Hospital Quality Incentive

Payment (HQIP) ProgramData Collection Tool (DCT) Provider Training

Department of Health Care Policy & Financing

April 29, 2020

Agenda1. Introduction

a) Program Background

b) Department Update

c) 2020 HQIP Timeline

2. DCT

a) Survey Submission Process

b) User Roles

c) Accessing the Application

d) Application Features

3. Live Demo

4. Scoring Review and Reconsideration Process

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Program Background• The Colorado Health Care Affordability Act (House Bill 09-1293), Section 25.5-

4-402.3, Colorado Revised Statute authorizes HCPF pay an additional amount based upon performance to those hospitals that provide services that improve health care outcomes for their patients.

• Hospital Quality Incentive Payment (HQIP) Program incentive payments are based on each hospital’s performance on the measures recommended by the HQIP Subcommittee and approved by the CHASE Board.

• PCG was awarded the contract in December 2017 to develop customized quality measures for the State of Colorado’s HQIP program that will address the most critical healthcare quality issues facing Colorado.

• In addition, PCG was tasked with developing a web-based Data Collection Tool (DCT) that replaced the online survey to collect hospital quality metrics relating to areas of improvement within Colorado, and calculate the provider-specific scoring that will be used to determine the HQIP incentive payments. PCG has updated the DCT for this year’s measures.

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Department Update

In response to the COVID-19 global pandemic, the Department

has made the following decisions regarding HQIP in 2020:

• DCT open from May 1 to June 30

• Hospitals will only self-report on existing measures and

• All HCPF pulled measures will remain

• All new self-reported measures will be postponed until 2021

• Points normalized to 100 based on score of available measures

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2020 Revised Measures1. Maternal Health and Perinatal Care Measure Group

a) Exclusive Breast Feeding (self-report)

b) Cesarean Section (self-report)

c) Perinatal Depression and Anxiety (self-report)

d) Maternal Emergencies and Preparedness (self-report and HCPF pulled)

e) Reproductive Life/Family Planning (self-report and HCPF pulled)

f) Incidence of Episiotomy (HCPF pulled new measure)*

2. Patient Safety Measure Group

a) Hospital Acquired Clostridium Difficile (C.diff) Infections (HCPF pulled)

b) Adverse Event Reporting (self-report)

c) Culture of Safety Survey (self-report)

3. Patient Experience Measure Group

a) HCAHPS Composite 5-7 (HCPF pulled)

b) Advance Care Planning (ACP) (self-report)

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2020 Postponed Measures• Reduction of Peripartum Racial and Ethnic Disparities

Patient Safety Bundle

• Sepsis

• Antibiotic Stewardship

• Handoffs and Signouts

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2020 HQIP Timeline• May 1 - DCT Launch

• June 30 - DCT Close

• August 28 - Scoring Review and Reconsideration Period Begins

• September 18 - Scoring Review and Reconsideration Period Ends

• September 14-18 - On-Site Reviews (pending)

• October 16 - Scoring Letters to Hospitals

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Data Collection Tool (DCT)

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Survey Submission Process

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User Roles

Application Admin: Assigned to HCPF and PCG users

Provider Admin: Highest level of provider access, which

allows users to add additional users, edit facility

information, and complete and submit HQIP survey

Provider Participant: Allows user to only complete and

submit HQIP survey

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Accessing the ApplicationLink: https://healthportal.pcghealthservices.com/Default.aspx

Recommended Browser: Google Chrome or Mozilla Firefox

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Application Features

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Application Dashboard

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Application PagesUser Management: for adding new users and updating user

information

Provider Management: for editing hospital information

HQIP Provider Survey: for collecting hospital quality data

HQIP Provider Survey Summary: to view all survey

measures/questions and track survey progression

Survey Confirmation/Submission: for completing survey

attestation by hospital executives

Reports: to view hospital’s survey questions and answers, survey

submission and attestation information, and survey scores

User Management

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Provider Management

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HQIP Provider Survey

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HQIP Provider Survey

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HQIP Provider Survey Summary

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Survey Confirmation/Submission

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Reports

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• Evaluation Detail report displays all measures, questions, answers and points assigned to questions

• Score Summary report displays provider information, total points assigned, submission user, and attestation

user

Demo

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Scoring Review and

Reconsideration Process

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2020 Scoring Review and

Reconsideration Process• For the 2020 program year, there will be a formalized 21 calendar

day period for hospitals to review their preliminary score and

request scoring adjustments from the Department. This is for

instances where you believe the preliminary score for any measures

may be in error.

• Preliminary scores will be entered into the DCT by August 28th,

2020. Hospitals will be notified that their scores are ready for

review. This will begin the reconsideration period.

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2020 Scoring Review and

Reconsideration Process• Hospitals will have until September 18, 2020 (21 calendar days, 15

business days) to review their HQIP scores and request any

applicable reconsiderations. During this time, no additional

documentation or narratives will be accepted. Reconsideration

requests after this period will also not be considered.

• The Department will review reconsideration requests on a case by

case basis. Once a decision has been made, the Department will

send a reconsideration decision letter to the hospital staff and CFO.

• If a hospital wishes to protest the Department’s decision, they

should do so immediately to allow for the escalation and final

judgement before September 29th.

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Questions?

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Contact Information

Department of Health Care Policy & Financing

Matt Haynes Joe SekiyaSpecial Finance Projects Manager Hospital Transformation Project Manager Email: matt.haynes@state.co.us Email: joe.sekiya@state.co.us

Public Consulting Group

Samiha Azam Edwin RobyBusiness Analyst ConsultantEmail: COHQIP@pcgus.com Email: COHQIP@pcgus.com

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Thank You

Matt HaynesSpecial Finance Projects ManagerDepartment of Health Care Policy & FinancingMatt.Haynes@state.co.us

Thank you Page