Transcript WNY Physician Support Survey

Physician Web Portal Project
Quality Measures Initiative
January 2010
1
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.
2.
3.
4.
5.
Use of workgroup measures and metrics to reward physician,
clinic and hospital performance.
Involvement of multiple payers…agreeing to use workgroup
measures and metrics to reward physician, clinic and hospital
performance.
Use of IT to share patient information to improve coordination of
care.
Improvement of care through the participation of multiple payers and
stakeholders.
Collection, analysis and public reporting on measures, incentives,
processes and outcomes.
2
As result,
the Western New York
Quality Measures
Collaborative
(WNYQMC)
was born….
3
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
4
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.
5
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.
6
Report Distribution
7
NYSDOH Grant
Nineteen health quality measures will be
reported in the document:
-
-
Breast cancer screening
Colorectal cancer screening
Childhood immunization status
Cholesterol management for patients
with cardiovascular conditions
ACE/ARB treatment (post-heart failure)
Comprehensive diabetes care
(hemoglobin A1C testing, retinal exam,
nephropathy screening, LDL testing)
Use of appropriate medications for
people with asthma
Appropriate testing for children with
pharyngitis
-
Cervical cancer screening
Chlamydia screening
Lead screening in children
Persistence of beta-block
treatment after a heart attack
- Prenatal/postpartum care
- Antidepressant medication
management – acute phase
treatment & continuation phase
- Appropriate treatment for
children with upper respiratory
infection
8
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.
9
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.
10
www.p2wny.org
www.p2quality.com
11
My Quality Counts!
Survey Report
January 2010
12
True Measure (measures for whom you have more than 30
patients)?
Measures
Number 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
8
48
9
31
10
15
13.1%
28.6%
18.5%
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
Correct Measures
35.0%
30.0%
69%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
13
What was your overall impression regarding website
functionality:
Answer
Options
Excellent
Good
Average
Fair
Poor
Response Count
38
78
36
9
7
168
Rating
Question Totals
answered question
skipped question
168
0
90
80
70
60
69%
50
40
30
20
10
0
Excellent
Good
Average
Fair
Poor
14
Appearance- Layout, design, colors and imagery
Answer
Options
Rating
Excellent
Good
Average
Fair
Poor
Response Count
52
80
30
6
0
168
Question Totals
answered question
skipped question
168
0
90
80
70
79%
60
50
40
30
20
10
0
Excellent
Good
Average
Fair
Poor
15
Navigation – The information was located quickly and
easily.
Answer
Options
Rating
Excellent
Good
Average
Fair
Poor
Response Count
48
73
33
10
4
168
Question Totals
answered question
skipped question
168
0
80
70
60
72%
50
40
30
20
10
0
Excellent
Good
Average
Fair
Poor
16
Easy of Use- Website was easy to use?
Answer
Options
Rating
Excellent
Good
Average
Fair
Poor
Response Count
44
78
28
10
6
166
Question Totals
answered question
skipped question
166
2
90
80
70
60
73%
50
40
30
20
10
0
Excellent
Good
Average
Fair
Poor
17
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
Yes
No
Response Count
88
79
167
Question Totals
answered question
skipped question
167
1
90
53%
88
86
84
82
80
78
76
74
Yes
No
18
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
80%
70%
60%
Yes
29%
No
71%
48
50%
Yes
40%
120
No
30%
20%
answered question
168
10%
skipped question
0
0%
Yes
No
19
If you requested patient-level data access, how helpful
did you find this information to be?
Answer
Options
Rating
Excellent
Good
Fair
Poor
Response Count
10
48
28
7
93
Question Totals
52%
60
answered question
skipped question
93
75
50
40
30
20
10
0
Excellent
Good
Fair
Poor
20
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
skipped question
167
1
120
66%
100
80
60
40
20
0
Yes
No
21
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
skipped question
165
3
140
81%
120
100
80
60
40
20
0
Yes
No
22
Reaching for Excellence
Public Reporting of Diabetes
Measures – Primary Care
January 2010