Welcome to the EQR Quarterly Meeting! Wednesday, March 26, 2008 1:00 p.m. – 2:30 p.m. (EDT) We will begin shortly. Call-in information is 888.742.8686 , Conference ID – 2087716 . Please place your phone on mute unless you are speaking. Thank you. As a Participant you can enter “F11” for Full Screen View and “Esc” to return to normal view *6 to Mute or *7 to Un-Mute
44
Embed
Welcome to the EQR Quarterly Meeting! Wednesday, March 26, 2008 1:00 p.m. – 2:30 p.m. (EDT)
Welcome to the EQR Quarterly Meeting! Wednesday, March 26, 2008 1:00 p.m. – 2:30 p.m. (EDT). We will begin shortly. Call-in information is 888.742.8686 , Conference ID – 2087716 . Please place your phone on mute unless you are speaking. Thank you. As a Participant you can enter - PowerPoint PPT Presentation
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Welcome to the EQR Quarterly Meeting!
Wednesday, March 26, 20081:00 p.m. – 2:30 p.m. (EDT)
We will begin shortly. Call-in information is 888.742.8686, Conference ID – 2087716.
Please place your phone on mute unless you are speaking. Thank you.
As a Participant you can enter “F11” for Full Screen View and “Esc” to return to normal view
*6 to Mute or *7 to Un-Mute
External Quality Review Quarterly Meeting
Wednesday, March 26, 20081:00 p.m. – 2:30 p.m.
WELCOME!
EQR Quarterly Meeting
Welcome to all participantsOverview of agendaWebinar do’s and don’tsEvaluation Forms
Summary of Performance Improvement Projects Validation
FindingsWednesday, March 26, 2008
1:15 p.m. – 1:45 p.m.
Cheryl L. Neel, RN, MPH, CPHQ
Manager, Performance Improvement Projects
State & Corporate Services
Presentation Overview
• 2007-2008 PIP Validation Process• Summary of Findings• PIP Validation Summary Report Update• MCO Comment Process• Next Steps
2007-2008 PIP Validation Process
• “Statement of Intent” was completed by each MCO type and submitted to HSAG.
• PSNs were new to the PIP process this validation cycle.
• For 2007-2008, MCOs were to submit to HSAG two PIPs for validation:– Clinical and nonclinical– Collaborative topic and one other
2007-2008 PIP Process (cont.)
• HSAG selected two PIPs per MCO type.• One collaborative PIP was chosen.• One other PIP was chosen based on HSAG’s
selection criteria.– If an MCO did not have a nonclinical study
in process and only had clinical studies, then two clinical PIPs were selected for this year’s validation cycle.
111 PIPs Submitted
MCO-Type Collaborative Plan-specific
HMO 23 23
PSN 8 8
PMHP 12 11
NHDP 13 13
MCO-Type
Collaborative Topic
HMOWell-Child Visits in the First 15 Months of Life – Six or More Visits
PSNWell-Child Visits in the First 15 Months of Life – Six or More Visits
NHDP Retention Rate
PMHPFollow-up Within Seven Days after Acute Care Discharge for a Mental Health Diagnosis
Collaborative PIP Topics
Summary of Findings
• A total of 91 PIPs scored at least 80 percent compared to 21 PIPs in 2006-2007 (total of 81 PIPs for 2006-2007).
• A total of 20 PIPs scored below 80 percent compared to 60 PIPs in 2006-2007.
• For 2007-2008, Activities I-IV (study design) were assessed for all 111 PIPs.– 22 of the 111 PIPs had progressed to have
Activity VII assessed.– 3 progressed through Activity X.
