Transcript WNY Physician Support Survey

Western New York
Quality Measurement
Collaborative
1
WNYQMC Grant Funding
• Supports a two-year project focused on improving
care for patients enrolled in health plans.
• P2 Collaborative serves as grant administrator.
• Clinical Support Services, Inc. serves as PMO.
• 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
2
Quality Measures Report
• The data will be comprised of pharmacy and medical
claims data provided by the area’s three health plans
and aggregated by a third-party technology vendor
who will prepare the quality metric results.
• Physicians will be able to review their aggregated
quality metric results via password-protected web
portal.
3
Quality Measures Report
• Supporting patient-level data will be made available
on the portal to individual physicians who sign and
fax a Business Associate Agreement to CSS.
• For the first time, primary care physicians will be
receiving one quality report detailing the results of 19
quality metrics, rather than three different statistical
reports from each of the plans.
• Honorarium available for physician participation.
4
Report Distribution
5
WNYQMC
Report Portal
Phase 1
Phase 2
(Optional)
Phase 1
Report Ready
Notify Physician
(Physician Packet)
Physician Registration
(Aggregate Report)
Complete BAA
Patient Level Data
Review Results
Complete Survey
Honorarium
6
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
7
NYSDOH Grant
• Grant also calls for distribution of Inpatient
Hospital Quality Rates as reported on
www.hospitalcompare.com.
8
Timeline
• 2005-2007 Data – Evaluated by WNYQMC
Clinical Advisory Committee – June 2009
• 2008 Data – Available to PCPs throughout eight
WNY counties in November 2009.
• 1Q 2009 Data – Available via to physicians in
December 2009.
• 2Q 2009 Data – Available via to physicians in
February 2010.
• March 2010 - Public reporting first two quarters
2010. A requirement of the RWJF grant.
9
www.p2wny.org
www.p2quality.com
10