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Statewide Scorecard presentation (PPT)

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    Statewide Scorecard presentation (PPT) Statewide Scorecard presentation (PPT) Presentation Transcript

    • Statewide Scorecard Meeting the Goals of the HCQCC 2008 Annual Report March 26, 2010
    • Tracking State Progress
      • The Expert Panel on Performance Measurement has been asked to develop a Statewide Scorecard on Healthcare Quality and Cost
      Massachusetts Division of Health Care Finance and Policy -
    • Tracking State Progress (cont)
      • The scorecard will track state progress on meeting the 6 goals set by the HCQCC in the 2008 Annual Report
      Massachusetts Division of Health Care Finance and Policy -
    • HCQCC Goals Scorecard Project Plan Massachusetts Division of Health Care Finance and Policy -
    • 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 -
    • Measures for Goal 2: Ensure patient safety and effectiveness of care
      • 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)
      Massachusetts Division of Health Care Finance and Policy -
    • Measures for Goal 2: Ensure patient safety and effectiveness of care (cont)
      • 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)
      Massachusetts Division of Health Care Finance and Policy -
    • Measures for Goal 3: Improve screening for and management of chronic illnesses Massachusetts Division of Health Care Finance and Policy -
    • Measures for Goal 3: Improve screening for and management of chronic illnesses (cont)
      • 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
      Massachusetts Division of Health Care Finance and Policy -
    • Measures for Goal 3: Improve screening for and management of chronic illnesses (cont)
      • 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
      Massachusetts Division of Health Care Finance and Policy -
    • Measures for Goal 4: Develop useful measurements for areas where current approaches are inadequate
      • 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”
      Massachusetts Division of Health Care Finance and Policy -
    • Measures for Goal 4: Develop useful measurements for areas where current approaches are inadequate
      • 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
      Massachusetts Division of Health Care Finance and Policy -
    • Measures for Goal 6: Promote quality improvement through transparency
      • Average monthly unique hits to MyHealthCareOptions website
      • Additional/substitute proposed measure:
        • Percent of patients who access medical records through an online portal
      Massachusetts Division of Health Care Finance and Policy -
    • 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 -