mipct dashboards

MiPCT Dashboards

Updates to the MDC Dashboards and All-Payer Patients Lists

Summer 2013

July 24, 2013www.MichiganDataCollaborative.org

Topics• Terminology • All-Payer Patient List Changes• Dashboards and Reports – 4.0 Updates• Future Additions and Enhancement to the

Dashboards and Reports

2

Questions?• Please feel free to ask questions during

the presentation– Use the Webinar Chat Box to Send Questions During

the Presentation

? ? ? ? ?3

Terminology• Release - when the Dashboards and

Reports are updated to include new data– Other enhancements are also included

• Enhancement - when the format of Dashboards and Reports are changed– May include new tables/charts, column

moves, label name changes, etc.

4

All-Payer Patient List

5

• June 2013 Changes• July 2013 Changes• Practice Lists• Care Team Connect (CTC)

June 2013 Changes

6

Added two new fields • NEW_PATIENT_PO_FLAG

– indicates if a patient is new on the current month’s patient list compared to the previous month’s list for the PO

• NEW_PATIENT_PU_FLAG– Indicates if a patient is new on the current month’s

patient list compared to the previous month’s list for the Practice

These fields are included at the end of the records (prior to the Payer pass-through fields)

All-Payer Patient List Changes

June 2013 Changes

7

Dropped Patients List• Includes a list of patients who appeared on the previous

month’s list, but do not appear on the current month’s list.

• This file includes patients for the entire PO. (There are no practice-specific dropped patient lists.)

• The record layout of the dropped patient list is the same as the other patient list files.


July 2013 Changes

8

Change in the field sort order • To more quickly identify potential patients for care

management services


Sort Sequence Sort Field Sort Order

1. Payer Alphabetical

2. High Deductible FlagMembers enrolled in the high deductible plans would be sorted to the bottom of the list

3. Concurrent Risk Group

Highest Risk to Lowest Risk. The order will be:

Very HighHighMediumLowVery LowNot Available

4. Chronic Condition Fields

Sort by the 9 Chronic Condition flag fields, in the following order:

1. Diabetes 4. COPD 7. ADHD

2. Asthma 5. HTN 8. CAD

3. CHF 6. Obesity 9. CKD

July 2013 Changes

9

Layout ChangesThe lists will include fields in the following groups/order:• Demographic fields: Payer Specific Member ID, Member First Name, Member Last

Name, Member Date of Birth, Age, Gender• Attribution fields: Attributed Physician NPI, Attributed Physician First Name,

Attributed Physician Last Name, Attributed Practice Unit ID, Attributed Practice Unit Name

• Risk fields: Concurrent Risk Score, Concurrent Risk Group, Prospective Risk Score• Cost: Standard Cost• Utilization fields: # of Inpatient Visits,# of ED visits, # of Readmissions, # of visits to

any PCP, Most recent PCP visit date, # of Chronic Conditions, # of maintenance drug prescriptions

• Chronic Condition flags: Diabetes, Asthma, CHF, COPD, HTN, Obesity, ADHD, CAD, CKD

• New to PO/PU fields• Payer-specific pass-through fields


July 2013 Changes

10

Layout Changes – Updated Field Order


Part 1 of 3

Demographic Information

Field Heading Field Type Field Length Notes

Payer Specific Member ID CHAR 20 Member First Name CHAR 100 Member Last Name CHAR 100 Member Date of Birth DATE Age NUMBER 10 Gender CHAR 1 Attributed Physician NPI CHAR 20 Attributed Physician First Name CHAR 100 Attributed Physician Last Name CHAR 100 Attributed Practice Unit ID CHAR 15 Attributed Practice Unit Name CHAR 100

