Quality Transparency PURPOSE: Based on nationally endorsed measures, compile and share all-payer quality data from electronic medical records to: • Help health care professionals see where they can improve, enable patients to make more informed choices about their care, and allow purchasers to know the value of the care that they are buying. • Demonstrate the meaningful use of health information technology. • Based on learning that emerges, catalyze best practices to improve healthcare quality transparency in Greater Columbus. www.hcgc.org
Providers Sharing Quality Data Berger Health Partners Central Ohio Primary Care Physicians CompDrug Concord Counseling Heart of Ohio Family Health Centers Lower Lights Christian Health Center Mount Carmel Medical Group OhioHealth Physician Group The Ohio State University Wexner Medical Center Primary Care PrimaryOne Health Southeast, Inc. Syntero
Measure Align Collaborate on regional QI opportunities that are aligned with current work
HCGC Project
Phases of Participation
Quality Transparency Project Framework
www.hcgc.org
Measure performance by site. Refresh every 6 months
Share Internally Share and identify organizationlevel QI activities
Quality Measurement for Improvement
Share Externally Share quality performance across regional organizations Share learning about resultsbased practices Apply learning for regional improvement
Quality Improvement Learning Group
Share Publicly Share site-level performance on OHQ website
Regional Transparency
Regional Quality Transparency
www.ourhealthcarequality.org
www.hcgc.org
Regional Quality Transparency NQF#
Quality Measure
0018
Controlling High Blood Pressure: The percentage of patients ages 18-85 with hypertension and whose blood pressure is adequately controlled (<140/90)
0028
Tobacco Use: Percentage of adult patients who were screened for tobacco use and who received cessation counseling intervention.
0034
Colorectal Cancer Screening: The percentage of patients ages 50-75 who had appropriate screening for colorectal cancer.
0059
Diabetes Care: The percentage of patients ages 18-75 with diabetes whose most recent HbA1c level was reported as in control.
0062
Diabetes Care: The percentage of patients ages 18-75 with diabetes who received a nephropathy screening test or had evidence of nephropathy.
0712
Depression Utilization of PHQ-9: adult patients with major depression or dysthymia who had a PHQ-9 administered during a 4-month period
0710
Depression Remission at 12 months: adult patients with major depression or dysthymia and initial PHQ-9 >9 who demonstrate remission at 12 months.
1885
Depression Response at 12 months: adult patients with major depression or dysthymia and initial PHQ-9 >9 who demonstrate response to treatment at 12 months.
www.hcgc.org
Regional Quality Transparency NQF#
Quality Measure
0018
Controlling High Blood Pressure: The percentage of patients ages 18-85 with hypertension and whose blood pressure is adequately controlled (<140/90)
0028
Tobacco Use: Percentage of adult patients who were screened for tobacco use and who received cessation counseling intervention.
0034
Colorectal Cancer Screening: The percentage of patients ages 50-75 who had appropriate screening for colorectal cancer.
0059
Diabetes Care: The percentage of patients ages 18-75 with diabetes whose most recent HbA1c level was reported as in control.
0062
Diabetes Care: The percentage of patients ages 18-75 with diabetes who received a nephropathy screening test or had evidence of nephropathy.
0712
Depression Utilization of PHQ-9: adult patients with major depression or dysthymia who had a PHQ-9 administered during a 4-month period
0710
Depression Remission at 12 months: adult patients with major depression or dysthymia and initial PHQ-9 >9 who demonstrate remission at 12 months.
1885
Depression Response at 12 months: adult patients with major depression or dysthymia and initial PHQ-9 >9 who demonstrate response to treatment at 12 months.
www.hcgc.org
Regional Quality Transparency
105 practices reporting 107 practices reporting 119,296 patients 148,804 patients
www.hcgc.org
131 practices reporting 147,719 patients
Regional Quality Transparency
www.hcgc.org
105 practices reporting 45,792 patients
107 practices reporting 61,769 patients
131 practices reporting 66,162 patients
Regional Quality Transparency
81 practices reporting 107,942 patients www.hcgc.org
107 practices reporting 166,822 patients
122 practices reporting 181,826 patients
Regional Quality Transparency July 2016 - Participating organizations came together to explore ways to improve colorectal cancer screenings…. Key learning: • Resources are available from American Cancer Society and Ohio Academy of Family Physicians to help providers educate patients and improve processes • Patient outreach and reminders have contributed to improved rates • When patients are given a choice of tests, screening rates improve • Cost and reimbursement can be a limiting factor • Screening resources are available for vulnerable populations • Challenges exist in closing the referral loops to ensure primary care knows screening was done. • Specialists are willing to work with primary care improve screening rates www.hcgc.org
Regional Quality Transparency NQF#
Quality Measure
0018
Controlling High Blood Pressure: The percentage of patients ages 18-85 with hypertension and whose blood pressure is adequately controlled (<140/90)
0028
Tobacco Use: Percentage of adult patients who were screened for tobacco use and who received cessation counseling intervention.
0034
Colorectal Cancer Screening: The percentage of patients ages 50-75 who had appropriate screening for colorectal cancer.
0059
Diabetes Care: The percentage of patients ages 18-75 with diabetes whose most recent HbA1c level was reported as in control.
0062
Diabetes Care: The percentage of patients ages 18-75 with diabetes who received a nephropathy screening test or had evidence of nephropathy.
0712
Depression Utilization of PHQ-9: adult patients with major depression or dysthymia who had a PHQ-9 administered during a 4-month period
0710
Depression Remission at 12 months: adult patients with major depression or dysthymia and initial PHQ-9 >9 who demonstrate remission at 12 months.
1885
Depression Response at 12 months: adult patients with major depression or dysthymia and initial PHQ-9 >9 who demonstrate response to treatment at 12 months.
www.hcgc.org
Regional Quality Transparency NQF#
Quality Measure
0018
Controlling High Blood Pressure: The percentage of patients ages 18-85 with hypertension and whose blood pressure is adequately controlled (<140/90)
0028
Tobacco Use: Percentage of adult patients who were screened for tobacco use and who received cessation counseling intervention.
0034
Colorectal Cancer Screening: The percentage of patients ages 50-75 who had appropriate screening for colorectal cancer.
0059
Diabetes Care: The percentage of patients ages 18-75 with diabetes whose most recent HbA1c level was reported as in control.
0062
Diabetes Care: The percentage of patients ages 18-75 with diabetes who received a nephropathy screening test or had evidence of nephropathy.
0712
Depression Utilization of PHQ-9: adult patients with major depression or dysthymia who had a PHQ-9 administered during a 4-month period
0710
Depression Remission at 12 months: adult patients with major depression or dysthymia and initial PHQ-9 >9 who demonstrate remission at 12 months.
1885
Depression Response at 12 months: adult patients with major depression or dysthymia and initial PHQ-9 >9 who demonstrate response to treatment at 12 months.
www.hcgc.org
Regional Quality Transparency What behavioral health partners are doing…. Collaboratively selecting measures that are meaningful Ensuring there is full understanding of the measure definition Exploring where current data and process gaps are Sharing learning with one another Creating action plans to improve processes and data Engaging the right people in their organizations
www.hcgc.org
Regional Quality Transparency What partners say about participating in this work…. Data is not as accurate as once thought “...low-risk way of shining light” on quality improvement opportunities and infrastructure needs Helps organizations shape IT strategy Organization leadership is excited about move toward transparency Good place to start
www.hcgc.org
Regional Quality Transparency
What additional opportunities for collaborative activity do you see emerging from this work?
www.hcgc.org