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Physician Web Portal Project

Quality Measures Initiative

January 2010

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NYSDOH Grant

In 2006 the NYS Legislature announced it was looking at providing grant funding to improve quality of health care, and set forth five parameters:

1. Use of workgroup measures and metrics to reward physician, clinic and hospital performance.

2. Involvement of multiple payers…agreeing to use workgroup measures and metrics to reward physician, clinic and hospital performance.

3. Use of IT to share patient information to improve coordination of care.

4. Improvement of care through the participation of multiple payers and stakeholders.

5. Collection, analysis and public reporting on measures, incentives, processes and outcomes.

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As result,

the Western New YorkQuality Measures

Collaborative(WNYQMC)

was born….

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WNYQMC Grant Funding• Supports a two-year project focused on improving

care for patients enrolled in health plans.• P2 Collaborative serves as grant administrator.• The area’s three health plans -- Independent Health,

HealthNow and Univera -- partnered together to obtain the WNYQMC funding.

• Program designed to make available to each primary care physician in the region’s eight counties his or her own aggregated quality measures report.– Internists– Family Practitioners– Pediatricians

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Quality Measures Report

• The data was comprised of pharmacy and medical claims data provided by the area’s three health plans and aggregated by a third-party technology vendor who prepared the quality metric results.

• Physicians were able to review their aggregated quality metric results via password-protected web portal.

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Quality Measures Report

• Supporting patient-level data was made available on the portal to individual physicians who signed and faxed a Business Associate Agreement to CSS.

• For the first time, primary care physicians received one quality report detailing the results of 19 quality metrics, rather than three different statistical reports from each of the plans.

• Honorarium was made available for physician participation.

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BEFORE AFTER

INDEPENDENTHEALTH

Prescription &Medical Claims

Data

HEALTHNOW

Prescription &Medical Claims

Data

UNIVERA

Prescription &Medical Claims

Data

PHYSICIANREPORT

PHYSICIANREPORT

PHYSICIANREPORT

PHYSICIAN

INDEPENDENTHEALTH

Prescription &Medical Claims

Data

HEALTHNOW

Prescription &Medical Claims

Data

UNIVERA

Prescription &Medical Claims

DataPHYSICIAN

REPORT

PHYSICIAN One aggregated report for each physician. More robust (larger denominators)

Report Distribution

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NYSDOH GrantNineteen health quality measures will bereported in the document:- Breast cancer screening - Cervical cancer screening- Colorectal cancer screening - Chlamydia screening- Childhood immunization status - Lead screening in children- Cholesterol management for patients - Persistence of beta-block with cardiovascular conditions treatment after a heart attack- ACE/ARB treatment (post-heart failure) - Prenatal/postpartum care- Comprehensive diabetes care - Antidepressant medication (hemoglobin A1C testing, retinal exam, management – acute phase nephropathy screening, LDL testing) treatment & continuation phase- Use of appropriate medications for - Appropriate treatment for people with asthma children with upper respiratory- Appropriate testing for children with infection pharyngitis

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WNYQMC Goals

• Align with NYS legislature objectives.

• Create a sustainable program infrastructure.

• Provide year-one participation honorarium for

physicians.• Ensure continued innovation in measurement (capacity

and flexibility to add new measures when identified).• Provide a transferable, regional response to increasing

market demand for dissemination of physician quality measures and report data for physicians.

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Timeline

• 2005-2007 Data – Evaluated by WNYQMC Clinical Advisory Committee – June 2009

• 2008 Data – Available to PCPs throughout eight WNY counties in November 2009.

• February 28, 2010 - Public reporting first two quarters 2010. A requirement of the RWJF grant.

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www.p2wny.org

www.p2quality.com

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My Quality Counts! Survey Report

January 2010

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True Measure (measures for whom you have more than 30 patients)?

MeasuresNumber of Response

Percent Response

1 5 3.0%

2 6 3.6%

3 11 6.5%

4 9 5.4%

5 11 6.5%

6 3 1.8%

7 22 13.1%8 48 28.6%9 31 18.5%

10 15 8.9%11 6 3.6%

12 1 0.6%

13 0 0.0%

14 0 0.0%

15 0 0.0%

16 0 0.0%

17 0 0.0%

18 0 0.0%

19 0 0.0%

Total Response 168

69%

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What was your overall impression regarding website functionality:

Answer Options

Excellent Good Average Fair Poor Response Count

Rating 38 78 36 9 7 168

 Question Totals

answered question 168skipped question 0

69%

15

Appearance- Layout, design, colors and imagery

Answer Options

Excellent Good Average Fair Poor Response Count

Rating 52 80 30 6 0 168

 Question Totals

answered question 168skipped question 0

79%

16

Navigation – The information was located quickly and easily.

Answer Options

Excellent Good Average Fair Poor Response Count

Rating 48 73 33 10 4 168

 Question Totals

answered question 168skipped question 0

72%

17

Easy of Use- Website was easy to use?

Answer Options

Excellent Good Average Fair Poor Response Count

Rating 44 78 28 10 6 166

 Question Totals

answered question 166skipped question 2

73%

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Knowing that there are limitations to using claims data for performance reporting, do you think the quality data reasonably reflect the clinical status

of your practice? Answer Options Yes No Response Count

Yes/No 88 79 167

 Question Totals

answered question 167skipped question 1

53%

19

Did you request and receive patient-level information for one or more metrics using the Business Associate

Agreement (BAA) mechanism?

Answer Options

Response Percent

Response Count

Yes 29% 48

No 71% 120

answered question 168

skipped question 0

20

If you requested patient-level data access, how helpful did you find this information to be?

Answer Options

Excellent Good Fair Poor Response Count

Rating 10 48 28 7 93

 Question Totals

answered question 93skipped question 75

52%

21

Are you planning to share this My Quality Counts! report with your staff?

Answer Options Yes No Response Count

Yes/No 111 56 167

 Question Totals

answered question 167skipped question 1

66%

22

Is the data presented in a manner to support quality initiatives in your office?

Answer Options Yes No Response Count

Yes/No 133 32 165

 Question Totals

answered question 165skipped question 3

81%

Public Reporting of Diabetes Measures – Primary Care

January 2010

Reaching for Excellence