Statewide Scorecard presentation (PPT)

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Statewide Scorecard presentation (PPT)

  1. 1. Statewide Scorecard Meeting the Goals of the HCQCC 2008 Annual Report March 26, 2010
  2. 2. Massachusetts Division of Health Care Finance and Policy - 2 Tracking State Progress • The Expert Panel on Performance Measurement has been asked to develop a Statewide Scorecard on Healthcare Quality and Cost
  3. 3. Massachusetts Division of Health Care Finance and Policy - 3 Tracking State Progress (cont) • The scorecard will track state progress on meeting the 6 goals set by the HCQCC in the 2008 Annual Report
  4. 4. Massachusetts Division of Health Care Finance and Policy - 4 HCQCC Goals Scorecard Project Plan
  5. 5. Scorecard Status • Goal 1 measures will be populated from the Roadmap to Cost Containment • Goal 5 will not be analyzed as a separate area, but racial/ethnic disparities will be addressed in each measure (where possible and/or appropriate) • Remaining goal areas are a work in progress – Gray cells represent measures that have been suggested as additions or substitutions to the original scorecard proposal Massachusetts Division of Health Care Finance and Policy - 5
  6. 6. Measures for Goal 2: Ensure patient safety and effectiveness of care Massachusetts Division of Health Care Finance and Policy - 6 • Hospital associated infections – Percent of hospitals that have adopted Betsy Lehman Center Expert Panel Recommendations for Prevention and Control of Healthcare Associated Infections – Hospital Central Line Associated Bloodstream Infections (x/y) – Hospital acquired infection by procedure (knee and hip arthroplasty, CABG, and vaginal and abdominal hyterectomy) • Serious reportable events – Percent of hospitals that comply with NQF's Endorsed Patient Safety Practices • Hospital Mortality – Ratio of actual to expected mortality (aggregate state measure if possible)
  7. 7. Measures for Goal 2: Ensure patient safety and effectiveness of care (cont) Massachusetts Division of Health Care Finance and Policy - 7 • Additional/substitute proposed measures: – Hospital associated infections: • Percent of hospitals that have adopted the WHO Surgical Checklist • Percent of surgical patients received appropriate care to prevent complications – Serious reportable events: • Number of hospital-reported SREs • Number of selected hospital-reported SREs (falls, surgical events, care management events)
  8. 8. Measures for Goal 3: Improve screening for and management of chronic illnesses Massachusetts Division of Health Care Finance and Policy - 8
  9. 9. Measures for Goal 3: Improve screening for and management of chronic illnesses (cont) Massachusetts Division of Health Care Finance and Policy - 9 • Additional/substitute proposed measures: – Diabetes • Percent of adult diabetics received recommended preventive care • Percent of adult diabetes patients with HbA1c test in the past year • Percent of Diabetes patients with HbA1c -- Poor Blood Sugar Control – Asthma • Percent of adult asthmatics with an emergency room or urgent care visit in the past year • Hospital admissions for pediatric asthma per 100,000 children – Heart failure: • All 30-day readmissions
  10. 10. Measures for Goal 3: Improve screening for and management of chronic illnesses (cont) Massachusetts Division of Health Care Finance and Policy - 10 • Additional/substitute proposed measures: – Behavioral health: • Access to behavioral health care (wait times, taking new patients) • Percent of children who received needed mental health care in the past year – Preventive health: • Percent of at-risk adults visited a doctor for routine check-up in the past two years • Percent of population who smokes • Percent of adult population that is obese
  11. 11. Measures for Goal 4: Develop useful measurements for areas where current approaches are inadequate Massachusetts Division of Health Care Finance and Policy - 11 • Percent of health care settings in MA with a palliative care program or formal arrangement for palliative care – Hospitals – Nursing homes/SNF – Home health care • Percent of nursing home residents with a MOLST Form completed • Percent of MA skilled nursing facilities participating the in Advancing Excellence Program (70% of currently) who use the “Advance Care Planning Module”
  12. 12. Measures for Goal 4: Develop useful measurements for areas where current approaches are inadequate Massachusetts Division of Health Care Finance and Policy - 12 • Additional/substitute proposed measures: – Care Transitions • Percent of long-stay nursing home residents with a hospital admission • Percent of short-stay nursing home residents with hospital readmission within 30 days • Percent of home health patients with a hospital admission • Percent of heart failure patients given written instructions at discharge
  13. 13. Measures for Goal 6: Promote quality improvement through transparency Massachusetts Division of Health Care Finance and Policy - 13 • Average monthly unique hits to MyHealthCareOptions website • Additional/substitute proposed measure: – Percent of patients who access medical records through an online portal
  14. 14. Areas for EPPM Feedback • Do the proposed measures reflect progress towards the respective HCQCC goals? • Are the proposed measures practical and appropriate? Are there alternative measures? • Suggestions for possible data sources? Massachusetts Division of Health Care Finance and Policy - 14

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