Current and Upcoming EQR Activities for Contract Year Four FY 2009 – 2010

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Current and Upcoming EQR Activities

for Contract Year FourFY 2009 – 2010

Yolanda Strozier, MBAProject Manager, State & Corporate Services

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Performance Improvement Projects (PIPs)

• Annual PIP validation process is targeted for completion in March 2010

• MCOs will be given the opportunity to review HSAG’s completed PIP validation results and provide feedback and comments

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Performance Improvement Projects (PIPs)

Next Steps• Updated PIPs are submitted to

AHCA/DOEA—June 2010

• MCOs complete HSAG’s “Letter of Intent” survey listing all active PIPs—August 2010

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Performance Improvement Projects (PIPs)

Collaborative PIPs—HMOs/PSNs

• Topic: Well-Child Visits • Two separate tracks for Reform and Non-

Reform plans. Non-Reform plans have collected and reported Baseline data for calendar year (CY) 2006.

• Reform plans have collected and reported Baseline data for CY 2007

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Performance Improvement Projects (PIPs)

Collaborative PIPs—HMOs/PSNs

• Both types of plans have a two-year intervention phase (CY 2007–2008 for Non-Reform and CY 2008–2009 for Reform)

• All plans are participating in the collaborative intervention. The provider letter will be mailed during the first quarter of 2010.

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Performance Improvement Projects (PIPs)

Collaborative PIPs—PMHPs

• Topic: Follow-up Within seven Days After an Acute Care Discharge for a Mental Health Diagnosis

• PMHPs have submitted Baseline (CY 2007) and Remeasurement 1 (CY 2008) data for the 2009 PIP submission

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Performance Improvement Projects (PIPs)

Collaborative PIPs—NHDPs

• Topic: Retention Rate

• NHDPs began collecting Baseline data quarterly in 2009 and will prepare a 2009 calendar year roll-up rate

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Performance Measures

Reform and Non-Reform HMOs/PSNs

• The validation of performance measures report is targeted to be finalized in January 2010

• The HEDIS 2009 strategic analysis report will be provided to AHCA as a draft in January 2010. The report is targeted to be finalized in March 2010.

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Performance Measures

Reform and Non-Reform HMOs/PSNs

• HEDIS 2010 data (CY 2009) will be analyzed and reported on during the next contract year (2010–2011)

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Performance Measures

PMHPs

• PMHPs will be collecting and reporting performance measure data for CY 2009. Data are due to AHCA in July 2010.

• HSAG will conduct on-site performance measure validation (PMV) activities concurrently during the data collection and reporting cycle (June 2010)

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Performance Measures

NHDPs

• NHDPs began collecting quarterly 2009 performance measure data

• HSAG conducted on-site PMV activities in fall 2009

• Final 2009 PMV data are due to AHCA/ DOEA February 15, 2010

• Final reports are targeted for April 2010

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Upcoming EQR Activities

• Quarterly EQR meetings (via Webinar and on-site at AHCA offices in Tallahassee)

• Other meetings (including collaborative PIP meetings and technical assistance sessions) will be scheduled in conjunction with the quarterly meetings

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Upcoming EQR Activities

MARK YOUR CALENDARS!

The next EQR quarterly meetings are:

Wednesday, March 24, 2010 (Webinar)

Wednesday, June 9, 2010 (AHCA offices)

Wednesday, September 22, 2010 (Webinar)

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QUESTIONS???

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THANK YOU FOR YOUR PARTICIPATION!