July 2013 Changes

11



Part 2 of 3Field Heading Field Type Field Length Notes

Concurrent Risk Score NUMBER 10MiPCT DCG-based risk score

Concurrent Risk Group CHAR 20

Prospective Risk Score NUMBER 10MiPCT DCG-based risk score

Standard Cost CHAR 15

# of Inpatient visits in newest 6 mo of data NUMBER 10

# of ED visits in newest 6 mo of data NUMBER 10 # of readmissions in newest 6 mo of data NUMBER 10

# of visits to any PCP in newest 6 mo of data NUMBER 10

Most recent PCP visit date NUMBER 10 # of Chronic Conditions NUMBER 10

# of maintenance drug prescriptions in newest 6 mo of data NUMBER 10

July 2013 Changes

12



See the APPL Information document on the MDC Support page for more information. Note: There are two APPL Info docs • one for Dec 2012-

Jun 2013 • one for July 2013

and after

Part 3 of 3

Field Heading Field Type Field Length Notes

DIABETES NUMBER 10

ASTHMA NUMBER 10 CHF NUMBER 10

COPD NUMBER 10

HTN NUMBER 10

OBESITY NUMBER 10

ADHD NUMBER 10 CAD NUMBER 10

CKD NUMBER 10

Payer CHAR 20

Will contain one of the following values:

MedicareMedicaidBCBSMBCN

Physician Organization ID CHAR 20 Physician Organization Name CHAR 100 NEW_PATIENT_PO_FLAG CHAR 1Y = Yes, N=NoNEW_PATIENT_PU_FLAG CHAR 1Y = Yes, N=No

: All other BCN & BCBSM pass-thru fields

:

https://www.michigandatacollaborative.org/MDC/

.zip Details

13


[[Need to anonymize data]]

The All Payer Patient List .zip files contain the following files:• Entire PO list• Deleted patient list for the entire PO• BCBSM MA patient list• Practice-level lists• Access through the MDC Dashboards (Download PO Reports

tab)

.zip Details

14


Practice Level Lists – Format in Excel Spreadsheet

Care Team Connect (CTC)

15

– If using CTC, be assured that this info is consistent with our information. MDC sends CTC the full patient list, and CTC updates their list with the same list that MDC distributes.

– BCBSM MA is included


Dashboards and Reports

16

Release 4.0

BCN Data

17

Dashboards & Reports - Release 4.0 Summary

Incorporated BCN data into all aspects of the Dashboards and Reports

Updated Claims Data

18


Inpatient Admissions - Dashboards

19

Dashboards & Reports - Release 4.0

Added inpatient admission measures to the MiPCT and PO Utilization Dashboards

Inpatient Admissions - Reports

20


• Added Inpatient Detail and Inpatient Summary Reports• View PO Report tab• Download PO Report tab

View PO / Download PO Reports

21


View PO Report tab – Sort and view data in your browser

Download PO Report tab – Excel versions of the reports

Summary and Detail Reports - Differences

22


Summary – One record per patient summarizing visits over the time period

Detail – Information about each visit by a patient over the time period

General information about the patient and the number of ED visits are included in this report

The details for each visit are included in this report

Risk Score by Payer

23


• Added a new dashboard section with Risk Score by Payer on the Population Summary Dashboards

• Shows the average risk scores by payer

Populate Inpatient Column on Drill-down Lists

24


• The “# of Inpatient Visits in Newest 6 months of data” column is now populated on all patient-level drill-down lists

Updated Standard Cost Calculations

25


The standard cost calculations are updated on all dashboards. The result is an increased percentage of participants with standard cost assigned

PO Comparison – ED Measures

26


Adding a new PO Comparison – ED Utilization dashboard and report to compare ED measures across all POs in the MiPCT project.

DRAFT

PO Comparison – ED Measures

27


Adding a new PO Comparison – ED Utilization dashboard and report to compare ED measures across all POs in the MiPCT project.

DRAFT

Future Enhancements – Fall 2013

28

• Trend data • PO Comparison – Inpatient Measures• Registry data incorporated into Dashboards

and Reports• Specialist Visits Reports

Future Deliverables

Contact Us• For MDC user account questions:

[email protected]

• For all other questions:[email protected]

29

Questions?

Please submit questions through the chat on the webinar window.

? ? ? ? ?30

mipct dashboards

Documents

patient list files

payer patient list changesjune

list of patients

current months patient

payer patient list5june

previous months list

current months list

new fields new