2006-2007 Summary of PIP Validation Scores
% Score of Evaluation Elements Met
HMO NHDP PMHP Total
90% to 100% 2 0 0 2
80% to 89% 13 0 6 19
70% to 79% 13 1 0 14
60% to 69% 8 3 1 12
Less than 60% 17 16 1 34
Total 53 20 8 81
2007-2008 Summary of PIP Validation Scores
% Score of Evaluation Elements Met
HMO PSN NHDP PMHP Total
90% to 100% 32 10 14 14 70
80% to 89% 8 0 5 8 21
70% to 79% 2 1 0 0 3
60% to 69% 3 0 2 1 6
Less than 60% 1 5 5 0 11
Total 46 16 26 23 111
HMO Findings
• Total of 46 PIPs– 2 PIPs were assessed through Activity X.– Average score was 92 percent.
• Individual scores ranged from a low of 3 percent to a high of 100 percent.
– 88 percent of all the applicable evaluation elements assessed received a Met finding.
– 12 percent of all the applicable evaluation elements assessed received a Partially Met or Not Met.
HMO PIP Overall Performance
HMO Summary of PIP Validation Scores
% Score of Evaluation Elements Met
2006-2007 2007-2008
90% to 100% 2 32
80% to 89% 13 8
70% to 79% 13 2
60% to 69% 8 3
Less than 60% 17 1
Total 53 46
PSN Findings
• Total of 16 PIPs– 1 PIP was assessed through Activity VI.– Average score was 79 percent.
• Individual scores ranged from a low of 6 percent to a high of 100 percent.
– 75 percent of all the applicable evaluation elements assessed received a Met finding.
– 25 percent of all the applicable evaluation elements assessed received a Partially Met or Not Met.
PSN PIP Overall Performance
PSN Summary of PIP Validation Scores% Score of Evaluation
Elements Met2006-2007 2007-2008
90% to 100% 10
80% to 89% 0
70% to 79% 1
60% to 69% 0
Less than 60% 5
Total 16
NHDP Findings• Total of 26 PIPs
– Five PIPs were assessed through Activity IX.
– Average score was 80 percent.• Individual scores ranged from 24
percent to 100 percent.– 70 percent of all the applicable evaluation
elements assessed received a Met finding.– 30 percent of all the applicable evaluation
elements assessed received a Partially Met or Not Met.
NHDP PIP Overall Performance
NHDP Summary of PIP Validation Scores
% Score of Evaluation Elements Met
2006-2007 2007-2008
90% to 100% 0 14
80% to 89% 0 5
70% to 79% 1 0
60% to 69% 3 2
Less than 60% 16 5
Total 20 26
PMHP Findings
• Total of 23 PIPs– 1 PIP was assessed through Activity X.– Average score was 93 percent.
• Individual scores ranged from 64 percent to a high of 100 percent.
– 92 percent of all the applicable evaluation elements assessed received a Met finding.
– 8 percent of all the applicable evaluation elements assessed received a Partially Met or Not Met.
PMHP PIP Overall Performance
PMHP Summary of PIP Validation Scores
% Score of Evaluation Elements Met
2006-2007 2007-2008
90% to 100% 0 14
80% to 89% 6 8
70% to 79% 0 0
60% to 69% 1 1
Less than 60% 1 0
Total 8 23
PIP Validation Summary Reports
• PMHPs received PIP Validation Summary Reports on Friday, March 14, 2008.
• HMOs, PSNs, and NHDPs received PIP Validation Summary Reports on Monday, March 24, 2008.
MCO Comment Process
• The MCOs were provided with five business days from the receipt of their PIPs to contact HSAG if an error had occurred (No revisions or additional documents were accepted).
• HSAG’s PIP Review Team will review all comments and questions, and respond to the MCOs within five business days from receipt of the inquiry.
Next Steps for MCOs
• MCOs need to address all points of clarification, Partially Met, and Not Met evaluation elements.
• HSAG has provided to the MCOs the Word version of the study submitted.
• Use the same study document to continue working on the PIPs. Date, bold, strike-through any sections in which revisions are made to the study document.
PIP Validation Annual Summary Report
• First draft of the 2007-2008 PIP Annual Summary Report will be sent to AHCA and DOEA on Friday, March 28, 2008.– Compilation of all the MCO findings.– Two year comparison for Activities I