer group

%tile & quartile

Payer group

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Payer groups –

Groupings designed to reflect the predominant payer(s) of the practice site

Currently drafted as: • Commercial

• Commercial + Medicare

• Self Pay + Medicaid more than 33% *

• Self Pay + Medicaid

*Commercial and Medicare may exceed 33%

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B – Single Measure, all practices Practice Name alpha order

By payer groups

%tile & quartile

Payer group

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• B – Single Measure, all practices Result order

Also by payer group

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Work session questions (thumbs up/down voting)..

Single Measure reports

1. Are the single measure, all practice reports useful ? (B)

If yes,

2. Should the single measure reports include payer band groups?

If yes,

3. Should the two “self pay…” bands be combined?

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Predominant Payer: • Commercial • Commercial + Medicare • Self Pay + Medicaid more than 33% • Self Pay + Medicaid

Thank you for the PCQR Report Design Input!

Future Work Sessions:

• August 6, one hour call 8:00 am

• November xx (moving from 10/8) to allow for report preview

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Primary Care Quality Reporting Collaborative Project Design Team

Work Session June 4, 2013 8:00-9:00 AM

THANK YOU!

Lead Support Major Support Additional Support

100% Access HealthColumbus

Board & Staff

Individual & Corporate Donations

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